Confederates in the Attic: Posttraumatic Stress Disorder, Cardiovascular Disease, and the Return of Soldier's Heart.
Confederates in the Attic: Posttraumatic Stress Disorder, Cardiovascular Disease, and the Return of Soldier's Heart.
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DOI：
10.1097/nmd.0000000000001100
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发表时间：
2020-03
期刊：
影响因子：
--
通讯作者：
Vaccarino V
中科院分区：
文献类型：
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作者：
Bremner JD;Wittbrodt MT;Shah AJ;Pearce BD;Gurel NZ;Inan OT;Raggi P;Lewis TT;Quyyumi AA;Vaccarino V
达·科斯塔最初将士兵之心描述为世纪美国内战士兵在战场上出现的一种综合症。士兵心脏病的症状类似于现代创伤后应激障碍（PTSD），以及被认为与心脏异常有关的夸大的心血管反应。干预措施适当地侧重于心血管系统。随着现代精神分析的出现，精神症状与身体分离，并被归入无意识。后来，PTSD和其他精神疾病的生理学被认为只存在于大脑中。最近，心身医学的进步导致了对身心关系的认识，以及多种生理系统参与疾病病因学的认识，包括压力，抑郁症PTSD和心血管疾病，已经走到了前列，并重新对士兵心脏综合征原始模型的有效性产生了兴趣。
Da Costa originally described Soldier’s Heart in the 19th Century as a syndrome that occurred on the battlefield in soldiers of the American Civil War. Soldier’s Heart involved symptoms similar to modern day posttraumatic stress disorder (PTSD) as well as exaggerated cardiovascular reactivity felt to be related to an abnormality of the heart. Interventions were appropriately focused on the cardiovascular system. With the advent of modern psychoanalysis, psychiatric symptoms became divorced from the body and were relegated to the unconscious. Later, the physiology of PTSD and other psychiatric disorders was conceived as solely residing in the brain. More recently, advances in psychosomatic medicine led to the recognition of mind-body relationships and the involvement of multiple physiological systems in the etiology of disorders, including stress, depression PTSD, and cardiovascular disease, has moved to the fore, and has renewed interest in the validity of the original model of the Soldier’s Heart syndrome.