确定创伤后应激障碍症状,创伤类型和相关特征的趋势:潜伏类分析
Jeffrey Guina1,2,3,4,5, Ramzi W Nahhas4,6, Michelle Bonnet5
1Corewell Health/Beaumont Behavioral Health Psychiatry Residency, Dearborn, MI, USA doctor@jeffreyguina.com jeffguina@yahoo.com.
这项研究根据PTSD症状确定了六个不同的创伤幸存者的群体. 这些发现突出了与避免和认知和情绪 (NACM) 症状集群的负面变化相关的特定风险.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 创伤研究 创伤研究
背景情况:
- 创伤后应激障碍 (PTSD) 的诊断依赖于症状集群.
- 精神疾病诊断和统计手册第五版 (DSM-5) 将一些PTSD症状重新分类,包括麻木变为认知和情绪 (NACM) 的负面变化.
研究的目的:
- 用DSM-5 PTSD症状学来识别创伤幸存者的不同子组.
- 检查已识别的子组与人口/临床因素之间的关系.
主要方法:
- 隐性类别分析是对来自365位门诊心理健康创伤幸存者的数据进行的.
- 分析了症状概况,以确定不同的类别.
主要成果:
- 确定了六种不同的创伤幸存者的类别.
- 两种突出的光谱出现了:避免突出的和认知/情绪 (NACM) 突出的负面变化.
- 一个有弹性的类代表了参与者的多元性.
- 性侵犯史在避免突出的类中更为普遍.
- 自杀企图和烟草使用障碍在NACM突出的类中更为常见.
结论:
- 避免和麻木 (在NACM中) 似乎是不同的症状维度.
- 当前的DSM-5分类可能会忽略那些具有高麻木度和低回避度的个体,他们表现出独特的自杀风险.
- 这些发现表明,需要对针对性干预的PTSD症状表现有细微了解.
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