[创伤的理论和临床影响]
1Équipe « Contrôle-Interoception-Attention », Institut du Cerveau (ICM), Sorbonne Université, INSERM, CNRS, APHP, DMU Neurosciences, Service de Psychiatrie Adultes, GH Pitié Salpêtrière, 47-83 Boulevard de l'Hôpital, 75013 Paris, France.
Biologie aujourd'hui
|July 6, 2023
概括
创伤可能导致严重的心理健康问题,如创伤后应激障碍 (PTSD). 创伤后的离散症状与PTSD有关,但并不总是急性存在.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 社会学 社会学 社会学
背景情况:
- 创伤暴露,定义为危及生命的事件,可以导致超出创伤后应激障碍 (PTSD) 的严重精神障碍.
- 创伤后应激障碍与分离有很强的关联,但许多患有创伤后应激障碍的人没有表现出急性分离反应.
- 创伤后应激障碍的危险因素包括先前的创伤,精神健康史,遗传学和性别.
研究的目的:
- 探索带有和没有分离症状的PTSD之间的区别.
- 为了研究区分这些PTSD亚型的神经特征.
- 通过恐怖管理理论 (TMT) 的透视来检查创伤对文化信仰和世界观的影响.
主要方法:
- 对创伤,PTSD和分离现有文献的审查.
- 分析与创伤前解离和PTSD发展相关的发现.
- 恐怖管理理论 (TMT) 的应用,以了解创伤对信仰系统的影响.
主要成果:
- 虽然创伤前解离预测了后来的PTSD,但它在急性阶段的缺席并不排除PTSD的发展.
- 建议区分带有脱离症状和没有脱离症状的PTSD可能涉及特定的神经相关物.
- 创伤可以破坏文化世界观的焦虑缓冲系统,导致改变信仰和社会排斥.
结论:
- 创伤的影响延伸到深刻的心理和潜在的神经生物学变化,影响心理健康和信仰系统.
- 基于分离症状的PTSD亚型之间的区别需要进一步调查,包括神经相关性.
- 创伤可以从根本上改变一个人的世界观和社会融合,正如恐怖管理理论所建议的那样.
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