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情绪失调:创伤知情方法。

Emotional Dysregulation: A Trauma-Informed Approach.

机构信息

Department of Pediatrics, University of Utah, 295 Chipeta Way, Salt Lake City, UT 84108, USA; Department of Psychiatry, University of Utah, 5021 Chipeta Way, Salt Lake City, UT 84108, USA.

Department of Psychiatry, University of Texas Health Science Center at Tyler, 11937 US-271, Tyler, TX 75708, USA.

出版信息

Child Adolesc Psychiatr Clin N Am. 2021 Apr;30(2):375-387. doi: 10.1016/j.chc.2020.10.007. Epub 2021 Feb 15.

Abstract

Traumatic experiences, subsequent traumatic stress, and other trauma reactions are common among youth who experience emotional dysregulation. This article highlights key considerations for the delivery of care to emotionally dysregulated youth with histories of trauma. An initial, trauma informed assessment is critical to identify those youth with emotional dysregulation best served by evidence-based, trauma-focused treatments trauma-informed approaches to severely emotionally dysregulated youth, including youth in in-patient and residential settings, can improve emotional and behavioral outbursts while maintaining the safety the milieu. Finally, incorporating awareness of trauma is considered when prescribing psychopharmacologic interventions in severely emotionally dysregulated youth.

摘要

创伤经历、随后的创伤后应激和其他创伤反应在经历情绪失调的年轻人中很常见。本文强调了为有创伤史的情绪失调青年提供护理时需要考虑的关键因素。初步的、以创伤为中心的评估对于识别那些情绪失调最适合接受基于证据的、以创伤为重点的治疗的年轻人至关重要。对于严重情绪失调的年轻人,包括住院和住宿环境中的年轻人,以创伤为中心的方法可以改善情绪和行为发作,同时保持环境的安全。最后,在为严重情绪失调的年轻人开精神药理学干预药物时,考虑到对创伤的认识。

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