在寻求治疗创伤后应激障碍的服务人员和退伍军人中,基于DSM-5标准的创伤类型
Natasha Benfer1, Breanna Grunthal1, Katherine A Dondanville2
1Massachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System.
概括
在创伤后应激障碍 (PTSD) 研究中,参与者的创伤类型评级比评估者的判断更有效. 自我造成的道德伤害 (MIS) 和他人造成的道德伤害 (MIO) 最少得到认可,但与严重的心理健康问题有关.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
背景情况:
- 创伤后应激障碍 (PTSD) 研究往往假定创伤是平等的,忽视独特的背景和后果.
- 之前的一种类型方案将创伤分为六种类型:对自己的生命威胁 (LTS),对他人的生命威胁,暴力后果 (AV),创伤性损失,自我造成的道德伤害 (MIS) 和他人造成的道德伤害 (MIO).
研究的目的:
- 通过参与者的认可而不是基于评估者的类型来验证创伤类型计划.
- 通过评估与心理和行为健康的关联,检查基于参与者的创伤类型的一致性,频率和有效性.
主要方法:
- 在PTSD临床试验中,军事人员和退伍军人 (N = 1,443) 确定了他们最令人痛苦的标准A创伤.
- 参与者和档案评估人员都将这些创伤事件的痛苦方面归类为类别.
主要成果:
- 暴力后果 (AV) 是参与者最经常认可的创伤类型.
- 对自我生命的威胁 (LTS) 最常被评为事件的最糟糕部分.
- 自我造成的道德伤害 (MIS) 和他人造成的道德伤害 (MIO) 最少得到认可,但与更严重的心理和行为健康问题有关.
- 参与者和评估人员在事件中最糟糕的方面达成一致是很差的.
结论:
- 由于存在差异,应优先考虑参与者对创伤类型的评级,而不是评估员的判断.
- 在参与者认可的创伤类型中,治疗前心理和行为健康问题的差异支持参与者评级的有效性.
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