dsm-ivcriteriaforptsdastressorcriterion创伤后应激障碍的应激源标准dsm-iv标准

《dsm-ivcriteriaforptsdastressorcriterion创伤后应激障碍的应激源标准dsm-iv标准》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、HowdowedefineSTRESS?IncongruitybetweenthedemandsplacedontheorganismandtheadaptivecapacitiesoftheorganismDSM-IVCriteriaforPTSDA.StressorCriterionThepersonhasbeenexposedtoatraumaticeventinwhichbothofthefollowinghavebeenpresent:Thepersonhasexperienced,witnessed,orbeenc

2、onfrontedwithaneventoreventsthatinvolveactualorthreateneddeathorseriousinjury,orathreattothephysicalintegrityofselforothersTheperson’sresponseinvolvedintensefear,helplessness,orhorror.Note:inchildren,itmaybeexpressedinsteadbydisorganizedoragitatedbehavior.PREVALENCEO

3、FPTSDFOLLOWINGDISASTERNaturalDisastersBuffaloCreekDisasterLifetimePTSD59%at14yrfollow-up25%inchildren37%Mt.St.HelensVolcanicEruptionPTSDinexposedsample3.6%,PTSDamongnon-exposed2.6%TornadoPTSD2-21%.,Post-traumaticStressImpairment59%EarthquakePost-traumaticStressImpair

4、ment32-60%,PTSDinchildren26-95%Human-MadeDisastersTechnologicalDisasterPTSD7-50%,Post-traumaticImpairment22-43%MajorFirePost-traumaticStressImpairment54-66%PTSDinburnedsurvivors100%TransportationDisastersPTSD29-100%PTSDinchildren40-47%TerroristKidnappingandTorturePTS

5、D54%MassShooting5%children5-47%RescueWorkersptsReactions24%DISASTEREXPERIENCESASSOCIATEDWITHCHRONICPTSDSurvivors/witnessesofmassdestructionordeathUnresolvedbereavementLossofhomeorcommunitySurvivorswithhistoriesofpriorexposuretotraumaSurvivorswhoexperiencemajorlifestr

6、essorsSurvivorsoftoxiccontaminationdisastersOTHERFACTORSASSOCIATEDWITHCHRONICPTSDLowlevelsofemotional/socialsupportorhighlevelsofsocialdemandCopingviaavoidance,self-blame,orrumination(However:maladaptivepatternsofcopingmaybetheresultratherthancauseofpost-traumaticstr

7、essimpairment)CopingviasubstanceabuseServingasanemergencyworkerChildrenwhoseparentsarepersistentlypsychologicallyimpaired.Childrenwhoseparentsexperiencesignificantperitraumaticdistress.DSM-IVCriteriaforPTSDB.IntrusiveRecollectionCriterionThetraumaticeventispersisten

8、tlyre-experiencedinone(ormore)ofthefollowingways:recurrentandintrusivedistressingrecollectionsoftheevent,includingimages,thoughts,o