重庆医科大学：《精神病学》课程教学资源（讲稿）Stress-related disorders

重庆医科大学附属第一医院 Stress-related Disorders Department of Psychiatry the first affiliated hospital of Chongqing Medical University Hu hua

Stress-related Disorders Department of Psychiatry the first affiliated hospital of Chongqing Medical University Hu hua

重庆医科大学附属第一医院 Types Acute Stress Disorder Post-traumatic Stress Disorder ■Adjustment Disorder

Types  Acute Stress Disorder  Post-traumatic Stress Disorder  Adjustment Disorder

重庆医科大学附属弟一医况 Stressors.dbubupot natural disasters Shipwreck,pranging,floodwater overflow,earthquake,fire, prevalence of infectious disease. man-made disasters ■ War,sexual-abuse,kidnap,severe car accident. ■serious life event

Stressorspicture.ppt  natural disasters  Shipwreck, pranging, floodwater overflow, earthquake, fire, prevalence of infectious disease.  man-made disasters  War, sexual-abuse, kidnap, severe car accident.  serious life event 

应激的过程 重庆医科大学附属第一医院 认知 人格 应对 评价 特征 方式 心理行为反应 适应 生 (健康) 心身疾 中枢神经系统 紧 事件 不适应 状 生理反应 (疾病) 健康 遗传 社会 状态 素质 支持 神疾 应激源 中介因素 应激反应 反应结局 应激相互作用系统整合模式图

应激的过程 应激源 中介因素 应激反应 反应结局 应激相互作用系统整合模式图 生 活 事 件 认知 评价 中枢神经系统 人格 特征 应对 方式 心 身 紧 张 状 态 心理行为反应 精 神 疾 病 健康 状态 遗传 素质 社会 支持 生理反应 心 身 疾 病 适应 （健康） 不适应 （疾病）

量庆医科大学附属第一医品园 Acute Stress Disorder (ASD)

Acute Stress Disorder (ASD)

重庆医科大学附属第一医院 Definition Acute stress disorder (ASD)-is an disorder characterized by a cluster of dissociative and other symptoms that occurs within one month after exposure to an extreme traumatic stressor

Definition  Acute stress disorder (ASD)—-is an disorder characterized by a cluster of dissociative and other symptoms that occurs within one month after exposure to an extreme traumatic stressor. 

重庆医科大学附属弟一医况 Clinical features 1.Caused direct/y by traumatic stressor >1.2 Response >1.1 Exposure (witness or learned of)to Involved intense fear, traumatic stressor helplessness or horror

Clinical features  1. Caused directly by traumatic stressor 1.1 Exposure (witness or learned of) to traumatic stressor 1.2 Response Involved intense fear, helplessness or horror

重庆医科大学附属第一医院 Clinical features 2.Dissociative Symptoms -is a process of separating one part of your inner self from the others which is a critical feature. Some of the following dissociative symptoms are:

Clinical features  2. Dissociative Symptoms -is a process of separating one part of your inner self from the others which is a critical feature.  Some of the following dissociative symptoms are:

量庆医科大学附属弟一医况 Clinical Features >Numbing or absence of emotional responsiveness: -Loss of sensation -To have a decrease in emotional responsiveness -To blank out thoughts or feelings Being in a daze -A reduction in awareness of his or her surroundings

Clinical Features  Numbing or absence of emotional responsiveness: -Loss of sensation -To have a decrease in emotional responsiveness -To blank out thoughts or feelings  Being in a daze -A reduction in awareness of his or her surroundings

重庆医科大学附属第一医院 >Dissociative Amnesia -inability to recall an important aspect of the trauma

Dissociative Amnesia - inability to recall an important aspect of the trauma