中华创伤杂志(英文版)2021,Vol.24Issue(4) :187-208.

PTSD:Past,present and future implications for China

Yao-Guang Zhou Zhi-Lei Shang Fan Zhang Li-Li Wu Lu-Na Sun Yan-Pu Jia Hai-Bo Yu Wei-Zhi Liu
中华创伤杂志(英文版)2021,Vol.24Issue(4) :187-208.

PTSD:Past,present and future implications for China

Yao-Guang Zhou 1Zhi-Lei Shang 2Fan Zhang 3Li-Li Wu 4Lu-Na Sun 4Yan-Pu Jia 4Hai-Bo Yu 3Wei-Zhi Liu4
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作者信息

  • 1. Lab for Post-traumatic Stress Disorder,Faculty of Psychology and Mental Health,Naval Medical University,Shanghai,200433,China
  • 2. The Emotion&Cognition Lab,Faculty of Psychology and Mental Health.Naval Medical University,Shanghai,200433,China
  • 3. Faculty of Psychology and Mental Health,Naval Medical University,Shanghai,200433,China
  • 4. Lab for Post-traumatic Stress Disorder,Faculty of Psychology and Mental Health,Naval Medical University,Shanghai,200433,China;The Emotion&Cognition Lab,Faculty of Psychology and Mental Health.Naval Medical University,Shanghai,200433,China
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Abstract

There has been a long history since human beings began to realize the existence of post-traumatic symptoms.Posttraumatic stress disorder(PTSD),a diagnostic category adopted in 1980 in the Diag-nostic and Statistical Manual of Mental Disorders-Ⅲ,described typical clusters of psychiatric symptoms occurring after traumatic events.Abundant researches have helped deepen the understanding of PTSD in terms of epidemiological features,biological mechanisms,and treatment options.The prevalence of PTSD in general population ranged from 6.4%to 7.8%and was significantly higher among groups who un-derwent major public traumatic events.There has been a long way in the studies of animal models and genetic characteristics of PTSD.However,the high comorbidity with other stress-related psychiatric disorders and complexity in the pathogenesis of PTSD hindered the effort to find specific biological targets for PTSD.Neuroimage was widely used to elucidate the underlying neurophysiological mecha-nisms of PTSD.Functional MRI studies have showed that PTSD was linked to medial prefrontal cortex,anterior cingulate cortex and sub-cortical structures like amygdala and hippocampus,and to explore the functional connectivity among these brain areas which might reveal the possible neurobiological mechanism related to PTSD symptoms.For now,cognitive behavior therapy-based psychotherapy,including combination with adjunctive medication,showed evident treatment effects on PTSD.The emergence of more effective PTSD pharmacotherapies awaits novel biomarkers from further funda-mental research.Several natural disasters and emergencies have inevitably increased the possibility of suffering from PTSD in the last two decades,making it critical to strengthen PTSD research in China.To boost PTSD study in China,the following suggestions might be helpful:(1)establishing a national psychological trauma recover project,and(2)exploring the mechanisms of PTSD with joint effort and strengthening the indigenized treatment of PTSD.

Key words

Posttraumatic stress disorder/Epidemiology/Mechanism/Treatment/Review

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基金项目

出版年

2021
中华创伤杂志(英文版)
中华医学会

中华创伤杂志(英文版)

CSTPCDCSCD
影响因子:0.608
ISSN:1008-1275
被引量1
参考文献量2
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