自伤,自杀和ICD-11复杂创伤后应激障碍在寻求治疗的大型抑郁症青少年中
Huanzhong Liu1,2,3, Grace W K Ho4, Thanos Karatzias5,6
1Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, China.
Journal of child & adolescent trauma
|December 17, 2024
概括
复杂创伤,或ICD-11复杂PTSD,与青少年的自我伤害和自杀行为有关. 解决复杂的PTSD症状可能会降低这些风险,即使没有正式诊断.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 青少年心理健康 青少年心理健康
背景情况:
- 创伤后应激障碍 (PTSD) 与自我伤害和自杀倾向有关.
- 对复杂创伤和这些严重的年轻人的研究结果是有限的.
- ICD-11的分类包括复杂的PTSD (CPTSD) 来描述长期创伤的持久影响.
研究的目的:
- 在寻求治疗的青少年中调查自我伤害,自杀相关现象和ICD-11CPTSD之间的关系.
- 在CPTSD的症状和诊断水平上检查这些关联.
主要方法:
- 从一家门诊精神病诊所招募了109名患有严重抑郁症的青少年.
- 参与者完成了ICD-11 CPTSD,不良童年经历 (ACE),自我伤害行为和与自杀有关的现象的自我报告措施.
- 统计分析评估了CPTSD变量与自我伤害/自杀倾向之间的关系.
主要成果:
- 33.9%的参与者符合ICD-11 CPTSD的诊断标准.
- 自杀的想法和企图与CPTSD诊断有显著的关联.
- 自伤行为与整体CPTSD症状严重程度相关,特别是负面的自我概念症状.
结论:
- 评估和治疗ICD-11中CPTSD症状可能有助于减少痛苦的年轻人的自我伤害和自杀倾向.
- 这些干预措施对于有创伤史的青少年来说可能是有益的,无论他们是否有正式的CPTSD诊断.
- 针对特定的CPTSD症状集群,如负面自我概念和关系障碍,可能对减轻自杀风险至关重要.
相关概念视频
Post-traumatic Stress Disorder
27
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,...
27
Diagnostic and Statistical Manual of Mental Disorders (DSM)
39
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...
39
Bullying
8.4K
A modern form of aggression is bullying. As you learn in your study of child development, socializing and playing with other children is beneficial for children’s psychological development. However, as you may have experienced as a child, not all play behavior has positive outcomes. Some children are aggressive and want to play roughly. Other children are selfish and do not want to share toys. One form of negative social interactions among children that has become a national concern is...
8.4K
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
Depressive Disorders: MDD and Dysthymia
56
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
56
Stress and Mental Health
73
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...
73


