对创伤性压力障碍的演变和相互关系进行批判性审查
Ayah Hamadeh1, Joseph El-Khoury2, Julio Torales3,4
1Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon.
PLOS mental health
|February 9, 2026
概括
创伤定义不一致,影响心理健康研究和治疗. 澄清创伤性压力障碍概念对于有效的干预和改善全球结果至关重要.
科学领域:
- 精神病学是一个精神病学.
- 心理病理学 心理病理学
- 全球心理健康全球心理健康
背景情况:
- 术语"创伤"被广泛使用,但在心理健康中定义不一致,经常混原因和后果.
- 现有的诊断系统可能无法完全涵盖全球创伤经历的复杂性和多样性.
研究的目的:
- 审查创伤和相关疾病的历史和当代概念.
- 批判性地评估当前对创伤性压力障碍在全球不同背景下的理解.
- 为改善研究和临床实践提出创伤定义的调整.
主要方法:
- 对创伤的历史和当代概念的文献综述.
- 分析精神病学分类系统和新出现的诊断 (例如,持续的创伤性压力反应,持续的创伤性压力,复杂的PTSD).
- 对创伤性压力现有诊断框架的范围和局限性的批判性评估.
主要成果:
- 创伤后应激障碍 (PTSD) 仍然是最受研究和临床使用的诊断.
- 新兴的诊断,如持续创伤性压力反应,持续创伤性压力和复杂的PTSD,突出了对创伤影响的不断发展的理解.
- 当前的分类可能无法充分捕捉创伤经历的细微差别,特别是在战争时期这样的环境中.
结论:
- 需要在各个心理健康专业中统一定义创伤.
- 重新评估当前分类对创伤事件的性质和时间表的相关性至关重要.
- 改进的定义和分类将增强受创伤影响的个人和社区的研究,干预和结果.
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