对下值创伤后应激障碍的定义进行实证调查
Alexandra B Klein1,2, Paula P Schnurr3,4, Michelle J Bovin5,6,7
1Mental Health Service, VA San Diego Healthcare System, San Diego, California, USA.
Journal of traumatic stress
|November 8, 2023
概括
创伤后应激障碍 (PTSD) 影响了许多退伍军人,但缺乏标准定义. 这项研究发现,提出的定义区分了退伍军人的临床上有意义的结果.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 退伍军人健康 退伍军人的健康
背景情况:
- 低值创伤后应激障碍 (PTSD) 识别了具有明显症状低于全诊断标准的个体.
- 不同的下值PTSD定义阻碍了交叉研究的解释和临床应用.
研究的目的:
- 系统地比较九个下值的PTSD定义.
- 评估与退伍军人的不同下值PTSD定义相关的患病率和临床结果.
- 提出一个工作案例定义,用于下值的PTSD.
主要方法:
- 评估了来自退伍军人退役后纵向注册表的1,082名退伍军人.
- 针对DSM-5的结构化临床面试 (SCID-5) 用于PTSD和下值PTSD诊断.
- 验证的自我报告仪器测量了临床结果.
主要成果:
- 在低于值的PTSD定义中,与完全的PTSD和没有PTSD组相比,确定了一个不同的参与者群 (rs = .02.47).
- 拟议的工作定义涉及满足特定的DSM-5症状标准 (B,C,D,E) 以及A,F-H.
结论:
- 低于值的PTSD是在退伍军人群中具有临床意义的构造.
- 需要进一步的研究来评估在各种结果和样本中提出的定义.
- 标准化定义对于一致的诊断和治疗下值PTSD至关重要.
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