复杂性创伤后应激障碍:概念、评估、成因及干预

摘要/Abstract

摘要： 复杂性创伤后应激障碍(CPTSD)一般指人们在经历长期、反复的人为创伤事件后所形成的一种精神障碍,其症状表现不仅包括PTSD的核心症状,还包括情绪失调、人际困难、负性自我认知等。目前,CPTSD的发生率已在不同的文化背景下进行了测查,其结构的稳定性也在多元文化中得到了验证。研究发现,CPTSD的形成不仅与自主性的破坏、信任感的丧失等心理过程密切相关,也可能与情绪功能相关的脑区受损有关;创伤复原的三阶段模式是当前CPTSD干预的主要方法。未来研究可进一步考察复杂创伤与CPTSD之间的关系,逐步厘清这一概念和诊断工具的文化适用性,并对其影响机制进行深入分析,探索更具针对性的干预方法。

关键词: 复杂性创伤后应激障碍(CPTSD), 概念模型, 诊断评估, 病理机制, 干预方法

Abstract: Complex Posttraumatic Stress Disorder (CPTSD)is expected to occur after exposing to prolonged and repeatedinterpersonal traumatic events. Besides the core symptoms of PTSD,its symptoms includeaffective dysregulation,negative self-concept, and disturbances in relationships. The prevalence and construct of CPTSD in various culture has been assessed in a range of studies. The research found that the formation of CPTSD is not only associated with psychological processes such as the destruction of autonomy and loss of trust,but also may relate to the damage of brain areas of emotional functions. Currently,the three-phase-based treatment of CPTSD is an advocated and effective intervention. Future researches should explore the relationship between the complex trauma and CPTSD,clarify the concept and the applicability of the diagnostic tools in diverse cultural context,thoroughly analyze the causes and specific treatments for CPTSD.

Key words: complex posttraumatic stress disorder (CPTSD), concept, assessment, pathological mechanism, treatment

中图分类号:

B846

田雨馨, 伍新春, 陈杰灵, 王文超. 复杂性创伤后应激障碍:概念、评估、成因及干预[J]. 北京师范大学学报(社会科学版), 2019, 0(5): 24-36.

TIAN Yuxin, WU Xinchun, CHEN Jieling, WANG Wenchao. Complex Posttraumatic Stress Disorder: Concept,assessment,pathological mechanism,and treatment[J]. Journal of Beijing Normal University(Social Sciences), 2019, 0(5): 24-36.

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