辩论：我们是否把年轻人的心理健康过度病态化了？创伤病例与PTSD诊断。

IF 6.8 3区医学 Q1 PEDIATRICS

Child and Adolescent Mental Health Pub Date : 2025-07-18 DOI:10.1111/camh.70016

Elias Aboujaoude, Ayoub Bouguettaya

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引用次数: 0

摘要

诊断性精神健康分类学和诊断学家已经扩大了创伤和创伤后应激障碍（PTSD）的定义，这种方式可能会提高患病率，并有可能低估恢复力，最小化适应能力，并损害儿童的健康发展。在过度诊断和过度病态化正常和常见的人类经历以应对痛苦的童年事件的背景下，我们呼吁重新思考我们对待创伤和创伤后应激障碍的方法，改变我们的态度，除了必须保护之外，还要包括儿童在面对消极生活事件时可以发展代理、自我效能和力量的方式。

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Debate: Are we over-pathologising young people's mental health? The case of trauma and PTSD diagnosis.

Diagnostic mental health nosologies and diagnosticians have expanded the definition of trauma and post-traumatic stress disorder (PTSD) in a way that may be inflating prevalence rates and that risks downplaying resilience, minimizing adaptability, and compromising healthy development in children. In the context of over-diagnosing and over-pathologizing normal and common human experiences in response to distressing childhood events, we call for rethinking our approach to trauma and PTSD and changing our attitudes to include - in addition to the imperative to protect - ways that children can develop agency, self-efficacy, and strength in the face of negative life events.

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来源期刊

Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY

CiteScore

8.30

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.