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创伤后应激与物质使用障碍之间的焦虑敏感相关性:系统综述。

Anxiety sensitivity in the association between posttraumatic stress and substance use disorders: A systematic review.

机构信息

University of Houston, Department of Psychology, Houston, TX, USA.

The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, Providence, RI, USA; The Miriam Hospital, Centers for Behavioral and Preventative Medicine, Providence, RI, USA; Butler Hospital, Behavioral Medicine and Addictions Research Unit, Providence, RI, USA; Rutgers, The State University of New Jersey, Department of Psychology, Piscataway, NJ, USA.

出版信息

Clin Psychol Rev. 2018 Jun;62:37-55. doi: 10.1016/j.cpr.2018.05.003. Epub 2018 May 17.

Abstract

Posttraumatic stress disorder (PTSD) and substance use disorders (SUD) are complex psychiatric conditions that commonly co-occur. No evidence-based, "gold standard" treatments for PTSD/SUD comorbidity are currently available. Thus, it is imperative to better understand cognitive-affective mechanisms, targetable via cognitive-behavioral intervention (i.e., malleable), that may be related to both disorders in order to improve the theory and treatment of PTSD/SUD. Anxiety sensitivity is a malleable cognitive-affective factor with relevance to both PTSD and SUD. This systematic review focused on the published literature on anxiety sensitivity and trauma/PTSD and substance use/SUD from 1966 - May 1, 2018, and includes a total of 35 manuscripts. The state of the literature, limitations, and future research directions are discussed.

摘要

创伤后应激障碍(PTSD)和物质使用障碍(SUD)是常见的复杂精神疾病。目前尚无针对 PTSD/SUD 共病的循证“金标准”治疗方法。因此,迫切需要更好地了解认知-情感机制,这些机制可以通过认知行为干预(即可改变的)来靶向,这可能与两种疾病都有关,以便改善 PTSD/SUD 的理论和治疗。焦虑敏感性是一种可改变的认知-情感因素,与 PTSD 和 SUD 都有关。本系统综述重点关注了 1966 年至 2018 年 5 月 1 日期间发表的关于焦虑敏感性与创伤/创伤后应激障碍以及物质使用/物质使用障碍的文献,共包括 35 篇论文。讨论了文献的现状、局限性和未来的研究方向。

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