急性应激障碍能否预测创伤后应激障碍

首都医科大学学报 ›› 2008, Vol. 29 ›› Issue (5): 564-568.

急性应激障碍能否预测创伤后应激障碍

王倩, 郑晓星, 杨蕴萍

首都医科大学附属北京安定医院

收稿日期:2008-08-18 修回日期:1900-01-01 出版日期:2008-10-24 发布日期:2008-10-24
通讯作者: 杨蕴萍

Can Acute Stress Disorder Predict Posttraumatic Stress Disorder

Wang Qian, Zheng Xiaoxing, Yang Yunping

Beijing Anding Hospital, Capital Medical University

Received:2008-08-18 Revised:1900-01-01 Online:2008-10-24 Published:2008-10-24

摘要/Abstract

摘要： 灾难后心理创伤是临床心理学领域和精神医学领域的研究热点,灾难后急性应激障碍(ASD)和创伤后应激障碍(PTSD)之间的关系日益受到关注.本文对ASD预测PTSD的文献进行了分析,回顾了ASD诊断预测PTSD存在的一些问题,并综述了ASD各种症状(分离、再体验、回避、唤起水平增高症状)对PTSD的预测作用,以及认知模式和叙事特点等因素对PTSD的预测作用.总之,作者认为,以ASD诊断和ASD各种症状预测PTSD存在局限性.

关键词: 急性应激障碍, 创伤后应激障碍, 预测性

Abstract: Post-disaster Psycho-trauma has become a hot topic in the field of clinical psychology and psychiatry.The relationship between acute stress disorder(ASD)and posttraumatic stress disorder(PTSD)has been put forward.This article gives an overview of predicting PTSDthrough ASD.The author looked into the limit of predictability to PTSDby the diagnosis of ASD,by the symptoms of ASD(dissociation,re-experience,avoidance,increased arousal),and by the cognitive model or the narrative pattern.In conclusion,the author believes there are limitations to predict PTSDby either the diagnosis or the symptoms of ASD.

Key words: acute stress disorder, posttraumatic stress disorder, predictability

中图分类号:

R395.9

王倩;郑晓星;杨蕴萍. 急性应激障碍能否预测创伤后应激障碍[J]. 首都医科大学学报, 2008, 29(5): 564-568.

Wang Qian;Zheng Xiaoxing;Yang Yunping. Can Acute Stress Disorder Predict Posttraumatic Stress Disorder[J]. Journal of Capital Medical University, 2008, 29(5): 564-568.