在持续的创伤中改变创伤后和悲伤障碍的模式及其体质变量
Yafit Levin1, Menachem Ben-Ezra1, Elazar Leshem1
1School of Social Work, Ariel University, Ariel, Israel.
JAMA psychiatry
|November 5, 2025
概括
这项研究追踪了暴露于持续创伤的成年人的创伤后应激障碍 (PTSD),复杂PTSD (CPTSD) 和长期悲伤障碍 (PGD). 慢性症状与增加的体化和疼痛有关,突显了综合精神和身体健康护理的需要.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 创伤研究 创伤研究
- 公共卫生 公共卫生
背景情况:
- 持续的创伤暴露对发展和维持心理痛苦带来了重大风险.
- 了解创伤后应激障碍 (PTSD),复杂PTSD (CPTSD) 和长期悲伤障碍 (PGD) 的纵向轨迹对于有效的干预至关重要.
- 这些疾病与身体症状 (如体化和疼痛) 之间的关系需要在受创伤影响的人群中进一步调查.
研究的目的:
- 纵向检查PTSD,CPTSD和PGD的变化模式.
- 评估这些疾病与体化和疼痛之间的关联.
- 为经历持续创伤的人群提供综合护理模式.
主要方法:
- 一项以人口为基础的队列研究对2023年10月7日的恐怖袭击和随后的战争暴露在以色列的成年人进行了全国代表性样本.
- 参与者 (基线N=2028) 完成了在线调查,评估PTSD,CPTSD,PGD,体化和疼痛在两个时间点,大约隔一年.
- 使用了标准化问卷,包括国际创伤问卷和体质症状量表-8等.
主要成果:
- 在一年内,PTSD患病率从17.8%降至8.2%,CPTSD从13.1%降至9.3%;PGD保持稳定 (从4.4%降至4.3%).
- 弹性模式在PTSD/CPTSD (62.7%) 和PGD (93.0%) 中最常见.
- 慢性,延迟和转变的症状模式与更大的体化和疼痛 (感官和情感) 有着显著的关联,PTSD/CPTSD体化的效果大小较大.
结论:
- 这项研究揭示了PTSD和CPTSD的动态变化模式,与稳定的PGD形成对比,在持续的创伤暴露期间.
- 心理痛苦模式与体质负担之间的显著关联强调了综合护理的必要性.
- 调查结果强调了创伤知情护理的重要性,该护理解决了长期受创伤影响的人群的心理和身体健康问题.
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