创伤后应激障碍:不断发展的概念化和证据,以及未来的研究方向
Chris R Brewin1, Lukoye Atwoli2, Jonathan I Bisson3
1Clinical, Educational & Health Psychology, University College London, London, UK.
概括
本综述考察了创伤后应激障碍 (PTSD) 诊断的演变,突出了各种表型和有效的治疗方法. 它探讨了心理和生物基础,以及创伤和心理健康的未来研究方向.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
背景情况:
- 创伤后应激障碍 (PTSD) 的诊断显著塑造了我们对创伤事件反应的理解.
- 审查了最初的诊断标准和流行病学数据,包括社会文化差异.
- 该研究在更广泛的背景下考虑创伤后反应,影响诊断定义.
研究的目的:
- 审查PTSD诊断标准和流行病学发现的演变.
- 探索创伤后应激障碍的心理和生物基础.
- 总结当前和新兴的治疗选择以及未来的研究方向.
主要方法:
- 对诊断标准,流行病学研究和治疗研究的文献综述.
- 分析心理理论和生物证据 (遗传学,神经成像).
- 检查治疗干预措施,包括以创伤为重点,非创伤为重点和新的方法.
主要成果:
- 证据表明多种PTSD表型,包括分离性和复杂的PTSD亚型.
- 记忆和身份的障碍是关键的心理特征.
- 有效的心理治疗 (例如,TF-CBT,EMDR) 和有前途的综合方法 (例如,MDMA辅助心理治疗) 得到证据的支持.
结论:
- 创伤后应激障碍的诊断已经进化,识别了不同的表型和更广泛的病因因素.
- 了解心理和生物基础对于治疗开发至关重要.
- 未来的研究应该专注于适应各种环境的干预措施,并探索新的治疗策略.
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