最近审阅: 1 十一月 2020
最近更新: 30 四月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 创伤暴露与反应
  • 侵入性症状
  • 回避症状
  • 认知和心境的负性改变
  • 唤起及反应性的改变

其他诊断因素

  • 抑郁症
  • 酒精或物质滥用
  • 焦虑

危险因素

  • 严重事故
  • 目睹校园暴力或家庭暴力
  • 自然灾害
  • 恐怖袭击
  • 刑讯逼供
  • 参战
  • 外伤性脑损伤
  • 挚爱突然死亡
  • 骚扰
  • 强奸
  • 遭到袭击者伤害
  • 既往创伤
  • 多个重大生活应激源
  • 社会支持程度低
  • 精神障碍病史
  • 吸毒和酒精滥用史
  • 女性
  • 较小的年龄

诊断性检查

首要检查

  • PTSD 列表
  • DSM-5 的 PTSD 检查表 (PCL-5)
  • 事件影响量表 (IES-R)
  • 戴维森创伤量表 (DTS)
  • 创伤筛查问卷 (TSQ)
  • SPAN
更多 首要检查

需考虑的检查

  • 临床用创伤后应激障碍诊断量表 (CAPS)
  • 临床用创伤后应激障碍诊断量表 DSM-5 版本(CAPS-5)
  • DSM-IV 中针对轴 I(的精神障碍)的定式临床访谈(SCID PTSD 模块)
  • 创伤后应激障碍症状量表-访谈版(PSS-I)
更多 需考虑的检查

治疗流程

撰稿人

Professor of Psychiatric Epidemiology

Centre for Academic Mental Health

School of Social and Community Medicine

University of Bristol

Bristol

Clinical Senior Lecturer & Honorary Consultant Psychiatrist

Institute of Psychological Medicine and Clinical Neurosciences

Cardiff University

Cardiff

UK

利益声明

SZ declares that he has no competing interests.

Consultant Psychiatrist and Clinical Teaching Fellow

Institute of Psychological Medicine and Clinical Neurosciences

School of Medicine

Cardiff University

Cardiff

Wales

利益声明

MH is an author of references cited in this topic.

Research Associate

National Centre for Mental Health

Institute of Psychological Medicine and Clinical Neurosciences

School of Medicine

Cardiff University

Cardiff

Wales

利益声明

CL declares that she has no competing interests.

Dr Stanley Zammit, Dr Mathew Hoskins, and Dr Catrin Lewis would like to gratefully acknowledge Dr Neil P. Roberts, Dr Jonathan I. Bisson, and Dr Steve Wood, previous contributors to this topic.

利益声明

NPR is a member of the research team that developed a web-based guided self-help programme to treat PTSD. NPR has also received grant funding for research related to PTSD and undertaken systematic reviews, meta-analyses, randomised controlled trials, and other research in the traumatic stress field that may be referred to in this work. JIB and SW declare that they have no competing interests.

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Deputy Associate Chief of Staff

Mental Health

VA New York Harbor Healthcare System

Clinical Associate Professor

New York University School of Medicine

New York

NY

利益声明

MR declares that he has no competing interests.

Surgeon Commander

Royal Navy

Defence Professor of Mental Health, Visiting Professor of Psychiatry, and Co-Director

Academic Centre for Defence Mental Health

King's College London

London

UK

利益声明

NG has been principal investigator on studies with research funding greater than 6 figures USD. NG is a director of a company providing early intervention training for traumatic stress (the company does not provide PTSD treatment services).

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