解决后创伤后应激障碍对后续功能持续的影响
Richard A Bryant1, Alexander C McFarlane1, Derrick Silove1
1School of Psychology, University of New South Wales (Bryant); Brain Dynamics Centre, Westmead Millennium Institute (Bryant); Centre for Military and Veteran Health, University of Adelaide (McFarlane); School of Psychiatry, University of New South Wales (Silove); and Phoenix Australia, Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne (O'Donnell, Forbes, Creamer).
概括
即使创伤后应激障碍 (PTSD) 症状消失后,个人也可能在心理,身体,社会和环境生活质量方面经历持久的损害. 这表明PTSD可能对功能产生持久的影响.
科学领域:
- 心理学 心理学 心理学
- 创伤研究 创伤研究
- 健康结果的健康结果.
背景情况:
- 创伤后应激障碍 (PTSD) 是创伤后的一个重要的心理健康状况.
- 了解PTSD症状消失后的长期功能后果对于患者护理至关重要.
研究的目的:
- 调查功能障碍是否在创伤后应激障碍 (PTSD) 症状消失后仍然存在.
- 评估创伤后应激障碍症患者的长期生活质量.
主要方法:
- 一组1035名创伤患者在住院,3个月和12个月后被评估.
- 使用世界卫生组织"生活质量-BREF"来衡量生活质量.
- 使用临床医生管理的PTSD尺度评估了PTSD症状.
主要成果:
- 与从未患有PTSD的患者相比,患有PTSD症状的患者在心理,身体,社会和环境领域的生活质量明显较差.
- 这些发现在对受伤前的功能,当前的疼痛和抑郁症进行控制后仍然很重要.
- 生活质量差的几率比率从3.51 (心理) 到10.17 (身体) 之间.
结论:
- 创伤后应激障碍 (PTSD) 可以导致持续的功能缺陷影响整体生活质量,即使在症状缓解后.
- 这些持久的影响凸显出需要持续的支持和干预,而不仅仅是急性PTSD症状管理.
- 需要进一步的研究来探索这些持续性损伤背后的机制.
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