Foa E B, Meadows E A
Allegheny University of the Health Sciences, Philadelphia, Pennsylvania 19129, USA.
Annu Rev Psychol. 1997;48:449-80. doi: 10.1146/annurev.psych.48.1.449.
Posttraumatic stress disorder (PTSD) has been the subject of growing recognition since its inception in 1980. Owing in part to the relatively recent inclusion of PTSD in the psychiatric nomenclature, research is only beginning to address its treatment in methodologically rigorous studies. In this review, we discuss issues such as prevalence of trauma and of PTSD, and gold standards for treatment outcome research. We then critically review the extant literature on the treatment of PTSD. Finally, we include a discussion of issues specific to various trauma populations and factors that may influence treatment efficacy across types of trauma.
创伤后应激障碍(PTSD)自1980年被提出以来,已越来越受到人们的关注。部分由于PTSD相对较新才被纳入精神疾病分类,研究才刚刚开始在方法严谨的研究中探讨其治疗方法。在本综述中,我们讨论了诸如创伤和PTSD的患病率以及治疗结果研究的金标准等问题。然后,我们批判性地回顾了关于PTSD治疗的现有文献。最后,我们讨论了特定于各种创伤人群的问题以及可能影响不同类型创伤治疗效果的因素。