Karatzias Thanos, Mc Glanaghy Edel, Cloitre Marylene
School of Health & Social Care, Edinburgh Napier University, Edinburgh EH11 4BN, UK.
NHS Lothian Rivers Centre, EH11 1BG, Stanford University, 450 Jane Stanford Way, Stanford, CA 94305, USA.
Brain Sci. 2023 Sep 9;13(9):1300. doi: 10.3390/brainsci13091300.
ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) is a relatively new condition; therefore, there is limited available evidence for its treatment. Prior to the recognition of CPTSD as a separate trauma condition, people who met criteria were often diagnosed with multiple co-morbid conditions such as PTSD, anxiety, depression, and emotional dysregulation difficulties. In the absence of a coherent evidence base, treatment tended to involve multiple treatments for these multiple conditions or lengthy phase-based interventions, often delivered in an integrative fashion, which was not standardized. In this paper, we present Enhanced Skills Training in Affective and Interpersonal Regulation (ESTAIR), a new flexible multi-modular approach for the treatment of CPTSD and its transdiagnostic symptoms. ESTAIR is consistent with trauma-informed and patient-centered care, which highlights the importance of patient choice in identification and sequencing in targeting CPTSD symptoms. Directions for future research are discussed.
国际疾病分类第11版复杂创伤后应激障碍（CPTSD）是一种相对较新的病症；因此，其治疗的现有证据有限。在CPTSD被确认为一种单独的创伤病症之前，符合标准的人通常被诊断患有多种共病，如创伤后应激障碍、焦虑症、抑郁症和情绪调节困难。在缺乏连贯证据基础的情况下，治疗往往涉及针对这些多种病症的多种治疗方法或基于阶段的长期干预措施，通常以综合方式实施，且未标准化。在本文中，我们介绍了情感和人际调节强化技能训练（ESTAIR），这是一种用于治疗CPTSD及其跨诊断症状的新型灵活多模块方法。ESTAIR与创伤知情和以患者为中心的护理相一致，强调了患者在识别和排序以针对CPTSD症状方面的选择的重要性。还讨论了未来研究的方向。
