创伤后应激障碍和物质使用障碍查,评估和治疗
Samantha C Patton1, Laura E Watkins2, Therese K Killeen3
1Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, 1821 Clifton Rd. Suite 1200, 30329, Atlanta, Georgia. samantha.patton@emory.edu.
Current psychiatry reports
|October 15, 2024
概括
创伤后应激障碍 (PTSD) 在物质使用障碍 (SUD) 患者中很常见,恶化治疗结果. 建议综合,以创伤为重点的疗法与药物相结合,以改善预后.
科学领域:
- 精神病学是一个精神病学.
- 成 药物 药物 药物 药物
- 临床心理学 临床心理学
背景情况:
- 创伤后应激障碍 (PTSD) 和物质使用障碍 (SUD) 经常同时发生.
- 这种并发性疾病与症状严重程度的增加,治疗完成的挑战以及较差的长期结果有关.
- 自我治疗假设是PTSD-SUD并发症的主要解释.
研究的目的:
- 审查SUD治疗环境中PTSD的流行,原因和治疗影响.
- 概述最佳实践来管理同时发生的PTSD和SUD.
- 为查,评估和监测提供建议.
主要方法:
- 关于PTSD和SUD并发症的研究文献综述.
- 对综合和顺序方法的治疗疗效的分析.
- 对药物治疗和心理治疗干预措施的当前证据的综合.
主要成果:
- 在SUD患者中,PTSD非常普遍,对治疗过程和预后产生负面影响.
- 综合治疗模式,特别是以创伤为重点的心理治疗 (例如,长期暴露,认知处理疗法) 与药物治疗,显示出显著的前景.
- 使用PE (COPE) 同时治疗PTSD和SUD是一种推的方法.
结论:
- 综合治疗对于有效管理同时发生的PTSD和SUD至关重要.
- 以创伤为中心的心理治疗,加上药物治疗,提供了最有效的治疗策略.
- 对治疗增强的进一步研究,包括新的格式和神经调节,是有必要的.
相关概念视频
Post-traumatic Stress Disorder
29
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,...
29
Substance Use Disorders Affecting Sleep
161
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
161
Treatment Strategies for Psychological Disorders
98
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
98
Stress and Mental Health
81
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
81
Diagnostic and Statistical Manual of Mental Disorders (DSM)
45
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
45
Self-Help Support Groups
27
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
27


