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成人创伤后应激障碍:影响、共病、危险因素及治疗

Posttraumatic stress disorder in adults: impact, comorbidity, risk factors, and treatment.

作者信息

Sareen Jitender

机构信息

Professor of Psychiatry, Psychology, and Community Health Sciences, University of Manitoba, Winnipeg, Manitoba.

出版信息

Can J Psychiatry. 2014 Sep;59(9):460-7. doi: 10.1177/070674371405900902.

Abstract

During the last 30 years, there has been a substantial increase in the study of posttraumatic stress disorder (PTSD). Several high-profile traumatic events, such as the wars in Afghanistan and Iraq, and the terrorist attacks of September 11 on the World Trade Center, have led to a greater public interest in the risk and protective factors for PTSD. In this In Review paper, I discuss some of the important advances in PTSD. The paper provides a concise review of the evolution of PTSD diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, impact of PTSD in the community, an overview of the established risk factors for developing PTSD, and assessment and treatment. Throughout the paper, controversies and clinical implications are discussed.

摘要

在过去30年里,创伤后应激障碍(PTSD)的研究有了大幅增加。几起备受瞩目的创伤性事件,如阿富汗和伊拉克战争以及9月11日对世界贸易中心的恐怖袭击,引发了公众对PTSD风险和保护因素的更大关注。在这篇《述评》论文中,我将讨论PTSD的一些重要进展。本文简要回顾了《精神疾病诊断与统计手册》中PTSD诊断的演变、PTSD在社区中的影响、已确定的PTSD发病风险因素概述以及评估和治疗。在整篇论文中,还讨论了争议点和临床意义。

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