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Progress in Research on Post-Traumatic Stress Disorder 预览
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作者 Ning Bei Dengyi Long +1 位作者 Juncheng Guo Xiangling Jiang 《行为与脑科学期刊(英文)》 2019年第2期26-32,共7页
In recent years, with the increase of natural disasters, wars, and terrorist incidents, etc., there are more and more researches on post-traumatic stress disorder (PTSD). This paper bases on the definition, pathogenic... In recent years, with the increase of natural disasters, wars, and terrorist incidents, etc., there are more and more researches on post-traumatic stress disorder (PTSD). This paper bases on the definition, pathogenic mechanism and related gene research of post-traumatic stress disorder. Mechanism, reviews the research status of post-traumatic stress disorder to improve people’s understanding of post-traumatic stress disorder, and prospect for future research. 展开更多
关键词 POST-TRAUMATIC STRESS DISORDER DRD2 PTSD
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Physiological and Psychological Determinants of Quality of Life for Patients after Cardiac Surgery and the Associated Factors 预览
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作者 Rana Akram Rawashdeh Jafar Alasad Alshraideh 《护理学期刊(英文)》 2019年第10期1022-1040,共19页
Purpose: This review related to the level of health-related quality of life (HRQOL) and post-traumatic stress disorder symptoms (PTSD) for patients after cardiac surgery, and associated risk factors. Also the HRQOL, P... Purpose: This review related to the level of health-related quality of life (HRQOL) and post-traumatic stress disorder symptoms (PTSD) for patients after cardiac surgery, and associated risk factors. Also the HRQOL, PTSD measures and the related factor. Methods: The search strategy was guided by the review aims. The following databases were searched to retrieve related literature: the Cumulative Index to Nursing and Allied Health Literature (CINAHL) via EBSCO, MEDLINE via PubMed, Ovid, Science Direct, Google Scholar, in addition to the Jordanian Database for Nursing Research. Studies presented in English for the period between 2012 and 2019 were included. Literature was reviewed by using the following strategy: The key word “post-operative HRQOL”, “post-operative PTSD”, “prevalence”, “incidence”, “risk factors”, and “cardiac surgery”, with using of Boolean operators “AND”, “OR”, and “NOT” to conduct the search in databases, Then the titles and abstracts were reviewed for their relevancy and irrelevant and duplicated studies were discarded. EBSCO resulted in 180 articles, Ovid 5 articles, and SCIENCE DIRECT 200 articles, articles with the same ideas were sorted, and full text was included in the review. The overall number after sorting was 25 articles that were included in the review. Results: Literature has aggregated the most common risk factors as age, gender, marital status, social support, medical comorbidities, smoking, alcohol use, ICU environment, surgery techniques and physiological indicators, and the most important is preoperative HRQOL level. Also, the researcher highlighted several important points related to PTSD after cardiac surgery. Firstly, PTSD appears to be present in approximately 10% of the post-cardiac surgical population, with some estimates reaching as high as 38%. ICU care, fright at the time of the event, perceived threat to life, high levels of sedation and social isolation may all contribute to this developing PTSD. Patients with PTSD are susceptible 展开更多
关键词 HRQOL PTSD CABG ASSOCIATED FACTORS
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专业救援人员的正念对创伤后应激障碍的影响:侵入反刍和社会支持的作用 被引量:1
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作者 张伊 伏干 +1 位作者 姜慧丽 安媛媛 《中国临床心理学杂志》 CSSCI CSCD 北大核心 2019年第2期311-315,共5页
目的:考察正念对创伤后应激障碍(PTSD)的影响,并检验侵入反刍和社会支持在其中的中介作用。方法:本研究采用正念注意觉知量表(MAAS)、社会认可度量表(SAQ)、事件影响量表(IES-R)和事件相关反刍量表(ERRI)对298名南京市红十字救援的工作... 目的:考察正念对创伤后应激障碍(PTSD)的影响,并检验侵入反刍和社会支持在其中的中介作用。方法:本研究采用正念注意觉知量表(MAAS)、社会认可度量表(SAQ)、事件影响量表(IES-R)和事件相关反刍量表(ERRI)对298名南京市红十字救援的工作人员进行调查。结果:相关分析显示,正念、PTSD、侵入反刍及社会支持之间两两显著相关。路径分析表明,正念可以直接负向预测PTSD,也可以通过侵入反刍和社会支持的中介负向预测PTSD。结论:正念有助于缓解PTSD症状,正念可以通过减少个体的侵入反刍,使个体感知更多的社会支持,从而缓解PTSD症状。 展开更多
关键词 正念 PTSD 侵入反刍 社会支持
心理学在警务工作中的前沿应用研究 预览 被引量:1
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作者 马皑 王雨浩 《江苏警官学院学报》 2019年第1期93-99,共7页
招募合适的警察一直以来都是各地警局所面临的一个不小的挑战,行为表现差的警察可能会造成一系列的严重后果。警察压力管理也是相关机构不容小觑的一个问题,警察工作的高压特点会对其心身健康造成诸多危害,如何有效缓解警察工作压力进... 招募合适的警察一直以来都是各地警局所面临的一个不小的挑战,行为表现差的警察可能会造成一系列的严重后果。警察压力管理也是相关机构不容小觑的一个问题,警察工作的高压特点会对其心身健康造成诸多危害,如何有效缓解警察工作压力进而预防或降低警察工作中PTSD的严重性需要得到大家的重视。另外近年来恐怖袭击事件、群体性事件以及各种企图自杀事件频发,为了和平解决此类事件,危机(人质)谈判进一步得到了警察实务部门的重视。可借鉴国外心理学在上述领域中的研究成果,完善和发展本土心理学在警察招募、警察压力管理以及危机(人质)谈判中的应用。 展开更多
关键词 警察心理学 警察招募 PTSD 危机(人质)谈判
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Correlation Analysis of 5-<i>HTTLPR</i>Polymorphism and Post-Traumatic Stress Disorder in Li and Han Nationalities of Hainan Province 预览
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作者 Ning Bei Min Guo +4 位作者 Ping Huang Juncheng Guo Xiangling Jiang Hong Gao Dengyi Long 《神经科学国际期刊(英文)》 2019年第4期243-254,共12页
Objective: To analyse the correlation of 5-HTTLPR gene polymorphism and PTSD in Li and Han nationalities of Hainan Province. Methods: Essen trauma inventory (ETI), clinician administered post-traumatic stress disorder... Objective: To analyse the correlation of 5-HTTLPR gene polymorphism and PTSD in Li and Han nationalities of Hainan Province. Methods: Essen trauma inventory (ETI), clinician administered post-traumatic stress disorders scale, (CAPS), tower of Hanoi (TOH), wsiconsin card sorting test (WCST), trail making test (TMT) and wechsler adult intelligence scale revised China (WAIS-RC) were used to investigate patients with PTSD and healthy volunteers (control group). PCR and PPGE were used to detect the polymorphism of 5-HTTLPR gene and analyze its correlation with PTSD. Results: The ETI score, total PTSD score and TMT time of Li nationality patients with PTSD were significantly higher than those of Han nationality patients with PTSD, and the IQ of comprehension and operation in WAIS-RC was significantly lower than that of Han nationality patients with PTSD (P < 0.05). The ETI score, total PTSD score and TMT time of 5-HTTLPR genotype in Li nationality and Han nationality patients with PTSD were significantly higher than those of LL genotype, and the perception, calculation and block diagram in WAIS-RC were significantly lower than those of LL genotype patients (P Conclusions: The SS genotype can increase the risk of PTSD in Li nationality and Han nationality people in Hainan. LL genotype is associated with PTSD of Li and Han nationalities in Hainan, and is an important protective factor for PTSD of Li and Han nationalities in Hainan. 展开更多
关键词 5-HTTLPR Gene POLYMORPHISM PTSD LI NATIONALITY HAN NATIONALITY
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Physiological Markers and Reflex Pattern Progression in Individuals with Neurodevelopmental Deficits Utilizing the MNRI Method 预览
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作者 Trina Deiss Rebekah Meyers +4 位作者 Jordan Whitney Clayton Bell Тatiana Tatarinova Lorri Franckle Susan Beaven 《神经系统科学与医药(英文)》 2019年第1期30-54,共25页
The physiological markers of 310 individuals aged 2 through 19 were evaluated for the effects of the Masgutova Neurosensorimotor Reflex Integration Method on their four body systems: respiratory, cardiovascular, diges... The physiological markers of 310 individuals aged 2 through 19 were evaluated for the effects of the Masgutova Neurosensorimotor Reflex Integration Method on their four body systems: respiratory, cardiovascular, digestive, and nervous systems of individuals with neurodevelopmental deficits—cerebral palsy (CP), seizures, traumatic and acute brain injury, attention deficit and hyperactive disorders (ADD, ADHD), autism spectrum disorders, anxiety, post-trauma and post-traumatic stress disorders. We found that 53.33% of physiological markers and 66.67% of reflex patterns on the pre-test demonstrated to be poorly functioning. Both evaluation results showed statistically significant improvements after 8-days of intensive training using the Masgutova Neurosensorimotor Reflex Integration Method. Improvements according to 60.0% of the physiological markers positively correlated with functionality gains in 77.5% of reflex patterns in all four study groups compared to the control group, which did not receive the Reflex Integration training program (p-value < 0.05). The magnitude of improvement depended upon the severity of symptoms indicating the essentiality for individualized training in accordance with the diagnosis and individual neurological deficits. Results of this study show that reflex integrative techniques can lead to a reduction of stress and other negative factors blocking health homeostasis, limiting perception, and causing dysregulation in behavior and emotions, especially following traumatic events. Positive changes in physiological markers and reflex pattern functions indicate potential benefits for survival and stress resiliency through supporting neuro-physiological and neuro-psychological aspects of overall health and well-being in individuals with neurological deficits. 展开更多
关键词 PHYSIOLOGICAL MARKERS Cerebral PALSY Autism Brain Injury Trauma PTSD Masgutova Neurosensorimotor REFLEX Integration METHOD (MNRI)
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肝移植术后患者创伤后成长与创伤后应激障碍的调查研究 预览
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作者 郑静静 叶志弘 《护理与康复》 2019年第5期29-34,共6页
目的分析肝移植术后患者创伤后成长与创伤后应激障碍的现况,探讨创伤后成长的潜在影响因素。方法采用一般资料调查表、创伤后成长量表、创伤后应激障碍症状清单平民版对268例肝移植术后患者进行横断面问卷调查。结果 268例肝移植术后患... 目的分析肝移植术后患者创伤后成长与创伤后应激障碍的现况,探讨创伤后成长的潜在影响因素。方法采用一般资料调查表、创伤后成长量表、创伤后应激障碍症状清单平民版对268例肝移植术后患者进行横断面问卷调查。结果 268例肝移植术后患者创伤后应激障碍阳性症状检出率为16.8%,术后1~<3年的患者创伤后应激障碍阳性症状检出率最高;创伤后成长量表评分(63.88±28.18)分;创伤后应激障碍中的闯入性创伤情景再体验、教育程度、并发症是肝移植术后患者创伤后成长水平的影响因素,协同解释总变异的17.1%。结论肝移植术后患者创伤后成长处于中上水平,肝移植术后1~<3年的患者仍存在着较高的创伤后应激障碍阳性症状,创伤后成长受多种因素影响。 展开更多
关键词 肝移植 创伤后成长 创伤后应激障碍
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P300认知电位在PTSD患者认知评估中的应用价值研究 预览
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作者 倪晓梅 张新安 《中国医药指南》 2019年第4期13-14,共2页
目的探讨P300认知电位在评价创伤后应激障碍患者认知功能的价值。方法纳入创伤后应激障碍患者28例,于基线、12周时,进行P300测试、CPT及WCST评定,比较指标变化、分析相关性。结果基线时与对照组比较,观察组P300潜伏期延长,波幅降低,WCS... 目的探讨P300认知电位在评价创伤后应激障碍患者认知功能的价值。方法纳入创伤后应激障碍患者28例,于基线、12周时,进行P300测试、CPT及WCST评定,比较指标变化、分析相关性。结果基线时与对照组比较,观察组P300潜伏期延长,波幅降低,WCST指标评分升高,CPT分降低(P<0.01);12周时,观察组与基线及对照组比较P300潜伏期缩短,波幅升高(P<0.01)WCST指标降低,CPT分数升高,P300潜伏期、波幅与量表指标呈高度相关。结论P300电位能客观反映创伤后应激障碍患者的认知状况。 展开更多
关键词 创伤后应激障碍 P300 认知功能
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多发伤患者创伤后系统障碍的高危因素及早期护理干预
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作者 田永丽 《中国伤残医学》 2019年第21期12-14,共3页
目的:分析多发伤患者创伤后应激障碍的高危因素以及探讨早期护理干预的效果.方法:回顾性收集时间为2016年10月-2018年10月我院收治的多发伤患者79例,对所有患者应激障碍的高危因素进行分析,并对所有患者进行早期护理干预,分析护理干预... 目的:分析多发伤患者创伤后应激障碍的高危因素以及探讨早期护理干预的效果.方法:回顾性收集时间为2016年10月-2018年10月我院收治的多发伤患者79例,对所有患者应激障碍的高危因素进行分析,并对所有患者进行早期护理干预,分析护理干预的效果.结果:多发伤创伤后的应激障碍与年龄、性格、既往病史以及烟酒依赖、皮质醇水平有关,并且对患者进行护理后PCL-C评分明显改善.结论:多发伤创伤后的应激障碍与年龄、性格、既往病史以及烟酒依赖、皮质醇水平有关,早期护理干预可以明显改善PCL-C评分水平. 展开更多
关键词 创伤后应激障碍 多发伤 高危因素 早期护理干预 PCL-C评分
针对性心理干预对急诊车祸外伤患者创伤性应激障碍及康复效果的影响 预览
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作者 蒋艳艳 颜波儿 《中国药物与临床》 CAS 2019年第17期3026-3028,共3页
车辆固然给人类生活带来很多便利,但车祸的发生对个人乃至其家庭仍造成了较大的伤害,尤其是在车祸后造成的患者心理应激性反应、焦虑情绪以及抑郁情绪,甚至还有患者出现了创伤后应激障碍(PTSD),从而可能会因此而失去社交能力,并且生活... 车辆固然给人类生活带来很多便利,但车祸的发生对个人乃至其家庭仍造成了较大的伤害,尤其是在车祸后造成的患者心理应激性反应、焦虑情绪以及抑郁情绪,甚至还有患者出现了创伤后应激障碍(PTSD),从而可能会因此而失去社交能力,并且生活质量急剧下降。患者一旦出现PTSD后主要表现为警觉性增高、情感麻木回避以及创伤过程的重新体验,这些症状会持续到出现创伤后的1个月,对患者的康复造成了很大的影响。本研究探讨对急诊车祸外伤后出现PTSD的患者实施“评估患者-确定心理问题-制定护理计划-实施心理干预-效果评价”的针对性心理干预方案及康复效果的影响,效果显著,报告如下。 展开更多
关键词 应激性反应 针对性心理干预 车祸外伤 社交能力 护理计划 PTSD 康复效果 焦虑情绪
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Trends in the incidence of physician-diagnosed post-traumatic stress disorder among active-duty U.S. military personnel between 1999 and 2008
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作者 Kenneth LCameron Rodney XSturdivant Susan PBaker 《军事医学研究:英文版》 CAS CSCD 2019年第3期216-229,共14页
Background: The impact of combat operations in Iraq and Afghanistan on the incidence of post-traumatic stress disorder(PTSD) in military service members has been poorly quantified. The purpose of this study was to exa... Background: The impact of combat operations in Iraq and Afghanistan on the incidence of post-traumatic stress disorder(PTSD) in military service members has been poorly quantified. The purpose of this study was to examine trends in the incidence rate of physician-diagnosed PTSD in active-duty military personnel between 1999 and 2008.Methods: We conducted a retrospective cohort study utilizing data extracted from the Defense Medical Surveillance System to identify incident cases of PTSD within the study population. The incidence rate of physician-diagnosed PTSD was the primary outcome of interest. Multivariable Poisson regression was used to analyze the data.Results: The overall incidence rate of PTSD among all active-duty US military personnel was 3.84(95% CI: 3.81, 3.87) cases per 1000 person-years. The adjusted average annual percentage increase in the incidence rate of PTSD prior to the initiation of Operation Iraqi Freedom(OIF) was a modest 5.02%(95% CI: 1.85, 8.29%). Following the initiation of OIF, the average annual percentage increase in the rate of PTSD was 43.03%(95% CI: 40.55, 45.56%). Compared to the baseline period between 1999 and 2002, the incidence rate of PTSD in 2008 was nearly 7 times higher(RR=6.85, 95% CI: 6.49, 7.24). Significant increases in the incidence rate of PTSD were observed following the initiation of OIF regardless of sex, age, race, marital status, military rank, or branch of military service. Notably, the rate of PTSD among females was 6–7 times higher prior to OIF, but there was no difference by gender by 2008.Conclusions: Overall, these data quantify the significant increase in the incidence rate of PTSD following the initiation of combat operations in Iraq and Afghanistan within the active-duty military population during the study period. 展开更多
关键词 PTSD INCIDENCE rate TRENDS Military OIF OEF Epidemiology
瑜伽发现
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作者 海燕 《健与美》 2019年第9期106-107,共2页
超觉冥想有助于治疗创伤后应激障碍有创伤后应激障碍(PTSD)和抑郁症症状的年轻人练习超越冥想有助于减轻甚至逆转这些症状。美国诺威奇大学、玛赫西管理大学和南非约翰内斯堡大学的硏究人员选取了34名有PTSD症状(包括做噩梦、对创伤事... 超觉冥想有助于治疗创伤后应激障碍有创伤后应激障碍(PTSD)和抑郁症症状的年轻人练习超越冥想有助于减轻甚至逆转这些症状。美国诺威奇大学、玛赫西管理大学和南非约翰内斯堡大学的硏究人员选取了34名有PTSD症状(包括做噩梦、对创伤事件的回忆、感觉焦虑或恐惧,以及处于一种高度警惕的状态)和抑郁症的大学生。这些学生同意练习超觉冥想。这种类型的冥想要求静坐、闭目、默念字句以排除杂念。研究人员另外选取了34名有相同诊断的大学生作为对照组,他们在硏究期间内既不接受任何治疗,也不参加冥想课程。在研究初期,所有参与者在PCL-C测试(创伤后应激障碍自评量表,用于评估PTSD症状)中的得分都在44分以上。经过3个半月的练习后,超觉冥想组的大多数参与者的PCL-C评分都低于34分,这是PTSD诊断的阈值,表明他们的症状已经完全消退了。 展开更多
关键词 创伤后应激障碍 PTSD 瑜伽 大学生 约翰内斯堡 研究人员 自评量表 抑郁症
影响创伤性髋部骨折患者急性应激障碍发生的危险因素分析 预览
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作者 徐晓玲 许湘湘 +1 位作者 徐淑英 任菁南 《中国医院统计》 2019年第3期207-210,共4页
目的探讨影响创伤性髋部骨折患者急性应激障碍(PTSD)发生的危险因素。方法收集2014年1月至2016年10月某院收治的212例行手术治疗的髋部骨折患者的临床资料,回顾性分析影响PTSD发生的危险因素。结果1)全组患者PTSD总分范围17~64分,平均(3... 目的探讨影响创伤性髋部骨折患者急性应激障碍(PTSD)发生的危险因素。方法收集2014年1月至2016年10月某院收治的212例行手术治疗的髋部骨折患者的临床资料,回顾性分析影响PTSD发生的危险因素。结果1)全组患者PTSD总分范围17~64分,平均(31.18±11.76)分。其中,再体验、回避、高警觉3个纬度的得分分别为(9.62±3.78)分、(11.64±4.48)分、(9.91±4.55)分。各维度条目平均分为(1.93±0.76)分、(1.67±0.65)分、(1.99±0.92)分。2)单因素分析结果显示,不同职业、文化程度、付费方式在PTSD各维度中的差异均具有统计学意义(P<0.05)。女性的再体验评分、PTSD总分均高于男性;未婚患者的回避评分高于已婚患者,差异均具有统计学意义(P<0.05)。3)以PTSD总分为因变量,单因素分析中有意义的指标为自变量,行多元逐步线性回归,回归方程为:Y=28.889-3.294X1+1.408X2+9.115X3(Y:PTSD总分、X1:文化程度、X2:职业、X3:患处部位)。结论文化程度、职业、患处部位是影响创伤性髋部骨折患者发生PTSD的最主要危险因素。 展开更多
关键词 髋部骨折 创伤后应激障碍 危险因素
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大学生创伤后应激障碍的特点、产生原因及其影响分析 预览
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作者 王蒙 乔丹 《陕西青年职业学院学报》 2019年第2期58-60,88共4页
大学生具有复杂的成长环境和多样的校园环境,在这种环境的影响下,大学生的心理比较敏感脆弱,产生创伤后应激障碍的概率较大。创伤后应激障碍的表现形式多样,有时不易察觉,但是创伤后应激障碍对大学生的影响比较大,因此,大学生的创伤后... 大学生具有复杂的成长环境和多样的校园环境,在这种环境的影响下,大学生的心理比较敏感脆弱,产生创伤后应激障碍的概率较大。创伤后应激障碍的表现形式多样,有时不易察觉,但是创伤后应激障碍对大学生的影响比较大,因此,大学生的创伤后应激障碍应该引起高校的重视。通过详细分析大学生创伤后应激障碍的特点、产生原因及其影响,旨在加深对大学生创伤后应激障碍的了解,引起高校对大学生创伤后应激障碍的重视。 展开更多
关键词 大学生创伤后应激障碍 特点 原因 影响
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Multi-family therapy for veteran and refugee families: a Delphi study
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作者 Elisa van Ee 《军事医学研究:英文版》 CAS CSCD 2019年第1期39-44,共6页
Background: Research indicates that Posttraumatic stress disorder(PTSD) has an extensive impact on family relationships. Nevertheless, there is a dearth of empirically supported interventions addressing family functio... Background: Research indicates that Posttraumatic stress disorder(PTSD) has an extensive impact on family relationships. Nevertheless, there is a dearth of empirically supported interventions addressing family functioning and PTSD. In the Netherlands, it is considered good clinical practice to offer multi-family therapy(MFT) to veteran and refugee families. MFT for traumatized families aims to address the dysfunctional family patterns that have evolved to address the consequences with trauma.Methods: The aim of this study is to generate a common framework for the practical impact and active ingredients of MFT in families confronted with trauma. The Delphi method was used to study the expert opinion of 11 therapists in Dutch expert trauma institutes.Results: The results indicate that MFT is a promising treatment for families dealing with the consequences of trauma. According to experts, positive outcomes include an increased understanding between family members,particularly visible in the de-escalation of conflicts within the family, and improved parenting. One explanation for the effectiveness of MFT with these target groups is its defining feature of therapy with several families.Conclusions: The findings support the importance of considering family relationships and the family context in interventions for traumatized individuals. 展开更多
关键词 PTSD VETERAN REFUGEE Multi-family therapy PARENTING Expert OPINION
汶川地震后广元地区创伤后应激障碍调查 预览 被引量:1
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作者 邓欣童 刘雯 +2 位作者 刘璠 王丹 何凤梅 《四川精神卫生》 2019年第2期160-162,共3页
目的了解汶川地震9年后广元地区高二学生创伤后应激障碍(PTSD)阳性检出情况,为进一步分析震后PTSD持续存在的影响因素、对存在PTSD的学生进行心理干预提供参考。方法采用整群抽样方法,选取广元地区地震重灾区和一般灾区的1492名高二学... 目的了解汶川地震9年后广元地区高二学生创伤后应激障碍(PTSD)阳性检出情况,为进一步分析震后PTSD持续存在的影响因素、对存在PTSD的学生进行心理干预提供参考。方法采用整群抽样方法,选取广元地区地震重灾区和一般灾区的1492名高二学生为研究对象。采用创伤后应激障碍自评量表(PTSD-SS)和社会支持量表(PSSS)调查PTSD发生率和社会支持情况。结果广元地区高二学生PTSD阳性检出率为3.69%,男生和女生PTSD阳性检出率比较差异有统计学意义(2.24%vs.5.82%,χ^2=12.47,P<0.01),重灾区和一般灾区PTSD阳性检出率比较差异有统计学意义(4.89%vs.2.84%,χ^2=4.27,P<0.05);男生和女生PTSD-SS评分比较差异有统计学意义[(12.71±9.01)分vs.(14.02±8.52)分,t=-6.43,P<0.01];PTSD阳性者和非阳性者PSSS评分比较差异有统计学意义[(57.52±7.53)分vs.(61.11±8.19)分,t=-5.36,P<0.01]。结论汶川地震后9年,广元地区部分高二学生仍存在PTSD症状,创伤暴露程度、性别和社会支持可能与现患PTSD相关。 展开更多
关键词 汶川地震 高二学生 创伤后应激障碍 检出率
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宠物也会深陷八种精神障碍
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作者 安利 《中外文摘》 2019年第22期60-61,共2页
宠物的陪伴可以慰藉人的心灵,对那些有心理障碍或是精神疾病的患者产生积极影响。可是,许多宠物同样会陷于我们一直以为只有人类才会患上的精神障碍当中。PTSD PTSD是创伤后应激障碍的简称,是指人在经历过情感、战争、交通事故等创伤事... 宠物的陪伴可以慰藉人的心灵,对那些有心理障碍或是精神疾病的患者产生积极影响。可是,许多宠物同样会陷于我们一直以为只有人类才会患上的精神障碍当中。PTSD PTSD是创伤后应激障碍的简称,是指人在经历过情感、战争、交通事故等创伤事件后产生的精神疾病。美国精神医学学会的一项研究显示,养宠物狗作为退伍军人PTSD的辅助治疗手段,有助于改善其抑郁及孤独等症状。 展开更多
关键词 精神障碍 精神疾病 创伤后应激障碍 医学学会 宠物狗 PTSD 创伤事件 交通事故
遭受医疗暴力事件急诊ICU护士的护理伦理决策能力与创伤后应激障碍的相关性 预览
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作者 王慧凤 孟德敏 赵阳阳 《临床研究》 2019年第12期162-165,共4页
目的探讨遭受医疗暴力事件ICU护士的护理伦理决策能力与创伤后应激障碍(PTSD)的相关性。方法采用护士护理伦理决策量表(JAND)和创伤后应激障碍自评量表(PCL-C)评估自2017年1月-2018年12月于郑州大学第一附属医院遭受过医疗暴力事件的13... 目的探讨遭受医疗暴力事件ICU护士的护理伦理决策能力与创伤后应激障碍(PTSD)的相关性。方法采用护士护理伦理决策量表(JAND)和创伤后应激障碍自评量表(PCL-C)评估自2017年1月-2018年12月于郑州大学第一附属医院遭受过医疗暴力事件的133名急诊ICU护士的护理伦理决策能力和创伤后应激水平;采用Pearson相关性分析护理伦理决策能力和PTSD的相关性;采用单因素和多因素分析护理伦理决策能力的影响因素。结果在本研究中,JAND量表平均得分(270.85±31.50)分,伦理选择维度评分(145.50±15.80)分,伦理行动维度评分(125.35±14.00)分;PCL-C量表平均得分(39.93±13.52)分,反复体验、回避/麻木及高警觉3个维度评分分别为(11.94±3.94)分、(14.28±4.05)分及(13.72±4.00)分;Pearson相关分析显示,JAND量表总分及各维度评分与PCL-C量表总分及各维度评分均呈负相关(P<0.05或P<0.01);多元线性回归分析显示,学历和遭受暴力事件的次数是遭受医疗暴力事件临床护士的护理伦理决策能力的影响因素(P<0.05)。结论遭受医疗暴力事件的急诊ICU护士的护理伦理决策能力与PTSD呈负相关;学历越低、遭受暴力事件的次数越多,护理伦理决策能力越差。 展开更多
关键词 医疗暴力 急诊ICU 护理伦理决策能力 创伤后应激障碍
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Posttraumatic stress disorder: From diagnosis to prevention
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作者 Xue-Rong Miao Qian-Bo Chen +2 位作者 Kai Wei Kun-Ming Tao Zhi-Jie Lu 《军事医学研究:英文版》 CAS CSCD 2019年第2期170-177,共8页
Posttraumatic stress disorder(PTSD) is a chronic impairment disorder that occurs after exposure to traumatic events.This disorder can result in a disturbance to individual and family functioning, causing significant m... Posttraumatic stress disorder(PTSD) is a chronic impairment disorder that occurs after exposure to traumatic events.This disorder can result in a disturbance to individual and family functioning, causing significant medical, financial,and social problems. This study is a selective review of literature aiming to provide a general outlook of the current understanding of PTSD. There are several diagnostic guidelines for PTSD, with the most recent editions of the DSM-5 and ICD-11 being best accepted. Generally, PTSD is diagnosed according to several clusters of symptoms occurring after exposure to extreme stressors. Its pathogenesis is multifactorial, including the activation of the hypothalamic–pituitary–adrenal(HPA) axis, immune response, or even genetic discrepancy. The morphological alternation of subcortical brain structures may also correlate with PTSD symptoms. Prevention and treatment methods for PTSD vary from psychological interventions to pharmacological medications. Overall, the findings of pertinent studies are difficult to generalize because of heterogeneous patient groups, different traumatic events, diagnostic criteria, and study designs. Future investigations are needed to determine which guideline or inspection method is the best for early diagnosis and which strategies might prevent the development of PTSD. 展开更多
关键词 PTSD Stress COGNITIVE IMPAIRMENT PSYCHOLOGICAL interventions NEUROENDOCRINE
PTSD样大鼠记忆损害与海马区JNK3/ERK5差异性表达的相关研究 预览
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作者 刘超猛 李浩浩 +1 位作者 王梅子 张桂青 《安徽医科大学学报》 CAS 北大核心 2019年第10期1516-1520,共5页
目的探讨创伤后应激障碍(PTSD)样大鼠记忆损害与不同时间点海马区氨基末端激酶3(JNK3)、细胞外信号调节激酶5(ERK5)表达的关系。方法将32只清洁级SD大鼠随机分为两组:Control组8只,PTSD组24只(PTSD2 d组、PTSD5 d组与PTSD8 d组,各8只),... 目的探讨创伤后应激障碍(PTSD)样大鼠记忆损害与不同时间点海马区氨基末端激酶3(JNK3)、细胞外信号调节激酶5(ERK5)表达的关系。方法将32只清洁级SD大鼠随机分为两组:Control组8只,PTSD组24只(PTSD2 d组、PTSD5 d组与PTSD8 d组,各8只),使用国际认定的单次延长应激(SPS)方法制作大鼠PTSD模型。分别通过拒缚反射评分、旷场实验和Morris水迷宫实验测试大鼠的恐惧反应、焦虑水平和空间记忆能力,采用HE染色观察大鼠海马组织形态变化,通过实时荧光定量PCR(qRT-PCR)和Western blot法分别检测大鼠海马组织中JNK3/ERK5 mRNA及蛋白水平的变化。结果与Control组比较,PTSD组大鼠拒缚反射评分升高,站立与跨格次数减少,平均上台潜伏期延长,差异有统计学意义(P<0.05);HE染色结果表明,PTSD组大鼠海马神经元排列紊乱,结构异常;与Control组比较,PTSD2 d组、PTSD5 d组大鼠海马组织JNK3 mRNA及蛋白表达水平升高,差异有统计学意义(P<0.05),PTSD2 d、5 d与8 d组大鼠海马组织ERK5 mRNA及蛋白表达水平与Control组相比明显升高,差异有统计学意义(P<0.05)。结论PTSD样大鼠记忆损害可能与海马区JNK3/ERK5差异性表达有关,ERK5基因及蛋白表达的持续上调,可能对JNK3的表达起抑制作用。 展开更多
关键词 创伤后应激障碍 氨基末端激酶3 细胞外信号调节激酶5 记忆损害
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