从妄想到创伤后应激障碍:一个系统的审查
Myriam V Thoma1, Elisabeth Chantraine1, Volker Köllner2
1University of Basel, Clinical Psychology and Psychopathology, Faculty of Psychology, Missionsstrasse 62a, Basel, 4055, Switzerland.
Journal of psychiatric research
|February 18, 2026
概括
在急性护理中的妄想可能会导致一些患者的创伤后应激障碍 (PTSD),特别是当感知到的威胁很高时. 然而,证据是混合的,表明妄想不是统一的PTSD风险因素.
科学领域:
- 关键护理医学 关键护理医学
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
背景情况:
- 痴呆症是急性护理环境中常见的并发症,影响了许多患者.
- 狂妄症与成年人随后发展的创伤后应激障碍 (PTSD) 之间的关系尚不清楚.
研究的目的:
- 系统地审查和综合现有的证据,关于在成年人妄和PTSD之间的关联.
- 探索患病率估计,潜在的机制,以及后创伤后应激障碍的风险/保护因素.
主要方法:
- 在主要的科学数据库中,按照PRISMA 2020指南进行了系统的文献搜索.
- 包括的研究评估了在重症监护室 (ICU) 或非ICU住院的成年人随后的PTSD,使用结构化访谈或验证的措施.
- 由于研究设计,评估和随访期间的异质性,采用了叙事综合.
主要成果:
- 包括21项研究,揭示了PTSD患病率的广泛变化 (0%74.5%),这取决于评估方法.
- 九项研究表明狂妄症和PTSD之间存在联系,特别是当狂妄症严重,持续或涉及威胁幻觉时.
- 几项强大的队列研究报告没有显著的关联,突出发现和测量变化的不一致性.
结论:
- 证据不支持妄想作为PTSD的普遍原因.
- 痴呆症可能是患有PTSD的风险因素,特别是在患有高感知威胁和记忆障碍的人群中.
- 临床建议包括妄想预防,创伤知情护理,并在严重或痛苦的妄想发作后对PTSD进行有针对性的查.
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