摘要
目的系统评价急性应激障碍（ASD）与创伤应激障碍（PTSD）的关系,ASD对发生PDST的预测作用。简述DSM-5中ASD和PTSD的变动。方法在中国期刊全文数据库（CJFD）、超星Medalink、Medline和Pub Med数据库中输入检索词急性应激障碍和创伤后应激障碍,检索年限为1994-2013年的文献。结果 22篇研究文章共纳入研究对象4480名,随访人数3335名,尽管有497名最终诊断为PTSD,但是其中只有238名（48%）在创伤最初一个月之内诊断为ASD。结论 DSM-4所定义的ASD诊断标准不能很好预测发展为PTSD的人群。
Objective The aim of this systematic review was to evaluate the utility of the acute stress disorder diagnosis to predict the subsequent episode of posttraumatic stress disorder,and to intrduce briefly the changes of ASD and PTSD in DSM- 5. Methods A systematic search was conducted in the CJFD,Medalink,Medline and Pub Med databases for English and Chinese language articles published between 1994 and 2013 using keywords that combined acute stress disorder and posttraumatic stress disorder. Results Twenty- two studies were identified as suitable for analysis that included 4480 individuals and follow-up assessments of 3335 individuals. Although 497 of these trauma survivors met criteria for PTSD at the follow-up assessment,only 238（ 48%） of these individuals had met criteria for ASD in the month following trauma exposure. Conclusion The acute stress disorder diagnosis in DSM-4 does not adequately identify the majority of people who will eventually develop PTSD.
出处
《国际精神病学杂志》
2015年第1期18-22,共5页
Journal Of International Psychiatry
