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实体器官移植受者中的创伤后应激障碍:当前认识与未来影响

PTSD in solid organ transplant recipients: Current understanding and future implications.

作者信息

Supelana C, Annunziato R A, Kaplan D, Helcer J, Stuber M L, Shemesh E

机构信息

Department of Pediatrics and Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Department of Psychology, Fordham University, Bronx, NY, USA.

出版信息

Pediatr Transplant. 2016 Feb;20(1):23-33. doi: 10.1111/petr.12628. Epub 2015 Dec 9.

Abstract

PTSS are quite prevalent in transplant recipients, although full-scale PTSD may not be that common. Those symptoms have been linked to poor transplant outcomes, perhaps owing to non-adherence to medications and other recommendations, brought about by the avoidance dimension of the PTSD/PTSS construct (patients may avoid taking their medications because they serve as reminder of the emotionally traumatic event--the transplant). It is possible to treat PTSD via specific psychotherapeutic techniques, and the treatment has been shown to be safe and likely effective in other populations. Therefore, practitioners who treat transplant recipients should be familiar with the presentation and treatment of those symptoms. This manuscript provides a systematic literature review of the PTSD/PTSS presentation in the pediatric transplant setting, a synthesis of available research findings, and suggestions for current care and future research.

摘要

创伤后应激症状在移植受者中相当普遍,尽管全面的创伤后应激障碍可能并不那么常见。这些症状与移植效果不佳有关,这可能是由于创伤后应激障碍/创伤后应激症状结构中的回避维度导致不遵守药物治疗和其他建议(患者可能会避免服药,因为药物会提醒他们想起情感创伤事件——移植)。通过特定的心理治疗技术治疗创伤后应激障碍是可行的,并且该治疗在其他人群中已被证明是安全且可能有效的。因此,治疗移植受者的从业者应该熟悉这些症状的表现和治疗方法。本手稿提供了关于儿科移植环境中创伤后应激障碍/创伤后应激症状表现的系统文献综述、现有研究结果的综合以及对当前护理和未来研究的建议。

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