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创伤后应激障碍的心理治疗:近5年RCT回顾 被引量:19
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作者 周瑶光 孙露娜 刘伟志 《解放军医学杂志》 CAS CSCD 北大核心 2019年第9期797-807,共11页
创伤后应激障碍(PTSD)是继发于创伤事件的一类精神障碍,其核心症状表现为创伤记忆侵入、躲避创伤相关刺激、认知消极改变、唤醒增强和行为过激等。PTSD与战争密切相关,经历战争的退伍老兵PTSD患病率为10%~13%。PTSD对个体的工作、家庭... 创伤后应激障碍(PTSD)是继发于创伤事件的一类精神障碍,其核心症状表现为创伤记忆侵入、躲避创伤相关刺激、认知消极改变、唤醒增强和行为过激等。PTSD与战争密切相关,经历战争的退伍老兵PTSD患病率为10%~13%。PTSD对个体的工作、家庭、亲密关系和社会生活方面的功能损害很大,且持续时间长,其终生患病率为1.3%-12.2%。该文对近5年来PTSD心理治疗的随机对照试验(RCT)研究进行全面综述和归纳,发现与其他传统暴露和非暴露疗法相比,采用延长暴露(PE)疗法治疗PTSD具有一定优势,调整后的PE疗法仍有较好疗效;在与传统治疗PTSD药物的对比试验中,PE表现出不逊于药物的疗效;在与空白对照组的比较中,PE对PTSD症状的缓解具有良好效果。PE是一种有循证依据且疗效显著的PTSD心理治疗方法,可从创新和改善实施方法、治疗前对患者进行评估、开展个性化治疗等方面进一步提高PE的疗效并降低脱落率。 展开更多
关键词 创伤后应激障碍 心理治疗 延长暴露
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Prolonged manganese exposure induces severe deficits in lifespan,development and reproduction possibly by altering oxidative stress response in Caenorhabditis elegans 被引量:13
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作者 XIAO Jing RUI Qi +2 位作者 GUO Yuling CHANG Xingya WANG Dayong 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2009年第6期842-848,共7页
We examined the possible multiple defects induced by acute and prolonged exposure to high levels of manganese(Mn) solution by monitoring the endpoints of lifespan,development,reproduction,and stress response.Our dat... We examined the possible multiple defects induced by acute and prolonged exposure to high levels of manganese(Mn) solution by monitoring the endpoints of lifespan,development,reproduction,and stress response.Our data suggest that acute exposure(6 h) to Mn did not cause severe defects of life span,development,and reproduction,similarly,no significant defect could be found in animals exposed to a low concentration of Mn(2.5 μmol/L) for 48 h.In contrast,prolonged exposure(48 h) to high Mn concentrations(75 and 200 μmol/L) resulted in significant defects of life span,development,and reproduction,as well as the increase of the percentage of population with hsp-16.2::gfp expression indicating the obvious induction of stress responses in exposed animals.Moreover,prolonged exposure(48 h) to high concentrations(75 and 200 μmol/L) of Mn decreased the expression levels of antioxidant genes of sod-1,sod-2,sod-3,and sod-4 compared to control.Therefore,prolonged exposure to high concentrations of Mn will induce the severe defects of life span,development,and reproduction in nematodes possibly by affecting the stress response and expression of antioxidant genes in Caenorhabditis elegans. 展开更多
关键词 manganese toxicity prolonged exposure stress response antioxidant gene Caenorhabditis elegans
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创伤后应激障碍临床诊断与心理干预的研究进展 被引量:13
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作者 黄瑞雯 吴诗瑜 《中国临床医学》 2021年第2期316-322,共7页
创伤后应激障碍(post-traumatic stress disorder,PTSD)是一类暴露于严重创伤事件后出现的精神障碍,临床表现为创伤记忆侵入、创伤相关刺激躲避、认知消极改变、唤醒增强和行为过激等。本文将围绕美国精神医学学会第5版《精神障碍诊断... 创伤后应激障碍(post-traumatic stress disorder,PTSD)是一类暴露于严重创伤事件后出现的精神障碍,临床表现为创伤记忆侵入、创伤相关刺激躲避、认知消极改变、唤醒增强和行为过激等。本文将围绕美国精神医学学会第5版《精神障碍诊断与统计手册》和世界卫生组织第11版《国际疾病分类》对PTSD最新修订的临床诊断标准及PTSD的一线心理干预疗法的最新研究进展进行综述。 展开更多
关键词 创伤后应激障碍 临床诊断 心理干预 延长暴露 认知行为疗法
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短期和长期暴露于高海拔地区人群的葡萄糖稳态维持 被引量:5
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作者 赵一多 张瑶 康龙丽 《国外医学(医学地理分册)》 CAS 2016年第2期186-194,共9页
大部分与高原医学相关的文献都致力于揭示短期接触高原对人体的影响。然而,长期生活在高原的人群可能与人类疾病的发生更有关联,因为有超过4亿人居住在海拔1 500m以上地区,有趣的是,高原地区人群和海平面附近人群相比有着更低的空腹血... 大部分与高原医学相关的文献都致力于揭示短期接触高原对人体的影响。然而,长期生活在高原的人群可能与人类疾病的发生更有关联,因为有超过4亿人居住在海拔1 500m以上地区,有趣的是,高原地区人群和海平面附近人群相比有着更低的空腹血糖和更好的葡萄糖耐受性。研究表明,高原地区肥胖和糖尿病发病率更低。但高原地区人群血糖控制的机制仍不清楚。目前我们所掌握的海拔1 500m以上地区人群关于葡萄糖稳态维持的最新证据表明,生活在这个地区的人群有着更低的空腹血糖,并且肥胖和糖尿病发病率更低。高原地区人群空腹血糖的调节和维护,对葡萄糖稳态维持有了新的认识。 展开更多
关键词 高原 长期暴露 短期暴露 葡萄糖稳态
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Evaluating Effective Pediatric Psychological Trauma Treatments Post-Traumatic Natural Disasters
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作者 Shivani Jayaprakasam 《Open Journal of Psychiatry》 2022年第3期246-268,共23页
What are the best treatment approaches for children experiencing trauma after natural disasters? Historically, the U.S. emergency response system has not provided psychological support to communities impacted by disas... What are the best treatment approaches for children experiencing trauma after natural disasters? Historically, the U.S. emergency response system has not provided psychological support to communities impacted by disasters. Instead, the traditional emergency response community focused on ensuring the physical survival of the individuals and communities that it protects. The goal of all disaster interventions, whether physical or psychological in nature, is to restore the individual to his/her level of pre-disaster functioning. Emphasizing psychological intervention and treatment after disasters is essential in restoring health in individuals post-trauma because mental health is necessary for proper physical health, forming of coping mechanisms, and the ability of individuals to move past the trauma and lead normal lives. At young ages, the body is still developing mentally and physically, meaning the impact of a traumatic event may be completely different from that of most adults. For example, children have greater thought suppression, which leads to an associated increase in PTSD and internalizing behaviors. Thus, children require a different treatment approach to ensure that trauma is not long-lasting and prevalent in future adult life, such as through trouble expressing and regulating emotions, as well as vulnerability to future exposure to stress, which may negatively impact individuals’ identity and interpersonal abilities. The purpose of this review paper is to evaluate various memory-related disorders to then explain the pros and cons of various treatment approaches based on their efficiency in treating PTSD-related symptoms post-natural disasters in children. This review identifies the best pediatric trauma treatment approaches used after natural disasters, highlighting a lack of efficient, effective, and specific psychological treatments. By comparing various existing psychological treatments, this paper provides future directions for research by identifying existing gaps in the field and explains contr 展开更多
关键词 Natural Disasters PEDIATRIC PSYCHOLOGY Mental Health Trauma PSYCHOTHERAPY CISD CBT CPT prolonged exposure TF-CBT Psychological First Aid
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持续照射情况下公众的放射防护
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作者 李士骏 《辐射防护》 CAS CSCD 北大核心 2003年第4期210-219,共10页
本文简明扼要地介绍了国际放射防护委员会 (ICRP)第 82号出版物的主要内容 ,列出了持续照射情况下公众辐射防护相关的ICRP的定量建议 ,给出了持续照射情况下考虑干预的程序图。
关键词 持续照射 公众 放射防护 干预
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WORK FUNCTION,AES AND TDS STUDIES OF ADSORPTION OF CO ON Ag-Pd ALLOY
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作者 Wang Huaiming, Bao Xinhe and Deng Jingfa (Chemistry Department, Fudan University, Shanghai,China) 《分子催化》 EI CAS CSCD 1989年第S1期83-87,共5页
The adsorption and desorption of CO on the Ag-rich and Pd-rich surface of Ag-Pd al-loy have been investigated with work function measurement, Auger spectroscopy (AES),and thermal desorption spectroscopy (TDS) in a... The adsorption and desorption of CO on the Ag-rich and Pd-rich surface of Ag-Pd al-loy have been investigated with work function measurement, Auger spectroscopy (AES),and thermal desorption spectroscopy (TDS) in an ultrahigh vacuum system, respectively.AES showed that the surface of the alloy (X<sub>Pd.bulk</sub>=40% at.) was rich in Ag after an-ncaling as would normally be expected and was rich in Pd after Ar<sup>+</sup> bombardment possiblycaused by different sputtering rate on account of their different surface binding energy.Afteradmission of CO the work functions of both surfaces (Pd-rich and Ag-rich) are raised. Theresults of AES and work function measurement confirmed that the Ag-rich alloy becamecnriched with Pd upon prolonged contact with CO at 293 K. With TDS, one singledesorption peak of adsorbed CO was observed throughout the whole range of exposure forthe Ag-Pd system. This result implied that Pd atom in the surface were acting as individualchemisorption centers and that the Ag atoms were merely acting as a 展开更多
关键词 DESORPTION adsorbed merely SPUTTERING prolonged exposure implied THROUGHOUT raised normally
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延时暴露疗法治疗创伤后应激障碍临床研究 被引量:4
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作者 王燮辞 《临床精神医学杂志》 2010年第5期325-326,共2页
目的:了解延时暴露疗法对创伤后应激障碍(PTSD)患者症状的疗效。方法:使用创伤后应激障碍自评量表(PTSD-SS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)对高中生进行测评,采用延时暴露疗法对21名PTSD患者进行了治疗。结果:地震后1年高中生P... 目的:了解延时暴露疗法对创伤后应激障碍(PTSD)患者症状的疗效。方法:使用创伤后应激障碍自评量表(PTSD-SS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)对高中生进行测评,采用延时暴露疗法对21名PTSD患者进行了治疗。结果:地震后1年高中生PTSD患病率为6.65%,女性高于男性,延时暴露治疗后症状明显改善。结论:延时暴露疗法对地震后高中生PTSD治疗有效,在以后的心理干预中应注意关注PTSD患者的恐惧和回避症状。 展开更多
关键词 延时暴露治疗 创伤后应激障碍 高中生
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危机干预视角下的PTSD治疗方法分析 被引量:1
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作者 周海明 李想 时勘 《电子科技大学学报(社科版)》 2016年第1期39-43,共5页
以危机干预为视角对创伤后应激障碍的两种主要的治疗方法,叙事暴露疗法和延迟暴露疗法进行了比较,在理论基础、学习和恐惧条件、叙事和治疗因素等方面分析了两种方法的共同点和差异。在这种比较的基础上,对两种方法在当前研究中的主要... 以危机干预为视角对创伤后应激障碍的两种主要的治疗方法,叙事暴露疗法和延迟暴露疗法进行了比较,在理论基础、学习和恐惧条件、叙事和治疗因素等方面分析了两种方法的共同点和差异。在这种比较的基础上,对两种方法在当前研究中的主要问题进行了分析和探讨,并且对将来的研究方向进行了展望,进而对将来的危机干预提供方法学指导。 展开更多
关键词 危机干预 创伤后应激障碍 叙事暴露疗法 延迟暴露疗法
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