在整个诊断系统和潜在影响中调查分离性和复杂的创伤后应激障碍的风险因素:隐性类分析
Maj Hansen1, Martin Robinson2, Cherie Armour2
1THRIVE, Department of Psychology, University of Southern Denmark.
Psychological trauma : theory, research, practice and policy
|January 23, 2025
概括
分离性创伤后应激障碍 (D-PTSD) 和复杂的PTSD (CPTSD) 在北爱尔兰退伍军人中非常普遍. 这些疾病的危险因素在诊断系统中显示出类似的关联,这表明对治疗的影响相似.
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
- 军人卫生保健 军人卫生保健
背景情况:
- 创伤后应激障碍 (PTSD) 和复杂的创伤后症状,包括分离性创伤后应激障碍 (D-PTSD) 和复杂的创伤后应激障碍 (CPTSD) 的诊断标准在精神障碍诊断和统计手册 (DSM-5) 和国际疾病分类 (ICD-11) 之间有所不同.
- 这些诊断差异对患病率和治疗结果的影响,特别是复杂症状及其危险因素的影响,仍未得到充分研究.
研究的目的:
- 调查北爱尔兰退伍军人中D-PTSD和CPTSD的流行情况.
- 为了确定这些复杂的创伤后疾病的相关风险因素.
- 为了比较应用DSM-5与ICD-11诊断系统的含义.
主要方法:
- 隐性类别分析用于分析436名北爱尔兰退伍军人的数据.
- 这项研究检查了退伍军人样本中D-PTSD和CPTSD类的患病率.
- 研究了已识别的类别与各种风险因素之间的关联.
主要成果:
- 潜在类分析为DSM-5提供了四类解决方案,为ICD-11提供了五类解决方案.
- 确定了高度症状的D-PTSD (27.52%) 和CPTSD (27.9%) 类.
- 在两种诊断系统中观察到与风险因素的类似关联,包括先前的创伤暴露,抑郁,焦虑,分离和酒精使用,效果大小为中到强.
结论:
- 在北爱尔兰的退伍军人中,D-PTSD和CPTSD非常普遍.
- 研究的风险因素显示,在DSM-5和ICD-11诊断系统中,高度症状群体的效果大小相似.
- 需要进一步的研究,以确定这些发现对其他退伍军人群体的概括性.
更多相关视频
相关概念视频
Dissociative Identity Disorder
19
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...
19
Dissociative Disorders
25
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...
25
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
Dissociative Amnesia
32
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...
32
Diagnostic and Statistical Manual of Mental Disorders (DSM)
38
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...
38
Theoretical Approaches to Psychological Disorder
70
The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
70


