创伤后应激障碍与物质使用之间的关系中的情绪调节:用叙事合成进行系统审查
Alice May Bowen1, Robert Calder2, Joanne Neale1
1National Addiction Centre, King's College London, London, UK.
Trauma, violence & abuse
|November 28, 2025
概括
情绪调节中的困难是理解创伤后应激障碍 (PTSD) 和物质使用障碍 (SUD) 之间的联系的关键. 解决情绪调节可能会改善PTSD和SUD同时发生的综合治疗方法.
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
- 神经科学是一个神经科学.
背景情况:
- 创伤后应激障碍 (PTSD) 和物质使用障碍 (SUD) 经常同时发生,这带来了重大的临床挑战.
- 现有的对PTSD和SUD同时发生的干预措施的疗效有限,学率高,需要对潜在机制有更深入的了解.
- 情绪调节困难被假设是PTSD与物质使用关联的关键因素.
研究的目的:
- 系统地审查情绪调节在PTSD和物质使用之间的关联中的作用.
- 根据性别,创伤类型和社会因素来探索情绪调节的潜在差异.
- 为与PTSD和SUD同时发生的个体制定更有效的综合干预措施提供信息.
主要方法:
- 在多个数据库 (Medline,Embase,PsycInfo,ASSIA,CINAHL,Web of Science) 进行系统的文献搜索.
- 纳入标准用于确定33项相关研究,研究PTSD和物质使用中的情绪调节.
- 对有关情绪调节困难,性别,创伤类型和社会因素的发现进行分析.
主要成果:
- 混合的发现表明,在PTSD与物质使用关联中,调节负面和积极情绪的困难是显著的.
- 与单独的SUD相比,在与PTSD-SUD同时发生的人群中观察到高情绪失调.
- 初步证据表明,基于性别,创伤类型和社会因素,情绪调节的潜在差异需要进一步调查.
结论:
- 研究结果支持在PTSD的背景下使用物质的自我治疗和消极强化模型.
- 难以调节情绪的困难是将PTSD和物质使用联系在一起的关键机制.
- 针对情绪调节的综合干预措施可能为同时发生的PTSD和SUD提供了一个有希望的治疗途径.
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