Gutner Cassidy A, Galovski Tara, Bovin Michelle J, Schnurr Paula P
National Center for PTSD, Women's Health Sciences Division, Boston University School of Medicine, 150 South Huntington Avenue, (116B-3), Boston, MA, 02130, USA.
National Center for PTSD, Behavioral Science Division, Boston University School of Medicine, 150 South Huntington Avenue, (116B-3), Boston, MA, 02130, USA.
Curr Psychiatry Rep. 2016 Oct;18(10):95. doi: 10.1007/s11920-016-0734-x.
Both theoretical and empirical findings have demonstrated similarities across diagnoses, leading to a growing interest in transdiagnostic interventions. Most of the evidence supporting transdiagnostic treatment has accumulated for depression, anxiety, and eating disorders, with minimal attention given to posttraumatic stress disorder and other reactions to traumatic stressors. Although single-diagnosis protocols are effective for posttraumatic stress disorder (PTSD) and other trauma-related disorders, in principle, transdiagnostic approaches may have beneficial applications within a traumatized population. This paper defines different types of transdiagnostic treatments, reviews transdiagnostic approaches used in related disorders, and discusses their applicability to PTSD. Examples are drawn from existing transdiagnostic treatments in order to provide a framework for the application of such interventions to the field of traumatic stress. Implications for implementation and dissemination are also discussed.
理论和实证研究结果均表明不同诊断之间存在相似性，这使得人们对跨诊断干预的兴趣日益浓厚。支持跨诊断治疗的大部分证据都集中在抑郁症、焦虑症和饮食失调方面，而对创伤后应激障碍及对创伤性应激源的其他反应关注甚少。虽然单一诊断方案对创伤后应激障碍（PTSD）和其他创伤相关障碍有效，但原则上，跨诊断方法在受创伤人群中可能有有益的应用。本文定义了不同类型的跨诊断治疗，回顾了相关障碍中使用的跨诊断方法，并讨论了它们在PTSD中的适用性。文中引用了现有跨诊断治疗的实例，以便为将此类干预措施应用于创伤性应激领域提供一个框架。还讨论了实施和推广方面的影响。
