创伤后应激障碍临床诊断与心理干预的研究进展  

Progress of diagnosis and psychological therapies for post-traumatic stress disorder

作　　者：黄瑞雯 吴诗瑜[1] HUANG Rui-wen;WU Shi-yu(Department of Science and Education, Ruijin Hospital Luwan Branch, School of Medicine, Shanghai Jiao Tong University, Shanghai 200020, China)

机构地区：[1]上海交通大学医学院附属瑞金医院卢湾分院科教科,上海200020

出　　处：《中国临床医学》2021年第2期316-322,共7页Chinese Journal of Clinical Medicine

基　　金：上海市医院协会管理研究基金(Q2020027).

摘　　要：创伤后应激障碍(post-traumatic stress disorder,PTSD)是一类暴露于严重创伤事件后出现的精神障碍,临床表现为创伤记忆侵入、创伤相关刺激躲避、认知消极改变、唤醒增强和行为过激等。本文将围绕美国精神医学学会第5版《精神障碍诊断与统计手册》和世界卫生组织第11版《国际疾病分类》对PTSD最新修订的临床诊断标准及PTSD的一线心理干预疗法的最新研究进展进行综述。Post-traumatic stress disorder(PTSD)is a mental disorder that occurs after exposure to serious traumatic events.PTSD is a potentially chronic impairing disorder that is characterized by memory invasion,avoidance of trauma-related stimuli,negative cognitive change,enhanced arousal,and aggressive behavior.This article comprehensively reviews the novel progress in clinical diagnostic criteria for PTSD based on the Diagnostic and Statistical Manual of Mental Disorders version 5(DSM-5)and the International Classification of Diseases version 11(ICD-11),and also summarizes the novel progress of the first-line psychological therapies in the clinical treatment of PTSD.

关 键 词：创伤后应激障碍 临床诊断 心理干预 延长暴露 认知行为疗法 

分 类 号：R395.6[哲学宗教—心理学]