Drug Ther Bull. 2014 Mar;52(3):33-6. doi: 10.1136/dtb.2014.3.0243.
Post-traumatic stress disorder (PTSD) comprises four core symptom clusters following a traumatic event: (1) re-experiencing, (2) avoidance, (3) negative cognitions/mood, and (4) hyperarousal, lasting >1 month.(1,2) It causes clinically significant distress or impairment in social, occupational or other important functions.(1) Acute stress disorder (ASD) occurs within 4 weeks of the event and comprises similar symptoms to PTSD, lasting 2 days to 4 weeks.(3,4) Recognition and treatment of PTSD may be complicated by symptom overlap or comorbidity with disorders such as anxiety and depression.(5) Here we discuss recognition of PTSD and evidence for trauma-focused psychological treatment (generally considered to be first-line therapy). Part II of this article will discuss drugs, self-help and complementary therapy options.
创伤后应激障碍（PTSD）在创伤事件后包括四个核心症状群：（1）反复体验，（2）回避，（3）负面认知/情绪，以及（4）过度警觉，持续超过1个月。（1,2）它会导致临床上明显的痛苦或在社交、职业或其他重要功能方面的损害。（1）急性应激障碍（ASD）在事件发生后4周内出现，包括与PTSD相似的症状，持续2天至4周。（3,4）PTSD的识别和治疗可能因症状重叠或与焦虑和抑郁等疾病共病而变得复杂。（5）在此我们讨论PTSD的识别以及针对创伤的心理治疗（通常被认为是一线治疗）的证据。本文的第二部分将讨论药物、自助和辅助治疗选择。
