Hühne Verônica, Vigne Paula, de Menezes Gabriela B, Fontenelle Leonardo F
Obsessive, Compulsive, and Anxiety Spectrum Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
D'Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil.
Front Psychiatry. 2021 Sep 13;12:692637. doi: 10.3389/fpsyt.2021.692637. eCollection 2021.
Posttraumatic growth (PTG) describes positive psychological change and improvement beyond one's previous functioning. It manifests as a change of self-perception, improvement in the relationship with others, and a better outlook on life. Despite consistent literature on the occurrence of PTG in healthy subjects, there is still a dearth of studies in people with pre-existing mental disorders, especially anxiety disorders. We report the case of a patient previously diagnosed with social anxiety disorder (SAD), whose symptoms remitted, and life view improved after a traumatic event, illustrating a case of PTG. The trauma shattered the patient's previous belief system, allowing the emergence of a new cognitive schema. Although PTG and symptom remission do not necessarily correspond to the same construct, we believe that these phenomena were related to each other in this case, probably because of a notable change in our patient's underlying belief system.
创伤后成长（PTG）描述的是超越先前功能水平的积极心理变化与改善。它表现为自我认知的改变、与他人关系的改善以及对生活更积极的看法。尽管有大量文献报道健康人群中会出现创伤后成长，但对于已有精神障碍的人群，尤其是焦虑症患者，相关研究仍然匮乏。我们报告了一例先前被诊断为社交焦虑障碍（SAD）的患者，其症状在经历一次创伤事件后缓解，生活观也得到改善，这是一个创伤后成长的案例。这次创伤打破了患者先前的信念体系，促使新的认知模式出现。虽然创伤后成长和症状缓解不一定对应相同的概念，但我们认为在这个案例中这些现象相互关联，可能是因为我们这位患者潜在的信念体系发生了显著变化。
