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Clinical Practice Guidelines for Posttraumatic Stress Disorder: Are They Still Clinical?

机译:临床实践术后应激障碍指南:他们还在临床吗?

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摘要

This article traces the evolution of clinical practice guidelines (CPGs) for the treatment of Posttraumatic Stress Disorder (PTSD) to illustrate how their construction and use have become intertwined and often conflated with other pressing clinical and scientific controversies. This review locates critical analysis of key documents regarding PTSD CPG construction within the context of longstanding tensions and frank competition about the relative value of science and clinical experience in the effort to establish best practices. As is true of so many dichotomies, the competition between science and clinical practice is more apparent than real. The growing tendency of developers to exclude common clinical practices in the construction of (and within the discussion sections of) CPGs for PTSD imposes a false sense of precision and predictability on clinical practice, which is anything but precise or predictable. As such, it raises the question as to whether these CPGs are still clinical at all. It also distracts from critically important opportunities to harness the tension between competing perspectives and domains to significantly advance the care of patients.
机译:本文追溯了临床实践指南(CPG)的演变,用于治疗创始后应力障碍(PTSD),以说明他们的建筑和使用如何交织在一起,并且经常与其他压制临床和科学争论混淆。该审查在长期紧张和坦率竞争中找到了关于PTSD CPG建设的关键文件的关键分析,坦率地区的科学与临床经验中的相对价值,以建立最佳实践。与如此多的二分法一样,科学与临床实践之间的竞争比真实更明显。开发人员在临床实践中排除在建造(以及讨论部分的讨论部分的讨论部分内)CPG的建设中的普通临床实践的趋势对临床实践产生了虚假的精度和可预测性,这是准确或可预测的。因此,它提出了这些CPG仍然临床的问题。它还分散了严重的重要机会来利用竞争视角和域之间的紧张局势,以显着提高患者的护理。

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