青春期同时发生的创伤和与压力因素相关的和与物质相关的疾病:叙事性审查
Jesse D Hinckley1, Zachary W Adams2, Trey V Dellucci2
1Department of Psychiatry, University of Colorado School of Medicine.
概括
青少年创伤和物质使用障碍 (SUDs) 经常同时发生,造成症状恶化的循环. 针对创伤后应激症状 (PTSS) 和SUDs的综合治疗对于年轻人的有效干预至关重要.
科学领域:
- 青少年的神经发育和心理健康.
- 在青春期同时出现的疾病.
- 创伤和物质使用研究.
背景情况:
- 青春期是神经发育和心理社会变化的关键时期,使年轻人容易受到创伤和吸毒的影响.
- 与创伤和压力因素相关的障碍和物质使用障碍 (SUDs) 经常在青少年中同时发生,特别是那些有人际暴力或多受害者历史的青少年.
- 创伤事件和物质使用之间存在双向关系,增加创伤后应激症状 (PTSS) 和SUDs的风险.
研究的目的:
- 检查创伤事件和青少年吸毒之间的复杂相互作用.
- 突出在青年中同时出现的创伤后应激症状 (PTSS) 和物质使用障碍 (SUDs) 的高率.
- 强调对这些并发性疾病的综合治疗方法的需要.
主要方法:
- 关于青少年创伤,物质使用和并发性疾病的文献综述.
- 对解释并发症的自我治疗和易感性假设的分析.
- 检查受影响青年的医疗保健接入点,包括急诊室.
- 讨论查和综合治疗策略.
主要成果:
- 经历创伤的青少年患SUD的风险增加,物质使用可以提高经历创伤的可能性.
- 创伤后应激症状 (PTSS) 和SUD共享重叠的症状学和神经生物学基础.
- 年轻人出现与物质相关的问题,特别是在紧急情况下,往往有共同发生的PTSD.
- 自治医疗假设建议使用物质来缓解创伤症状,但这可能导致负面增强和恶化条件.
结论:
- 青少年创伤和物质使用障碍 (SUDs) 密切相关,需要全面的查和干预.
- 综合,基于证据的治疗,结合心理治疗,心理药物学和病例管理,对于有效治疗青年同时发生的PTSS和SUD至关重要.
- 跨学科的方法对于吸引和留住青少年接受治疗这些复杂的,经常重叠的疾病至关重要.
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