Complex PTSD: research directions for nosology/assessment, treatment, and public health.

Complex PTSD: research directions for nosology/assessment, treatment, and public health.
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DOI:
10.3402/ejpt.v6.27584
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发表时间:
2015
影响因子:
5
通讯作者:
Ford JD
Ford JD
中科院分区:
医学2区
文献类型:
--
作者:
Ford JD

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儿童和青少年的复杂创伤后应激障碍 (CPTSD) 超出了核心 PTSD 症状,延伸到三个心理生物学领域的失调:(1) 情绪处理、(2) 自组织(包括身体完整性)和 (3) 关系功能。未来十年及以后的 CPTSD 研究方向确定在三个领域:(1) 诊断分类(将 CPTSD 的经验完整性确立为一种独特的精神病理学形式)和心理测量评估 [儿童多重受害和发育性创伤障碍 (DTD) 测量的验证和细化],(2) 为 CPTSD 和 DTD 开发或改编的干预措施(及其实施算法)的严格评估和细化,以及 (3) CPTSD 和 DTD 的流行病学DTD 及其对人口、国家和文化的整个生命周期和代际间的公共健康和安全影响。
Complex posttraumatic stress disorder (CPTSD) in children and adolescents extends beyond the core PTSD symptoms to dysregulation in three psychobiological domains: (1) emotion processing, (2) self-organization (including bodily integrity), and (3) relational functioning. CPTSD research directions for the next decade and beyond are identified in three areas: (1) diagnostic classification (establishing the empirical integrity of CPTSD as a distinct form of psychopathology) and psychometric assessment [validation and refinement of measures of childhood polyvictimization and developmental trauma disorder (DTD)], (2) rigorous evaluation and refinement of interventions (and algorithms for their delivery) developed or adapted for CPTSD and DTD, and (3) the epidemiology of CPTSD and DTD, and their public health and safety impact, across the lifespan and intergenerationally, for populations, nations, and cultures.
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