治疗创伤后应激障碍:治疗策略的及时更新

Quanguang Zhang, Yong Li, L. Tucker
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摘要

创伤后应激障碍(PTSD)是一种心理障碍,可以在个人经历或目睹创伤事件后发展。创伤后应激障碍在退伍军人、攻击受害者、接受极端医疗护理的人以及治疗他们的临床医生中非常普遍。正在进行的全球COVID-19大流行的压力和悲惨事件大大加剧了这一日益严重的精神健康危机。在这篇综述中,我们将讨论创伤后应激障碍的不同类型的治疗,并检查目前的研究线。首先,我们探讨了心理治疗领域如何治疗PTSD,重点是暴露疗法、认知行为疗法等。然后,我们描述了目前PTSD治疗的药理学策略以及目前正在进行临床和临床前试验的几种突出的治疗策略。接下来,我们将研究将心理治疗原理与看似非常规的元素结合起来的新方法,并讨论这些独特的成分如何影响康复。最后,我们探讨了如何实施远程医疗以扩大医疗服务的可及性,这在社会距离和经济差距的时代尤为重要。我们希望通过总结当前的临床实践和概述前沿研究,本综述可以阐明该领域并突出值得进一步研究的知识空白,从而为PTSD患者提供更有效和更容易获得的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Treating Posttraumatic Stress Disorder: A Timely Update on Therapeutic Strategies
Posttraumatic stress disorder (PTSD) is a psychological disorder that can develop after an individual experiences or witnesses a traumatic event. PTSD is startlingly common in veterans, victims of assault, those undergoing extreme medical care, and the clinicians that treat them. This growing mental health crisis has been dramatically exacerbated by the stressors and tragic events of the ongoing global COVID-19 pandemic. In this review, we will discuss the different classes of treatment for PTSD and examine current lines of research in each. First, we explore how the field of psychotherapy approaches PTSD, with focus placed on exposure therapy, cognitive behavioral therapy, and more. We then describe current pharmacological strategies for PTSD treatment and several prominent therapeutic strategies currently undergoing clinical and pre-clinical trials. Next, we investigate novel approaches that integrate principles of psychotherapy with seemingly unconventional elements and discuss how these unique components may impact recovery. Finally, we explore how telemedicine has been implemented to expand access to care, which is particularly critical in a time of social distancing and economic disparity. We hope that by summarizing current clinical practice and outlining cutting-edge research, this review can elucidate the field and highlight gaps in knowledge that merit further investigation that may lead to more effective and accessible treatment for PTSD patients.
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