定义和复杂的创伤后应激障碍的概念质疑:一个范围审查
Alix Lavandier1,2, William Peraud3, Louis Hebrard4
1Centre Hospitalier de Cadillac, Cadillac sur Garonne, France.
Trauma, violence & abuse
|December 31, 2025
概括
复杂的创伤后应激障碍 (CPTSD) 是一种独特的精神疾病,是由长期的逆境造成的. 本审查审查了其不断变化的定义和ICD-11的纳入,证实了其地位.
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
- 心理健康研究 心理健康研究
背景情况:
- 复杂的创伤后应激障碍 (CPTSD) 尽管被列入ICD-11,但仍有争议.
- 缺乏共识导致不同的术语和理解.
- 目前围绕CPTSD的定义和概念化存在争议.
研究的目的:
- 检查现有的CPTSD定义.
- 考虑在CPTSD之前的不良经历.
- 将对CPTSD概念的批评纳入其中.
主要方法:
- 范围审查方法 (阿克西和奥马利).
- 在五个在线数据库中搜索了英语同行评审研究 (2013-2025年).
- 由三名研究人员进行的独立审查;40篇文章符合纳入标准.
主要成果:
- 确定了四个主要的理论框架:赫尔曼的CPTSD,DESNOS,DTD和ICD-11标准.
- 综合心理应激障碍 (CPTSD) 始终被定义为逆境的精神病理后果.
- 患有CPTSD的概念已经发展了大约30年.
结论:
- 综合心理应激障碍是一种独特的精神疾病.
- 通过ICD-11正式承认意味着其已确立的地位.
- CPTSD通常在长时间或反复暴露于特定创伤条件后发展.
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