创伤后应激障碍分离亚型的概念化观点及其治疗意义。
Perspectives on the conceptualization of the dissociative subtype of PTSD and implications for treatment.
作者信息
Dutra Sunny J, Wolf Erika J
机构信息
National Center for PTSD, Behavioral Science Division, VA Boston Healthcare System, Boston, MA, United States; Department of Psychiatry, Boston University School of Medicine, United States.
National Center for PTSD, Behavioral Science Division, VA Boston Healthcare System, Boston, MA, United States; Department of Psychiatry, Boston University School of Medicine, United States.
出版信息
Curr Opin Psychol. 2017 Apr;14:35-39. doi: 10.1016/j.copsyc.2016.10.003. Epub 2016 Oct 18.
Abstract
A dissociative subtype of PTSD was added to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to denote a distinct presentation of PTSD marked by symptoms of derealization and depersonalization. The subtype has brought renewed interest in the conceptualization of dissociation in PTSD, and raised questions about its treatment. We review the evidence for two models of PTSD-related dissociative symptoms and the treatment approaches that align with each. We find support for the contributions of biologically-based trait-level factors to dissociation, and suggest that empirically supported treatments for PTSD demonstrate efficacy for patients with the subtype.
摘要
《精神疾病诊断与统计手册》（第五版，DSM - 5）中增加了创伤后应激障碍（PTSD）的分离亚型，以表示PTSD的一种独特表现形式，其特征为现实解体和人格解体症状。该亚型重新引发了人们对PTSD中分离概念的兴趣，并引发了关于其治疗的问题。我们回顾了两种与PTSD相关的分离症状模型的证据以及与之对应的治疗方法。我们发现基于生物学的特质水平因素对分离有一定作用，并表明经实证支持的PTSD治疗方法对该亚型患者有效。
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