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首页> 外文期刊>The British journal of psychiatry : >Psychological therapies for post-traumatic stress disorder
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Psychological therapies for post-traumatic stress disorder

机译：创伤后应激障碍的心理疗法

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Background After exposure to traumatic stressors, a subgroup of survivors (20-30%) will develop post-traumatic stress disorder (PTSD). Aims Since the incidence and prevalence rates for PTSD in the community are significant, it is important that general practitioners and psychiatrists be familiar with possible therapeutic options. In this review we shall look at the published evidence about the effectiveness of psychological treatments for PTSD. Method The psychopathological mechanisms involved in PTSD are discussed. Studies of the effectiveness of different psychological therapies are reviewed. Results The review suggests that persistent fear or shame reactions are key aspects of PTSD. Evidence from systematic reviews suggests that psychotherapeutic treatments are effective in the therapy of reactions based on fear, and may increase the effectiveness of pharmacological therapy. There is less systematic evidence for the efficacy of interventions for symptoms based on shame. Conclusions Although a proportion of patients with complex or chronic PTSD may require specialist interventions, most patients can be treated effectively by a general psychiatric service which can offer both pharmacological and psychological interventions.
机译：背景技术暴露于创伤性应激源后，幸存者亚组（20-30％）会发展为创伤后应激障碍（PTSD）。目的由于社区中PTSD的发生率和患病率很高，因此，全科医生和精神科医生必须熟悉可能的治疗选择，这一点很重要。在这篇综述中，我们将研究关于心理治疗对创伤后应激障碍的有效性的已发表证据。方法探讨了创伤后应激障碍所涉及的心理病理机制。评论了不同心理疗法的有效性研究。结果回顾表明，持续的恐惧或羞耻反应是PTSD的关键方面。系统评价的证据表明，心理治疗可以有效地治疗基于恐惧的反应，并且可以提高药物治疗的有效性。没有什么系统的证据可以证明针对羞耻症状的干预效果。结论尽管一部分复杂或慢性PTSD患者可能需要专业干预，但大多数患者可通过可提供药理和心理干预的一般精神科服务得到有效治疗。

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