在多次创伤暴露后患有创伤后应激障碍 (PTSD) 的年轻人中,复杂创伤后应激障碍 (PTSD) 的特征
Katie Lofthouse1, Ella Beeson2, Tim Dalgleish3,4
1Department of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia, Norwich, UK.
Journal of child psychology and psychiatry, and allied disciplines
|November 23, 2023
概括
与仅患有PTSD的儿童和青少年相比,患有复杂PTSD (CPTSD) 的儿童和青少年的性创伤,抑郁和恐慌症状的发生率更高. 这突出了CPTSD.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 创伤心理学 创伤心理学
- 心理健康研究 心理健康研究
背景情况:
- 复杂的创伤后应激障碍 (CPTSD) 是一种复杂的青少年诊断.
- 了解CPTSD需要检查创伤特征和并发性疾病.
- 在暴露于多重创伤的年轻人中,区分CPTSD与PTSD至关重要.
研究的目的:
- 为了比较创伤特征,精神病理学和心理社会因素在青年与CPTSD对比PTSD.
- 找出那些在多次创伤后符合CPTSD标准的年轻人区分的因素.
- 调查CPTSD中特定创伤类型的患病率.
主要方法:
- 利用了来自DECRYPT试验的基线数据 (n=120,年龄在8-17岁).
- 收集了自我报告,父母/照顾者报告数据和采访.
- 进行了对创伤类型的初级分析和对并发症因素的二次分析.
主要成果:
- 在CPTSD组 (60%) 报告显著更高的性创伤率.
- 在创伤类型或家庭内虐待的数量中没有发现显著差异.
- 患有CPTSD的人群表现出更高的抑郁症,恐慌症状和负面的创伤后认知.
结论:
- 许多多重创伤暴露的年轻人中的很大一部分符合CPTSD标准.
- 在这个人群中,性创伤与CPTSD有关.
- 青年的CPTSD与增加的抑郁症,恐慌和负面认知有关.
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