道德创伤后应激障碍诊疗的探讨

摘要

创伤后应激障碍(Post-Traumatic Stress Disorder,PTSD)是一种常见的精神障碍,症状复杂、病程迁延,对患者社会功能损害严重,可造成医疗资源大量消耗.道德创伤作为PTSD的致病因素有其特殊的致病原理,伴有道德创伤的PTSD,症状更丰富,预后更差,导致自杀的风险更高,治疗更加复杂.来自心理学和伦理学角度的理论研究,生物医学角度的病因和临床研究可能为伴有道德创伤的PTSD提供解决思路.%Post-Traumatic Stress Disorder ( PTSD) is a common psychiatric disorder with complicated symp-toms and prolonged course of disease, seriously damages social function of patients and can cause excessive con-sumption of medical resources. As pathogenic factor of PTSD, moral injury has its special pathogenic mechanism. PTSD with moral injury has more symptoms and poorer prognosis, leading to a higher risk of suicide and more com-plicated treatment. Theoretical research from the perspective of psychology and ethics, etiological and clinical re-search from the perspective of biomedical may provide the solution to PTSD with moral injury.