妄想からトラウマ後ストレス障害へ: 体系的なレビュー
Myriam V Thoma1, Elisabeth Chantraine1, Volker Köllner2
1University of Basel, Clinical Psychology and Psychopathology, Faculty of Psychology, Missionsstrasse 62a, Basel, 4055, Switzerland.
Journal of psychiatric research
|February 18, 2026
まとめ
急性ケアにおける妄想は,一部の患者において,特に脅威の認識が高い場合に,外傷後ストレス障害 (PTSD) に寄与する可能性があります. しかし,証拠は混在しており,妄想はPTSDの均一な危険因子ではないことを示唆しています.
科学分野:
- クリティカルケア・メディシン
- 精神科医は精神病を患っている.
- トラウマ研究 トラウマ研究
背景:
- 妄想は,急性ケア施設で頻繁に見られる合併症であり,多くの患者に影響を及ぼします.
- 妄想症と,成人におけるトラウマ後ストレス障害 (PTSD) の後続的な発症の関係については,十分に理解されていません.
研究 の 目的:
- 大人のデリリウムとPTSDの関連性に関する既存の証拠を体系的にレビューし,合成する.
- 罹患率の推定値,潜在的メカニズム,およびデリウム後のPTSDのリスク/保護因子を調査する.
主な方法:
- PRISMA 2020のガイドラインに従った体系的な文献検索は,主要な科学データベースで行われました.
- 集中治療科 (ICU) や非ICUに収容された成人を対象に,構造化されたインタビューや検証された測定法を用いて,PTSDの後の状態を評価した研究が含まれています.
- 研究デザイン,評価,およびフォローアップ期間における異質性のために,ナラティブ・シンセシスが採用されました.
主要な成果:
- 21の研究が含まれており,評価方法によってPTSDの罹患率の幅の広い変動 (0%74.5%) が明らかになりました.
- 9件の研究では,妄想症とPTSDの関連性,特に妄想症が重症で,長期間続く場合,または脅迫的な幻覚を含む場合が示されました.
- いくつかの堅実なコホート研究では,有意な関連性がないことが報告され,結果と測定の変動性の矛盾が強調されました.
結論:
- 証拠は,PTSDの普遍的な原因として妄想を支持しません.
- 妄想は,患者のサブセット,特に高い脅威と記憶障害を経験している患者のPTSDの危険因子である可能性があります.
- 臨床的な推奨事項には,妄想の予防,トラウマに配慮したケア,重度または苦痛の妄想エピソード後のPTSDの標的スクリーニングが含まれます.
キーワード:
デリリウム・デリリウム妄想的な記憶,妄想的な記憶集中治療科の重症病棟で治療を受けています.トラウマ後ストレス障害 (PTSD)システマティック・レビュー システマティック・レビュートラウマ情報に基づくケアさらに関連する動画
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