Mellman T A, Davis G C
J Clin Psychiatry. 1985 Sep;46(9):379-82.
Combat veterans (N = 25) with posttraumatic stress disorder had flashbacks related to their combat stressors, which included major losses and exposure to danger. Certain affects, loud noises, fatigue, and personal stress tended to precipitate flashback episodes. Flashbacks began a year or more after exposure to combat in 50% of patients; 56% of patients experienced daily flashbacks. Flashback phenomenology met DSM-III criteria for panic attacks. The similarity of flashbacks to panic attacks suggests treatment trials with monoamine oxidase inhibitors or imipramine for these selected symptoms.
25名患有创伤后应激障碍的退伍军人出现了与战斗应激源相关的闪回，这些应激源包括重大损失和面临危险。某些情感、巨响、疲劳和个人压力往往会引发闪回发作。50%的患者在接触战斗一年或更长时间后开始出现闪回；56%的患者每天都会经历闪回。闪回现象符合《精神疾病诊断与统计手册》第三版中惊恐发作的标准。闪回与惊恐发作的相似性表明，对于这些特定症状，可以尝试使用单胺氧化酶抑制剂或丙咪嗪进行治疗。
