ICD-11复杂创伤后应激障碍的记忆和身份理论
Philip Hyland1, Mark Shevlin2, Chris R Brewin3
1Maynooth University, Department of Psychology.
Psychological review
|June 20, 2023
概括
疾病国际分类-11 (ICD-11) 介绍了复杂的创伤后应激障碍 (CPTSD),与PTSD不同. 一个新的理论解释了CPTSD的发展通过侵入性记忆和创伤后的负面身份.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 创伤研究 创伤研究
- 心理健康分类系统 心理健康分类系统
背景情况:
- 现在ICD-11区分了创伤后应激障碍 (PTSD) 和复杂的创伤后应激障碍 (CPTSD).
- 在ICD-11中,CPTSD的特点是PTSD症状加上自我组织障碍 (DSO),包括情绪失调,负面自我概念和关系问题.
- 现有证据支持ICD-11 CPTSD的构造有效性,但其发展缺乏理论框架.
研究的目的:
- 介绍一下国际疾病分类-11 (ICD-11) 中定义的复杂创伤后应激障碍 (CPTSD) 发展的理论解释.
- 解释CPTSD独特的现象,例如长期创伤的影响,PTSD和DSO症状的独立性,以及诊断变异性.
- 提出一个在CPTSD病因学中整合个人脆弱性,创伤暴露,记忆和身份形成的模型.
主要方法:
- 开发ICD-11CPTSD的"记忆和身份理论".
- 概念模型整合了创伤暴露,个人脆弱性,侵入性创伤记忆和负面身份.
- 强调记忆和身份过程的连续性,从反思前体验到自我意识.
主要成果:
- 提出的理论认为,单次和多次创伤暴露,与个人脆弱性相互作用,导致侵入性,基于感觉的创伤记忆和负面身份.
- 这些核心过程 (侵入性记忆和负面身份) 被提出为PTSD和DSO症状的基础,定义了ICD-11的CPTSD.
- 该理论强调了记忆和身份发展在意识的范围内的相互作用,解释了症状异质性.
结论:
- 记忆和身份理论为了解ICD-11 CPTSD的病因提供了一个新的框架.
- 该模型为评估和治疗CPTSD提供了从理论上获得的含义,重点是记忆和身份.
- 需要进一步的研究来经验测试拟议的模型及其组件.
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