在早期和终身精神病中以创伤为重点的治疗:一个范围的审查
Samantha E Jankowski1,2, Rémy Bennett1, Bradley Tao2
1Department of Psychiatry, Columbia University Medical Center, New York, NY 10032, United States.
Schizophrenia bulletin
|November 23, 2025
概括
对于精神病中创伤后应激障碍 (PTSD) 的创伤为重点的治疗方法正在出现,但需要很长时间,这给实施带来了挑战,特别是在早期的精神病护理中. 需要进一步研究最佳的治疗方式和参与者的耐受性.
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
- 心理健康研究 心理健康研究
背景情况:
- 在患有精神病的人群中,创伤暴露和PTSD的高率.
- 对于伴随性精神病和PTSD的有效创伤治疗方法的理解有限,特别是在早期的精神病中.
研究的目的:
- 审查在不同疾病阶段患有精神病的个体中PTSD症状治疗的现有证据.
- 确定精神病和PTSD的治疗类型,结果和实施因素.
主要方法:
- 对精神病,创伤和治疗研究的综述.
- 在PubMed,PsycINFO和Web of Science数据库中进行了搜索.
- 遵循PRISMA-ScR系统审查指南.
主要成果:
- 包括21项研究 (4项关于早期精神病),检查创伤类型,治疗方法,结果和参与者的观点.
- 发现的治疗方法往往是漫长的,需要复杂的培训.
- 指出了实施方面的挑战,特别是在早期精神病计划方面.
结论:
- 在精神病中治疗PTSD的证据越来越多,但面临实施障碍.
- 需要进一步的研究来确定最佳的治疗持续时间和有效的成分.
- 了解参与者耐受性和提供者因素对于有效的护理至关重要.
更多相关视频
相关概念视频
Psychosis: Goals of Pharmacotherapy
449
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
449
Psychological and Sociocultural Causes of Schizophrenia
454
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
454
Psychodynamic Therapy
460
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
460
Interpersonal Psychotherapy
286
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
286
Psychosis and Antipsychotic Drugs: Overview
786
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
786
Treatment Strategies for Psychological Disorders
672
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
672


