急性应激障碍能否预测创伤后应激障碍

Can Acute Stress Disorder Predict Posttraumatic Stress Disorder

灾难后心理创伤是临床心理学领域和精神医学领域的研究热点,灾难后急性应激障碍(ASD)和创伤后应激障碍(PTSD)之间的关系日益受到关注。本文对ASD预测PTSD的文献进行了分析,回顾了ASD诊断预测PTSD存在的一些问题,并综述了ASD各种症状(分离、再体验、回避、唤起水平增高症状)对PTSD的预测作用,以及认知模式和叙事特点等因素对PTSD的预测作用。总之,作者认为,以ASD诊断和ASD各种症状预测PTSD存在局限性。

Post-disaster Psycho-trauma has become a hot topic in the field of clinical psychology and psychiatry. The relationship between acute stress disorder（ASD） and posttraumatic stress disorder（PTSD） has been put forward. This article gives an overview of predicting PTSD through ASD. The author looked into the limit of predictability to PTSD by the diagnosis of ASD, by the symptoms of ASD（ dissociation, re-experience, avoidance, increased arousal）, and by the cognitive model or the narrative pattern. In conclusion, the author believes there are limitations to predict PTSD by either the diagnosis or the symptoms of ASD.