在患有饮食障碍的患者中,PTSD,复杂的PTSD和分裂性PTSD亚型
Timothy D Brewerton1,2, Cindy Nguyen3, Nikki Bishop3
1Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA. drtimothybrewerton@gmail.com.
Journal of eating disorders
|November 21, 2025
概括
复杂的PTSD和分离性PTSD亚型在患有饮食障碍的患者中很常见,这表明精神病的并发症率更高. 针对创伤的综合治疗对于这些复杂的病例至关重要.
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) 和分离与饮食障碍 (EDs) 有关,表明更严重和并发性疾病.
- 复杂PTSD (CPTSD) 和解离性PTSD (DPTSD) 亚型在ED中所起的具体作用尚不清楚.
研究的目的:
- 调查EDS患者中DPTSD和CPTSD的患病率.
- 检查DPTSD/CPTSD与ED患者其他精神病并发症之间的关系.
主要方法:
- 通过采访和自我报告措施评估了635名患有ED,物质使用障碍,PTSD或情绪障碍的患者.
- 用多变量分析对患有ED和没有ED的患者进行了比较,对差异进行了多变量分析,并控制了共变量.
主要成果:
- 与没有ED的患者相比,ED患者的临时PTSD,DPTSD和CPTSD的发病率更高.
- DPTSD和/或CPTSD与ED,抑郁症,物质使用,焦虑和生活质量低下的症状得分增加有关.
- 在ED患者中,发现CPTSD和DPTSD诊断之间存在显著的重叠.
结论:
- 在ED患者中,DPTSD和CPTSD很普遍,这意味着与重大创伤暴露相关的复杂精神病并发症.
- 对于这一群体来说,彻底的评估和综合治疗来解决与创伤相关的症状是必不可少的.
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