Bisson Jonathan I, Baker Amy, Dekker William, Hoskins Mathew D
Professor of Psychiatry, School of Medicine, Cardiff University.
Medical Student, School of Medicine, Cardiff University.
Br J Psychiatry. 2020 Mar;216(3):125-126. doi: 10.1192/bjp.2020.40.
There is strong research evidence to support the pharmacological treatment of post-traumatic stress disorder (PTSD) as a second line to trauma-focused psychological interventions. Fluoxetine, paroxetine, sertraline and venlafaxine are the best-evidenced drugs, with lower-level evidence for other medications. It is important that prescribing for PTSD is evidence-based.
有强有力的研究证据支持将创伤后应激障碍(PTSD)的药物治疗作为创伤聚焦心理干预后的二线治疗方法。氟西汀、帕罗西汀、舍曲林和文拉法辛是证据最充分的药物,其他药物的证据级别较低。重要的是,PTSD的处方应基于证据。