ICD-11 PTSD,复杂的PTSD和物质使用障碍:关联和临床相关性
Logan R Harvey1, Tim Slade1, Christina Marel1
1Matilda Centre, University of Sydney.
概括
复杂的创伤后应激障碍 (CPTSD) 在有物质使用障碍的人群中比创伤后应激障碍 (PTSD) 更常见. 与PTSD不同的是,CPTSD症状与心理依赖有关,这表明需要量身定制的治疗.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 成 药物 药物 药物 药物
背景情况:
- 创伤和物质使用障碍经常同时发生,使患者的治疗复杂化.
- 现有的研究主要集中在创伤后应激障碍 (PTSD),忽视复杂的创伤后应激障碍 (CPTSD).
- 需要在物质使用环境中针对CPTSD进行特定治疗调整的需要尚不清楚.
研究的目的:
- 调查国际疾病分类第11次修订 (ICD-11) PTSD和CPTSD在物质使用治疗人群中的患病率.
- 探索PTSD/CPTSD症状与物质使用障碍特征之间的关系.
主要方法:
- 分析了72名开始药物治疗的患者的数据.
- 评估包括创伤暴露,创伤症状,主要物质,心理依赖和最近使用.
主要成果:
- 40%的样本对与创伤相关的疾病进行了查,CPTSD (34.8%) 比PTSD (5.8%) 更为普遍.
- 在创伤症状和物质使用特征之间发现了有限的关联.
- 严重程度的CPTSD症状集群 (影响失调,负面的自我概念,关系障碍) 与心理依赖正相关,与PTSD症状不同.
结论:
- 在这个人群中,CPTSD比PTSD更为普遍,并且与物质使用特征有明显的联系.
- 需要进一步的研究来确定修改后的治疗方法是否对伴随性CPTSD患者在药物使用治疗中有益.
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