[医疗实践中的创伤后应激障碍:初级保健诊断和治疗指南]。

Nick Miller, Coralie Lazignac, Fabien Jecker, Marili Zürcher, Cristian Damsa
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引用次数: 0

摘要

创伤后应激障碍(PTSD)是一种普遍的致残疾病。患有创伤后应激障碍的患者经常向初级保健临床医生咨询非特异性症状。本研究的目的是从文献综述(1981-2009)和初步观察研究开始,寻找对初级保健诊断和治疗有用的临床指南。20名PTSD患者接受了一种特殊的以创伤为重点的心理治疗,称为“创伤与重返社会心理治疗(TRP)”。这是一种结合Ericksonian催眠术和EMDR技术的精神动力学折衷疗法。结果显示,患者服用TRP后,PTSD症状的减轻比一般临床研究的平均值更为重要。这可能与初级保健全科医生的早期诊断有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Post-traumatic stress disorders in medical practice: diagnostic and therapeutic guidelines in primary care].

Posttraumatic stress disorder (PTSD) is a prevalent and disabling condition. The patients suffering from PTSD often consult primary care clinician for non-specific symptoms. The aim of this work is to find out useful clinical guidelines for diagnosis and therapy in primary care, starting from a literature review (1981-2009) and a preliminary observational study. 20 patients with PTSD had a specific trauma-focused psychotherapy, called "Trauma and Reintegration Psychotherapy (TRP)". This is a psychodynamic eclectic treatment combining Ericksonian Hypnosis and EMDR techniques. The results show a more important decrease of PTSD symptoms in patient's beneficiating of the TRP, than the average of the usual clinical studies. This could be linked to an early diagnosis made by the primary care general practitioners.

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