Not one thing at a time:When concomitant multiple stressors produce a transdiagnostic clinical picture  

作　　者：Sari Goldstein Ferber Gal Shoval Aron Weller Gil Zalsman 

机构地区：[1]Department of Psychology and Brain Sciences,University of Delaware,Newark,DE 19716,United States [2]Psychology and Gonda Brain Research Center,Bar Ilan University,Ramat Gan 5317000,Israel [3]Department of Neuroscience,Princeton University,New Jersey,NJ 08544,United States [4]Geha Mental Health Center,Petah Tiqva,Israel and Sackler Faculty of Medicine,Tel Aviv University,Tel Aviv 77096,Israel [5]Department of Psychiatry,Columbia University,New York,NY 10032,United States

出　　处：《World Journal of Psychiatry》2023年第7期402-408,共7页世界精神病学杂志

摘　　要：A condition of exposure to multiple stressors resulting in a mixed clinical picture spanning conventional categories without meeting any of them in full,encompasses a risk for a list of comorbidities preventing appropriate prevention and treatment.New transformative transdiagnostic approaches suggest changes spanning conventional categories.They base their systems of classification on biomarkers as well as on brain structural and functional dysregulation as associated with behavioral and emotional symptoms.These new approaches received critiques for not being specific enough and for suggesting a few biomarkers for psychopathology as a whole.Therefore,they put the value of differential diagnosis at risk of avoiding appropriate derived prevention and treatment.Multiplicity of stressors has been considered mostly during and following catastrophes,without considering the resulting mixed clinical picture and life event concomitant stressors.We herewith suggest a new category within the conventional classification systems:The Complex Stress Reaction Syndrome,for a condition of multiplicity of stressors,which showed a mixed clinical picture for daily life in the post coronavirus disease 2019 era,in the general population.We argue that this condition may be relevant to daily,regular life,across the lifespan,and beyond conditions of catastrophes.We further argue that this condition may worsen without professional care and it may develop into a severe mental health disorder,more costly to health systems and the suffering individuals.Means for derived prevention and treatment are discussed.

关 键 词：TRANSDIAGNOSTIC Multiple stressors Clinical picture PREVENTION Treatment Interpersonal psychotherapy Cognitive behavioral therapy 

分 类 号：R749[医药卫生—神经病学与精神病学]