复杂应激反应综合征的国际研究:对跨诊断临床实践的影响
Sari Goldstein Ferber1,2, Aron Weller3, Adele M Hayes1
1Department of Psychological and Brain Sciences, University of Delaware, Newark, DE 19716, United States.
World journal of psychiatry
|December 7, 2023
概括
复杂应激反应综合征 (CSRS) 是一种跨诊断性疾病,在四大洲被发现. 北美的年轻非二进制个体和女性表现出更高的CSRS A型症状,表明特定的风险人群.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 跨诊断方法 跨诊断方法
- 压力和创伤研究研究
背景情况:
- 在精神病学中,分类和维度诊断系统之间正在进行的辩论对理解和治疗压力反应产生了重大影响.
- 复杂应激反应综合征 (CSRS) 之前被确定为COVID-19大流行期间独特的应激反应模式.
研究的目的:
- 调查CSRS类型A (精神病症状) 和类型B (长期COVID的神经精神病症状).
- 测试CSRS与未被识别的日常生活压力或严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 感染及其残留物相关的假设.
主要方法:
- 一项全球在线调查,涉及四大洲的977名参与者,翻译成六种语言.
- 评估焦虑,抑郁,压力症状,PTSD (CSRS类型A),认知缺陷和疲劳 (CSRS类型B).
- 使用比例分析,MANCOVA和线性回归进行数据分析.
主要成果:
- 四种综合精神症状 (焦虑,抑郁,压力,创伤后应激障碍) 的患病率明显高于较少症状,支持CSRS A型的跨诊断模型.
- 观察到一个显著的三向相互作用 (年龄 × 性别 × 大陆).
- 北美较年轻的非二进制个体 (<50岁) 和较年轻的女性 (<40岁) 呈现出显著更高的CSRS类型A症状得分,识别出有风险的亚群.
结论:
- CSRS似乎对识别风险人群很敏感,并支持一种跨诊断方法,以改善心理健康预防和治疗.
- 这些发现表明,CSRS可能是未来精神病学分类系统的有价值概念.
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