Benzakour Lamyae
Service de psychiatrie de liaison et d'intervention de crise, Département de psychiatrie, HUG, 1211 Genève 14.
Rev Med Suisse. 2020 Feb 12;16(681):301-306.
In the context of liaison psychiatry, potentially traumatic somatic situations at the psychic level are frequent. They can be grouped into three broad categories: 1) psychotrauma in connection with a medical event ; 2) traumatic event at the origin of somatic management ; 3) traumatic event prior to somatic management. It is important to know the possible clinical reactions after a traumatic event. In the immediate aftermath of trauma, a clinical assessment is recommended to allow early identification of subjects at risk of developing post-traumatic stress disorder (PTSD). Pharmacological and non-pharmacological interventions should be considered to prevent or to treat the installation of PTSD with the aim of also improving the somatic prognosis.
在联络精神医学的背景下，心理层面潜在的创伤性躯体情况很常见。它们可大致分为三大类：1）与医疗事件相关的心理创伤；2）躯体治疗引发的创伤事件；3）躯体治疗之前的创伤事件。了解创伤事件后可能出现的临床反应很重要。在创伤刚发生后，建议进行临床评估，以便早期识别有患创伤后应激障碍（PTSD）风险的个体。应考虑采取药物和非药物干预措施来预防或治疗PTSD的发生，目的还在于改善躯体预后。
