复杂性创伤后应激障碍：疾病分类学/评估、治疗及公共卫生的研究方向
Complex PTSD: research directions for nosology/assessment, treatment, and public health.
作者信息
Ford Julian D
机构信息
Department of Psychiatry, University of Connecticut School of Medicine, Farmington, CT, USA;
出版信息
Eur J Psychotraumatol. 2015 May 19;6:27584. doi: 10.3402/ejpt.v6.27584. eCollection 2015.
Abstract
Complex posttraumatic stress disorder (CPTSD) in children and adolescents extends beyond the core PTSD symptoms to dysregulation in three psychobiological domains: (1) emotion processing, (2) self-organization (including bodily integrity), and (3) relational functioning. CPTSD research directions for the next decade and beyond are identified in three areas: (1) diagnostic classification (establishing the empirical integrity of CPTSD as a distinct form of psychopathology) and psychometric assessment [validation and refinement of measures of childhood polyvictimization and developmental trauma disorder (DTD)], (2) rigorous evaluation and refinement of interventions (and algorithms for their delivery) developed or adapted for CPTSD and DTD, and (3) the epidemiology of CPTSD and DTD, and their public health and safety impact, across the lifespan and intergenerationally, for populations, nations, and cultures.
摘要
儿童和青少年复杂性创伤后应激障碍（CPTSD）不仅包括创伤后应激障碍的核心症状，还涉及三个心理生物学领域的失调：（1）情绪处理，（2）自我组织（包括身体完整性），以及（3）人际关系功能。未来十年及以后CPTSD的研究方向在三个领域得以确定：（1）诊断分类（确立CPTSD作为一种独特精神病理学形式的实证完整性）和心理测量评估[儿童多重受害和发育性创伤障碍（DTD）测量方法的验证和完善]，（2）对为CPTSD和DTD开发或改编的干预措施（及其实施算法）进行严格评估和完善，以及（3）CPTSD和DTD在整个生命周期、跨代以及不同人群、国家和文化中的流行病学，及其对公共卫生和安全的影响。
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