复杂的创伤后应激障碍和中国青少年遭受创伤的解离:潜伏类分析
Li Wang1,2, Haibo Fu1,3, Hengjia Guo1,4
1Laboratory for Traumatic Stress Studies, CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, People's Republic of China.
European journal of psychotraumatology
|May 29, 2024
概括
这项研究发现了青少年患有复杂创伤后应激障碍 (CPTSD) 的分裂亚型的证据. 这种亚型表现出最严重的症状和功能障碍,突出了针对性干预的需要.
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
- 创伤研究 创伤研究
背景情况:
- 初步证据表明,这是复杂创伤后应激障碍 (CPTSD) 的解离性亚型.
- 了解这种亚型对于推进关于CPTSD和分离的知识至关重要.
- 这项研究旨在为CPTSD的诊断鼻科,评估和临床干预提供信息.
研究的目的:
- 调查中国青少年暴露在COVID-19流行病中的CPTSD和离散症状的同时发生的模式.
- 确定与这些模式相关的临床特征,包括童年创伤,主要抑郁症 (MDD),泛性焦虑症 (GAD) 和功能障碍.
主要方法:
- 一个大样本57,984受创伤暴露的青少年参加.
- 经过验证的仪器测量了CPTSD,分离症状,童年创伤,功能障碍,MDD和GAD.
- 隐性类分析 (LCA) 确定了症状集群,随后进行ANCOVA和基平方测试以进行共变量分析.
主要成果:
- 一个5类模型最适合数据,包括性,PTSD,自我组织障碍 (DSO),CPTSD和CPTSD离散亚型.
- 患有CPTSD分离性亚型类别表现出最低的功能.
- 这一类人群也表现出MDD,GAD和童年创伤的患病率最高.
结论:
- 这些发现为CPTSD的分离性亚型提供了初步的经验支持.
- 这些证据可以指导未来的研究和临床实践,用于创伤相关疾病的个体.
相关概念视频
Dissociative Disorders
65
Dissociative disorders represent complex psychological conditions characterized by disruptions in consciousness, memory, identity, or perception. These disruptions cause individuals to experience a disconnection from their thoughts, emotions, and memories. The phenomenon is not merely an occasional lapse in attention but a profound alteration in mental functioning that can severely impact daily life.
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
65
Dissociative Identity Disorder
65
Dissociative Identity Disorder (DID), previously termed multiple personality disorder, is a complex psychological condition characterized by the presence of two or more distinct identities or personality states. Each identity exhibits unique patterns of behavior, voice, and mannerisms and may possess separate memories and emotional responses. The alternating control between identities can result in memory gaps and challenges in recalling daily activities, often exacerbating the individual's...
65
Post-traumatic Stress Disorder
31
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
31
Dissociative Amnesia
67
Dissociative amnesia is a complex psychological condition that manifests as an inability to recall personal information, often tied to traumatic or stressful events. Unlike general amnesia, individuals with this condition retain the ability to perform routine activities and procedural tasks, such as operating a phone or navigating public transportation, yet experience profound gaps in autobiographical memory. These lapses may encompass significant life events, such as suicide attempts or...
67
Conduct Disorder
31
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
31
Ethnic Identity within a Larger Culture
30
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
30


