Complex Trauma in Adolescents and Adults Effects and Treatment

被引:63
作者
Briere, John [1 ]
Scott, Catherine [1 ]
机构
[1] Univ So Calif, Keck Sch Med, Dept Psychiat & Behav Sci, Los Angeles, CA 90089 USA
关键词
Complex trauma; Trauma; PTSD; Complex PTSD; Treatment of complex trauma; POSTTRAUMATIC-STRESS-DISORDER; BORDERLINE PERSONALITY-DISORDER; PLACEBO-CONTROLLED TRIAL; DOUBLE-BLIND; CUMULATIVE TRAUMA; DEPERSONALIZATION DISORDER; DISSOCIATIVE SYMPTOMS; DIVALPROEX SODIUM; OPEN-LABEL; PTSD;
D O I
10.1016/j.psc.2015.05.004
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Complex trauma involves multiple exposures to adverse events over the lifespan. Such experiences are associated with a variety of psychological outcomes, including a decreased threshold for the development of posttraumatic stress disorder as well as self-capacity problems and dysfunctional behaviors. Psychological interventions that increase affect regulation, support titrated processing of memories and cognitions, and emphasize the therapeutic relationship seem to be most helpful for complex trauma effects. Pharmacologic treatments have some efficacy in the treatment of the posttraumatic stress components of complex posttraumatic outcomes, but are generally less successful in reducing self-related problems and symptoms.
引用
收藏
页码:515 / +
页数:14
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