创伤后的应激障碍及其预测因素  

Posttraumatic stress disorder and the predictors

作　　者：尚蕾[1] 王择青[1] 

机构地区：[1]解放军总医院医学心理科,北京市100853

出　　处：《中国临床康复》2005年第16期127-129,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：背景:1980年美国精神疾病诊断与统计手册第3版首次采用创伤后应激障碍这一诊断。目前已在全球范围内引起广泛关注,但是对于创伤后应激障碍的早期预防和干预还存在不足。目的:回顾创伤后应激障碍的预测因素、早期筛查工具以及干预措施的研究进展,帮助心理工作者在创伤事件发生后早期发现创伤后应激障碍的高危易感者,早期实施有效干预,减少创伤后应激障碍的发生。资料来源:应用计算机检索Elsevier电子期刊全文数据库1993-01/2004-12关于创伤后应激障碍的文章,检索词:“posttraumaticstressdisorder,PTSD,predictors,intervention”,并限定文章的语言种类为Eng-lish。同时利用计算机检索中国期刊全文数据库1994-01/2004-12期间的相关文章,限定文章语言种类为中文,检索词“创伤后应激障碍”,同时在图书馆手工查阅相关资料。资料选择:对资料进行初审,纳入标准:①关于预测创伤后应激障碍发生因素、早期筛查、早期干预等方面;②对具体事件的回顾调查研究。排除:重复性研究内容。资料提炼:共收集到符合上述要求的文献40篇,排除14篇重复性研究。26篇符合纳入标准:其中3篇关于创伤后应激障碍的发展趋势,19篇关于创伤后应激障碍早期预测因素,2篇关于筛查量表,2篇关于应激事件的干预研究。BACKGROUND:The conception of posttraumatic stress disorder was firstly adopted by Diagnostic and Statistical Manual of Mental Disorders Third Edition in 1980 .It has already attracted the extensive concern worldwidely at present,but the e arly prevention and interventions of posttraumatic stress disorder are still ins ufficient. OBJECTIVE:To review the study progress of the predictors,early screening tools and interventions for posttraumatic stress disorder,in order to help the psycho logist to earlier find out the people who are apt to posttraumatic stress disord er,and implement effective interventions in early days for reducing the occurren ce of posttraumatic stress disorder. DATA SOURCES: The relevant articles about posttraumatic stress disorder publis hed in English between January 1993 and December 2004 were searched in Elsevier Full text electronic Journal with computer by imputing the of 'posttr aumatic stress disorder, PTSD, predictors,intervention'. Meanwhile, Chinese rel evant articles published from January 1994 to December 2004 were searched in Chi na Journal Full text Database with computer,the keywords were 'posttraumatic s tress disorder';Relevant data were looked up manually in the library. STUDY SELECTION:The literatures were selected primarily.Inclusion criteria:①s tudies about the predictors,early screening and early intervention of posttrauma tic stress disorder;②retrospective study of specific incidents. DATA EXTRACTION:There were 40 literatures were in accordance with the above cr iteria,14 repetitive studies were deleted,and 26 met the inclusion criteria,incl uding 3 about the developing trend of posttraumatic stress disorder,19 about the early predictors of posttraumatic stress disorder,2 about the screening scale,2 about the interventions of stress events. DATA SYNTHESIS:The predictors of posttraumatic stress disorder were the type o f the traumatic events,early symptoms, biological and psychological factors of t he sufferers,and the degree social support.The occurrence of posttrau

关 键 词：创伤后应激障碍 预测因素 心理干预 

分 类 号：R749[医药卫生—神经病学与精神病学]