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创伤后急性期创伤应激症状的评估

Assessment of Traumatic Stress Symptoms During the Acute Posttrauma Period.

作者信息

Brier Zoe M F, Hidalgo Johanna E, Espeleta Hannah C, Davidson Tatiana, Ruggiero Kenneth J, Price Matthew

机构信息

Department of Psychological Science, University of Vermont, Burlington (Brier, Hidalgo, Price); Department of Psychiatry and Behavioral Sciences (Brier) and College of Nursing (Espeleta, Davidson, Ruggiero), Medical University of South Carolina, Charleston.

出版信息

Focus (Am Psychiatr Publ). 2023 Jul;21(3):239-246. doi: 10.1176/appi.focus.20230001. Epub 2023 Jun 28.

Abstract

A substantial majority of adults in the United States will experience a potentially traumatic event (PTE) in their lifetime. A considerable proportion of those individuals will go on to develop posttraumatic stress disorder (PTSD). Distinguishing between those who will develop PTSD and those who will recover, however, remains as a challenge to the field. Recent work has pointed to the increased potential of identifying individuals at greatest risk for PTSD through repeated assessment during the acute posttrauma period, the 30-day period after the PTE. Obtaining the necessary data during this period, however, has proven to be a challenge. Technological innovations such as personal mobile devices and wearable passive sensors have given the field new tools to capture nuanced in vivo changes indicative of recovery or nonrecovery. Despite their potential, there are numerous points for clinicians and research teams to consider when implementing these technologies into acute posttrauma care. The limitations of this work and considerations for future research in the use of technology during the acute posttrauma period are discussed.

摘要

美国绝大多数成年人在其一生中都会经历潜在创伤性事件(PTE)。这些人中有相当一部分会继而患上创伤后应激障碍(PTSD)。然而,区分哪些人会患上PTSD以及哪些人会康复,仍然是该领域面临的一项挑战。最近的研究指出,通过在创伤后急性期(即PTE发生后的30天内)进行反复评估,识别出患PTSD风险最高的个体的可能性有所增加。然而,在此期间获取必要数据已被证明是一项挑战。诸如个人移动设备和可穿戴无源传感器等技术创新为该领域提供了新工具,以捕捉表明康复或未康复的细微的体内变化。尽管它们具有潜力,但临床医生和研究团队在将这些技术应用于创伤后急性护理时,仍有许多要点需要考虑。本文讨论了这项工作的局限性以及在创伤后急性期使用技术的未来研究需要考虑的因素。

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本文引用的文献

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The Lingering Impact of Resolved PTSD on Subsequent Functioning.已解决的创伤后应激障碍对后续功能的长期影响。
Focus (Am Psychiatr Publ). 2023 Jul;21(3):290-295. doi: 10.1176/appi.focus.23021016. Epub 2023 Jun 28.
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Different trajectories of PTSD symptoms during the acute post-trauma period.创伤后急性期创伤后应激障碍症状的不同轨迹。
J Psychiatr Res. 2020 Dec;131:127-131. doi: 10.1016/j.jpsychires.2020.08.037. Epub 2020 Sep 6.

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