Bäärnhielm Sofie, Ramel Björn, Theunis Eva, Mijaljica Goran, Dyster-Aas Johan, K Arnberg Filip
docent, överläkare, sektionschef , Transkulturellt centrum, Region Stockholm; Karolinska institutet.
överläkare, barn- och ungdomspsykiatrimottagning Lund; barn- och ungdomspsykiatrimottagning könsidentitet Malmö.
Lakartidningen. 2024 Jan 15;121:23090.
Post-traumatic stress disorder, PTSD, is a psychiatric diagnosis that describes a condition where one or more very traumatic events, that include life-threatening or extreme psychological stress, have left permanent traces of distress that induce sustained suffering. In this clinical overview, we present current updates in diagnostic criteria and a new diagnosis of complex PTSD, and discuss the problems caused by the new PTSD diagnosis criteria partially differing in the DSM-5 and ICD-11 diagnostic manuals. Diagnostic challenges caused by symptom variations is discussed, as well as the high degree of comorbidity with other psychiatric and somatic illnesses. Combined forms of treatment that reduce both psychological PTSD and somatic symptoms is underscored, as well as the clinical value of early discovery of PTSD and treatment of comorbidity. Furthermore, the article illuminates knowledge about resilience and social support as protective factors.
创伤后应激障碍(PTSD)是一种精神疾病诊断,描述的是一种情况,即一个或多个极其创伤性的事件,包括危及生命或极端的心理压力,留下了持久的痛苦痕迹,导致持续的痛苦。在本临床概述中,我们介绍了诊断标准的最新进展以及复杂性PTSD的新诊断,并讨论了DSM-5和ICD-11诊断手册中部分不同的PTSD新诊断标准所引发的问题。文中讨论了症状变异引起的诊断挑战,以及与其他精神和躯体疾病的高度共病性。强调了减少心理PTSD和躯体症状的联合治疗形式,以及早期发现PTSD和治疗共病的临床价值。此外,本文还阐述了关于恢复力和社会支持作为保护因素的知识。