创伤后应激障碍的共病及机制

Comorbidities and mechanisms of post-traumatic stress disorder

创伤后应激障碍(PTSD)与其他精神障碍之间常存在高度共病,如抑郁障碍、焦虑障碍、睡眠障碍与人格障碍等,共病对两种疾病的治疗和预后均造成了不利影响,在现代战争中也是部队战斗减员的重要因素。由于近年来军事任务形势复杂多样,部队官兵的心理健康受到了广泛关注,PTSD作为战场环境下的常见心理创伤结果,需在未来战争中得到充分关注。本文从PTSD共病发生的流行病学特征、影响因素、相关机制及治疗干预策略等方面,分析探讨PTSD共病的相关研究进展,为保障战斗力的提升和PTSD的临床诊疗提供参考。

Post-traumatic stress disorder(PTSD)and other psychiatry disorders are highly comorbid mental health problems,such as depression disorder,anxiety disorder,sleep disorder,and personality disorder.Comorbidity is associated with negative treatment and prognosis of both diseases,and is also an important factor in the reduction of combat personnel in modern war.Mental health of military officers and soldiers has drawn wide attention owing to the complexity and diversity of military tasks in recent years.As a common psychological trauma in the battlefield environment,PTSD needs to be fully concerned in the future war.This paper discusses the research progress of comorbidities of PTSD from the aspects of epidemiological characteristics,influencing factors,related mechanisms and treatment intervention strategies,so as to provide reference for the improvement of war capacity and the clinical diagnosis and treatment of PTSD.