《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (2): 148-150.

• 论文 • 上一篇    下一篇

精神医学中复杂创伤的概念

单敬，陈登峰，冯孟哲   

  1. 1.哈励逊国际和平医院，河北衡水市053000；2.海军总医院中医科，北京市100048。
  • 收稿日期:2012-08-13 修回日期:2012-09-12 出版日期:2013-02-25 发布日期:2013-02-25
  • 通讯作者: 陈登峰

The Definition of Complex Trauma in Psychological Medicine (review)

SHAN Jing, CHEN Deng-feng, FENG Meng-zhe.   

  1. Harrison International Peace Hospital, Hengshui 053000, Hebei, China
  • Received:2012-08-13 Revised:2012-09-12 Published:2013-02-25 Online:2013-02-25

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摘要： 复杂创伤应激障碍的鉴定已经超出了创伤的经典定义范畴以及精神疾病诊断和统计手册(DSM-Ⅳ-TR)中对创伤性应激障碍(PTSD)的经验性诊断描述。由于复杂创伤的干扰，以及创伤应激的症状和伤害等因素的影响，使得复杂创伤应激障碍的准确诊断和有效治疗十分困难。本文从复杂创伤难以定义的原因出发，并从临床诊疗的角度，探讨对复杂创伤定义的重要性，复杂创伤对个体的多重影响，以及加重复杂创伤的心理和社会因素。

关键词: 复杂创伤, 界定, 多重影响, 综述

Abstract: Identification of complex traumatic stress disorders has beyond the traditional definition of trauma and experimentally diagnostic statement of post-traumatic stress disorder (PTSD) in Diagnostic and Statistical Manual of Mental Disorders (DSM-Ⅳ-TR). Because of the disturbance of complex trauma, traumatic stress symptoms and its hurt results, it is difficult to make accurate diagnosis and effective treatment. This article began with the reasons why it was hard to define complex trauma, viewed from clinical diagnosis and treatment, discussed the importance of defining complex trauma, its multiple effects on individuals and the psychological and social factors aggravating complex trauma.

Key words: complex trauma, definition, multiple effects, review