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首页> 外文期刊>The journal of clinical psychiatry >Clinical significance of a proposed developmental trauma disorder diagnosis: Results of an international survey of clinicians
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Clinical significance of a proposed developmental trauma disorder diagnosis: Results of an international survey of clinicians

机译：拟议发育创伤诊断的临床意义：临床医师国际调查结果

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摘要

Objective: Maltreatment, family violence, and disruption in primary caregiver attachment in childhood may constitute a developmental form of trauma that places children at risk for multiple psychiatric and medical diagnoses that often are refractory to well-established evidence-based mental health treatments. No integrative diagnosis exists to guide assessment and treatment for these children and adolescents. This study therefore assessed clinicians' ratings of the clinical utility of a proposed developmental trauma disorder diagnostic framework. Method: An Internet survey was conducted with an international convenience sample of 472 self-selected medical, mental health, counseling, child welfare, and education professionals. Respondents made quantitative ratings of the clinical significance of developmental trauma disorder, developmental trauma exposure, and symptom items and also posttraumatic stress disorder (PTSD) and other Axis I internalizing and externalizing disorder symptom items for 4 clinical vignettes. Ratings of the discriminability of each developmental trauma disorder item from PTSD, other anxiety disorders, affective disorders, and externalizing behavior disorders, and of each developmental trauma disorder item's amenability to existing evidence-based treatments for those disorders, also were obtained. Results: Respondents viewed developmental trauma disorder criteria as (1) comparable in clinical utility to criteria for PTSD and other psychiatric disorders; (2) discriminable from and not fully accounted for by other disorders; and (3) refractory to existing evidence-based psychotherapeutic treatments. Conclusions: The exposure and symptom criteria proposed for a developmental trauma disorder diagnosis warrant clinical dissemination and scientific field testing to determine their actual clinical utility in treating traumatized children with complex psychiatric presentations.
机译：目的：虐待，家庭暴力和初级护理人员依恋中断可能构成了创伤的创伤形式，让孩子患有多种精神病和医疗诊断的风险，这通常是既有既定的循证心理健康治疗难治度。不存在综合诊断，以指导这些儿童和青少年的评估和治疗。因此，本研究评估了临床医生的临床效用评级，拟议的发育创伤障碍诊断框架。方法：通过472个自选医疗，心理健康，咨询，儿童福利和教育专业人士进行国际便利样品进行互联网调查。受访者对发育创伤障碍，发育创伤暴露和症状物品的临床意义以及症状疾病（PTSD）和其他轴的症状症状物品进行了定量评级，以及4个临床肠果的内化和外轴症状物品。获得了来自治疗药物，其他焦虑症，情感障碍和外化行为障碍的每种发育创伤障碍，以及每个发育创伤障碍物品对这些疾病的现有证据治疗的可致病性的可怜的评级。结果：受访者将临床公用事业和其他精神病疾病标准的临床效用相当的（1）的发育创伤障碍标准。 （2）可歧视，不完全占其他疾病; （3）对现有的基于证据的心理治疗难治性。结论：曝光和症状标准提出的发育创伤诊断申请临床传播和科学现场检测，以确定其实际临床效用治疗复杂精神病介绍的创伤儿童。

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    FordJ.D.; GrassoD.; GreeneC.; LevineJ.; SpinazzolaJ.; VanDerKolkB.;

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    Department of Psychiatry University of Connecticut School of Medicine United States;

    Department of Psychiatry University of Connecticut School of Medicine United States;

    Department of Psychiatry University of Connecticut School of Medicine United States;

    Department of Psychiatry University of Connecticut School of Medicine United States;

    Trauma Center at the Justice Resource Institute United States;

    Trauma Center at the Justice Resource Institute United States;

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  • 正文语种 eng
  • 中图分类 精神病学;
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