⭐今日精選 TOP Picks
Beyond discrimination: A systematic review of empirical studies assessing racial trauma and race-based traumatic stress.
Psychological trauma : theory, research, practice and policy · Beyond discrimination: A systematic review of empirical studies assessing racial trauma and race-based traumatic stress.
系統性評證證實種族創傷是獨立於廣義心理病態的可測構念，具有良好效度與信度，並揭示其與負性認知、身體痛苦及跨身份交叉影響的關聯，對�床評估與介入具重要意涵。
P經歷種族創傷的個體（橫斷面研究）
I無（系統性文獻回顧）
C無
O種族創傷測量工具的效度、信度及其與症狀表現、機制和臨床意涵的關聯
Evaluation of the effectiveness of EMDR therapy for children and adolescents in Ukraine during war.
European journal of psychotraumatology · Evaluation of the effectiveness of EMDR therapy for children and adolescents in Ukraine during war.
在持續戰爭條件下，EMDR療法對烏克蘭兒童青少年顯著減少PTSD症狀，效應量大（d>1.6），支持其在資源匱乏衝突區域的可行性與�床效益。
P烏克蘭受戰爭影響的兒童與青少年（N=151，平均年齡10.87歲）
IEMDR療法（兒童及青少年適配版）
C無對照組（前後比較設計）
OPTSD症狀顯著降低（DSM-5、ICD-11及學前版），自我報告與照護者報告效應量均超過1.6
An Umbrella Review of Artificial Intelligence Applications in Mental Health Care.
Journal of psychiatric and mental health nursing · An Umbrella Review of Artificial Intelligence Applications in Mental Health Care.
umbrella review 證實AI在心理健康中提升早期檢測（特別是PTSD）、擴大數位工具可及性（如聊天機器人），但同時揭示結構與倫理脆弱性，需謹慎實施。
P接受心理健康服務的個體（橫跨27篇系統性評論，超過1400萬參與者）
IAI應用於心理健康（偵測、數位工具、風險分層）
C傳統照護或無介入
OAI增強早期偵測（尤其對PTSD、憂鬱、焦慮）、提升參與度與照護延續性，但存在倫理與結構風險
Clinical Boundaries of Trauma: A Conceptual Framework for Navigating Comorbidity and Diagnostic Overlap in PTSD.
The Journal of nervous and mental disease · Clinical Boundaries of Trauma: A Conceptual Framework for Navigating Comorbidity and Diagnostic Overlap in PTSD.
提出機制導向的概念框架（恐懼-based、哀傷-dominant、解離、道德傷害），超越傳診斷類別，更好捕捉創傷的多維痛苦，有助提升診斷精準度與治療規劃。
P具有創傷經驗且常伴有共病（如憂鬱、焦慮、藥物使用）的個體
I無（理論論文）
C傳統診斷模式（DSM-5/ICD-11）
O創傷相關症狀反映多維痛苦（憂鬱、解離、身體調節失衡、身份擾亂、悲傷、道德困擾）；機制框架優於類別模型
Online-delivered eye movement desensitization and reprocessing treatment for adults with post-traumatic stress disorder due to multiple traumas: a non-concurrent multiple baseline design.
European journal of psychotraumatology · Online-delivered eye movement desensitization and reprocessing treatment for adults with post-traumatic stress disorder due to multiple traumas: a non-concurrent multiple baseline design.
線上EMDR對多重創傷導致PTSD的成人顯示臨床有效性，群組層面效應量大（d=1.34至1.62），支持其作為可及性介入的潛力。
P18-65歲、因多重創傷患PTSD的成人（N=21）
I線上EMDR治療（10週每週一次）
C基線期（多重基線設計）
OPTSD症狀顯著減少（PCL-5總分平均下降23.6–27.2分），效應量介於中到非常大（d=1.34–1.62）
Exploring the shared genetic architecture between post-traumatic stress disorder (PTSD) and obstructive sleep apnea (OSA).
European journal of psychotraumatology · Exploring the shared genetic architecture between post-traumatic stress disorder (PTSD) and obstructive sleep apnea (OSA).
發現PTSD與OSA具有顯著遺傳相關（rg≈0.33），共享致病變體（TRAF3、TMEM106B），並證實遺傳預測的PTSD增加OSA風險（OR=3.24），揭示共病生物學基礎。
PPTSD與OSA患者（透過GWAS統計資料推論）
I無（遺傳流行病學研究）
C無
OPTSD與OSA間存在顯著全域遺傳相關，識別出兩個共享致因基因座，且PTSD基因風險預測較高OSA發生率
Psychological outcomes following digital replantation and revascularization: A narrative review.
Journal of hand and microsurgery · Psychological outcomes following digital replantation and revascularization: A narrative review.
數位再植術後PTSD盛行率高達36%-69%，但心理結果回報不一，凸顯需將心理評估納入創傷復健常規，尤其在手術失敗時風險更高。
P接受數位再植或血管重建手術的成人或混合 cohorts
I無（敘述性文獻回顧）
C無
OPTSD為常見但報告不一致的心理後遺症（7/19研究報告），盛行率46%-69%，憂鬱與焦慮更常被報告
Daily-life associations between posttraumatic stress disorder symptoms, affect, and posttrauma cognitions in the context of the processing of positive memories.
European journal of psychotraumatology · Daily-life associations between posttraumatic stress disorder symptoms, affect, and posttrauma cognitions in the context of the processing of positive memories.
處理積極記憶的介入（PPMT)隨時間減少負性情感對PTSD症狀的即時影響，顯示其可能透過改善情緒認知過程產生持續益處。
P受創傷暴露的成人（N=70）
IProcessing of Positive Memories Technique（PPMT，四次連續會談）
C介入前後比較
O負性情感與創傷後認知與當日PTSD症狀正相關；介入後此關聯隨時間削弱，提示PPMT對情緒症狀具有持續調節效應
📚其他值得關注的文獻
Unpacking posttraumatic growth: Identifying predictors in trauma-affected individuals using machine learning.
Psychological trauma : theory, research, practice and policy
機器學習模型識別出 deliberate rumination 中特定面向（如生活改變、學到什麼、未來意義）為創傷後成長的重要預測因子，強調情緒調節在促進韌性中的角色。
Differential contributions of PTSD symptom clusters and their associations with resilience in traumatized individuals with a refugee background.
European journal of psychotraumatology
在難民背景個體中，過度警覺與負性認知/情感改變是PTSD較強指標，而韌性與此兩症狀簇顯著相關，提示過度警覺可能反映持續移民壓力。
Haunted by vivid 'what if' thoughts: how counterfactual thinking is associated with posttraumatic stress reactions over time.
European journal of psychotraumatology
反事實思考的vividness（生動性）與基層水平PTSD症狀相關，且呈時間特定關聯，臨床上可作為認知介入目標。
A pragmatic randomized controlled trial of self-directed online writing interventions for posttraumatic stress symptoms in a real-world digital setting.
European journal of psychotraumatology
在微信平台上之自我導向寫作介入（敘述性或表達性寫作）均顯著減少PTSS，但兩者間無顯著差異，支持低門檻數位介入的可行性。
Feasibility and acceptability of skills training in affective recovery (STAR) video and TextSTAR text message program for recent sexual assault survivors.
European journal of psychotraumatology
STAR影片與TextSTAR簡訊方案在性侵後急性期被接受且可行，支持其作為早期預防PTSS與濫用物質的潛力。
Psychometric properties of the Swedish version of the PTSD checklist for DSM-5 (PCL-5) in a mixed trauma sample - examining internal consistency, convergent validity, latent structure, and screening performance.
European journal of psychotraumatology
瑞典版PCL-5具有良好內部一致性與效度，但特異度有限；臨床切分值31-33在敏感度與特定度間取得最佳平衡，適合作為篩選工具。
The Mediating Role of Social Sensitivity in the Relationship Between Mindfulness and Secondary Traumatic Stress Among Social Media Users.
Psychological reports
社會敏感度在正念與社交媒體間接創傷壓力之間具有中介作用，提示正念訓練結合社會技能提升可能更有效減輕數位環境中的間接創傷。
Examining the Influence of Psychiatric Comorbidities on Postoperative Outcomes in Total Ankle Arthroplasty.
Foot & ankle specialist
精神共病（特別是PTSD）顯著增加踝關節置換術後併發症、感染與住院延長風險，支持围手术期心理篩選的重要性。
[A burning challenge in emergency care: burnout, secondary traumatic stress, and psychological immune competence].
Orvosi hetilap
心理免疫能力與急救人員的憂鬱、去人格化負相關，與個人成就正相關；次創傷壓力與情緒耗竭正相關，支持心理資源在緩解職業壓力中的保護角色。
Social support as a buffer in the relationship between perceived stress and PTSD among South African university students.
Health psychology open
社會支持顯著調節壓力與PTSD之間的關係：支持水平越高，壓力對PTS症狀的影響越小，強調多來源支持在預防創傷後心理問題中的保護作用。
Testing the use of local large language models to extract trauma identification and contextualize posttraumatic stress symptoms from self-report.
Journal of behavioral medicine
本地大型語言模型可從自敘文本中提取創傷類型並與PTSD症狀關聯，尽管同意度有變異，但對常見創傷類型（如性侵）具備較高特異度與中等一致性。
Stress-coping behavior during predator odor exposure is associated with differences in decision making.
Addiction neuroscience
鼬臭應激下的應對行為（如掘洞）預測後續衝動決策與酒精相關行為，提示創傷早期行為模式可能影響長期風險，具備轉譯價值。
Dual regulatory mechanisms of the ZI-LHb circuit in SPS&S model mice: dissociable control of aversion and anxiety through distinct downstream targets.
Molecular psychiatry
ZI-LHb通路經由分別投射至VTA（厭惡）與RMTg（焦慮）雙向調節厭惡與焦慮，提供PTSD相關行為的神經 circuit 機制，具備治療標的潛力。
Multicentre randomised controlled trial of a nurse-led family intervention on post-traumatic stress symptoms in families of children with cancer in China: protocol for the SCCIP-N trial.
BMJ open
描述護士主導家庭介入（SCCIP-N）在中國兒童癌症家庭中減少創傷壓力症狀的試驗方案，強調將創傷照護去專業化、提升可及性的策略。
Teaching Relational Care for Health Inequalities: Evaluating the Impact of a Program for Community Nurses and Midwives in Primary Care.
The Journal of continuing education in the health professions
關懷式關係照護教育計畫提升社區護士的自我覺察與知識，減少倦怠與二次創傷壓力，支持在健康不平等環境中的員工福祉與照護品質。
Daily-life associations between posttraumatic stress disorder symptoms, affect, and posttrauma cognitions in the context of the processing of positive memories.
European journal of psychotraumatology
處理積極記憶的介入（PPMT)隨時間減少負性情感對PTSD症狀的即時影響，顯示其可能透過改善情緒認知過程產生持續益處。
Exploring anxiety as a potential mediator of the association between home destruction and PTSD symptoms among hemodialysis patients in Gaza after 7th Oct 2023.
PLOS mental health
在加薩地區透血管造血患者中，焦慮完全中介房屋毀壞與PTSD症狀之間的關聯，支持在透血管造血服務中整合焦慮-focused 心理健康照護的必要性。
Evaluation of a pilot implementation of clinician support for the PTSD coach mobile app in Veterans Affairs Primary Care Mental Health Integration programs.
Psychological trauma : theory, research, practice and policy
臨庝師支援的PTSD Coach應用程式在退伍軍人初級照護中可行且有效，症狀改善中等效應量（d=-0.37），支持將行動健康工具納入主流照護系統。
Mental health and support profiles among children's advocacy center multidisciplinary team members working with victims of child sexual abuse material.
Psychological trauma : theory, research, practice and policy
處理兒童性虐待材料的多學科團隊成員存在顯著異質性：近半數報告穩定與支持，約三分之一經歷不同程度倦怠，強調組織支援與自主權對創傷相關職業適應的保護作用。
17β-estradiol regulates the behavioral, neuronal, and physiological responses to acute witness stress in female rats.
Stress (Amsterdam, Netherlands)
雌激素（17β-estradiol）調節雌性大鼠見證應激的行為、神經與生理反應，支持激素在女性較高應激敏感性中的生物學基礎。
Beyond fear: dual task interventions are effective for fear and non-fear memories.
Cognition & emotion
雙任務介入（如眼動）對恐懼以外之記憶（羞恥、憤怒、悲傷）也有效降低記憶生動性與不愉快感，支持其在EMDR中擴展至非恐懼主導創傷的應用。
Distributed EEG power asymmetries across frequencies in PTSD: Introducing the dynamic EEG power differential (DEPD) index.
Neuroimage. Reports
DEPD索引捕捉PTSD中跨頻率與分布式腦電波半球 asymmetries，顯示其與症狀嚴重程度相關，提供較傳統FAA更全面的腦電波生物標記候選者。
Psychological outcomes following digital replantation and revascularization: A narrative review.
Journal of hand and microsurgery
數位再植術後PTSD盛行率高達36%-69%，但心理結果回報不一，凸顯需將心理評估納入創傷復健常規，尤其在手術失敗時風險更高。
Pain and substance use among persons living with HIV: associations with co-morbid illness and viral suppression.
HIV research & clinical practice
在HIV感染者中，疼痛與心理症狀（如PTSD）及物質使用共同出現，但與病毒抑制無明確關聯，提示整合照護需同步處理疼痛與心理健康。
Psychometric evaluation of a momentary posttraumatic stress disorder checklist: An ecological momentary assessment study of sexual assault survivors.
Journal of traumatic stress
瞬間PTSD檢查表（mPCL-5）顯示優異間人與良好內部 reliabilities，效度適中，支援其在即時監測PTSD波動與介入反應中的應用。
Intensive eye movement desensitization and reprocessing across the posttraumatic spectrum: Preliminary outcomes in veterans with clinical and subclinical symptom levels.
Journal of traumatic stress
強化EMDR介入對臨床及次臨床PTSD退伍軍人均顯著減少症狀，效應量大，支持其在不同嚴重度創傷譜系中的潛力。
Waking from the nightmare of PTSD.
Nature medicine
無可用摘要。
Dizziness Severity and Its Relationship with Comorbid Headache and Psychological Disorders among U.S. Military Personnel with a History of Traumatic Brain Injury.
Military medicine
頭暈嚴重度與美國軍人數創腦傷病史者的憂鬱、PTSD與頭痛顯著相關，支持將前庭症狀視為共病壓力的潛在生物標記。
Pervasive Traumatic Stress: A Systematic Review of the Intersection Between Intergenerational and Complex Trauma.
Psychological reports
提出普遍性創傷壓力（PvTS）概念以整合代際與複雜創傷，強調其透過關係網路、情緒調節與自我概念擾亂運作，主張創傷理解需超越個體與西方中心視角。
Unexpected Social Reactions During the First IPV Disclosure, Perceived Social Support, Self-Compassion, and PTSD Symptoms.
Journal of interpersonal violence
首次揭露親密伴侶暴力時負面社會反應經驗，透過降低自我慈悲與 perceived social support 與較高PTSD症狀相關，支持早期介入需聚焦社會反應與自我關懷。
Regional amyloid accumulation, post-traumatic distress, and intrusive symptoms in cognitively unimpaired older adults at risk for Alzheimer's.
Alzheimer's & dementia (Amsterdam, Netherlands)
腦部特定區域（如前 cingulate、後 cingulate）淀粉樣蛋白積累與疫情後侵入性症狀相關，提示其可能為阿爾茲海默病早期神經精神風險的生物標記。
[Medical trauma].
Nederlands tijdschrift voor geneeskunde
醫療創傷源於醫療程序或狀態引發的無力感、恐懼與失控感，可能導致PTSD，強調醫師早期識別與轉介證據-based治療的重要性。
Homicide at home: setting the agenda for an international collaboration to improve support for children bereaved due to family violence.
European journal of psychotraumatology
呼籲建立國際合作議程以聚焦家庭暴力喪失兒童需求，強調納入幸存者與照護者聲音、整合資源與發展新研究的重要性。
Children's Resilience in Crisis Settings: Experiences of Mothers and Paediatric Intensive Care Nurses.
Nursing in critical care
兒童在危機中的韌性源於家庭協商（情緒調節、敘事重構）、臨床照護（照護者心理健康、精神支撐）與社會生態（學校、社區、未來導向），提供多層面韌性模型。
Childhood maltreatment and disrupted parenting in mothers exposed to intimate partner violence: Mediation via mothers' posttraumatic stress symptoms?
Infant mental health journal
親產暴露母親的兒童虐待經驗與其創傷症狀正相關，但未發現創傷症狀在兒童虐待與 disruption 育兒之間具有顯著中介效應。
"Slow" Trauma to Families with the Demise of Family-Centered Care and Trauma-Informed Care.
The Journal of clinical ethics
慢性創傷（slow trauma）指家庭成員因親人住院而承受的累積道德傷害與壓力，隨著以家庭為中心照護與創傷知照護衰退而加劇，需倫理諮詢介入以防止心理去補償。
Slow Trauma: Reframing Concepts of Moral Injury in Trauma-Informed Ethics Consultation.
The Journal of clinical ethics
區分快速創傷與慢性創傷（slow trauma），後者源於累積認知負荷導致心理去補償，與道德傷害相關，提議在創傷知倫理諮詢中納入此模型以改善替代決策者支援。
Association between trauma exposure and mental health among adolescents with attention-deficit hyperactivity disorder.
European journal of psychotraumatology
台灣ADHD青少年更易歷歷人際創傷並反應較強，但ADHD本身不調節創傷暴露與心理結果之間的關聯，提示需同時關注神經發育與創傷史。
Prescription Trends for Bipolar Disorder With and Without Comorbid Substance Use and Anxiety Disorders: A Global Bipolar Cohort Collaborative Study.
Bipolar disorders
雙極症伴焦慮或物質使用共病者有更嚴重臨床表現（如併發PTSD、ADHD），區域間用藥模式顯著差異，支持構建脈絡-specific 用藥指引。
Complex PTSD symptom trajectories in trauma-exposed adolescents: a five-year longitudinal study.
European journal of psychotraumatology
在創傷暴露青少年中，複雜PTSD症狀在五年內持續升高，尤其影響調節與人際關係，支持早期辨識與介入以防止慢性惡化。
Prelimbic cortex-associated stress sensitisation and region-specific mitochondrial adaptations across preclinical approaches relevant to PTSD and depression.
Neurobiology of stress
前葉內側皮質在應激敏感性中具有特異性線粒體適應，支持其作為PTSD樣表型的神經生物學節點，並揭示炎症與能量代謝在壓力塑造中的角色。
Childhood emotional maltreatment and trauma-related outcomes: a systematic review and multilevel meta-analysis.
European journal of psychotraumatology
兒童情感虐待與忽視均顯著增加PTSD/CPTSD風險（r≈0.27），情感虐待影響較大，異質性極高，提示需注意測量與文化因素。
Indiscriminate trauma preventions may discriminate: A randomised controlled trial of group psychological first aid.
Behaviour research and therapy
團體心理急救（PFA）可能干擾自然恢復，尤其在高初始痛苦者中，二週後創傷症狀反而增加，挑戰其普遍適用性，支持個別化、步進式介入。
Turkish UCLA PTSD-RI-5: Validation and the Role of Severity in Functional Impairment.
International journal of methods in psychiatric research
土耳其版UCLA PTSD Reaction Index-5具有良好效度與信度，分數越高預測功能受損（如學校、家庭、同儕）越嚴重，支持其作為青少年創傷評估工具。
Suicidal thoughts and behaviours in Cape Town: A cross-sectional study of prevalence and social, contextual, and clinical correlates.
SSM. Mental health
在開普敦貧困社區中，自殺思維與行為盛行率高（過去30日14.0%），並顯著相關於暴露暴力、 perceived stress 、憂鬱與PTSD，支持從社會結構角度預防自殺。
National identity as both cure and curse: The effects of three facets of national identification on post-traumatic stress (PTS) symptoms in wartime Ukraine.
The British journal of social psychology
在烏克蘭戰時背景下，民族認同的「中央性」增加PTS症狀，而「族群聯結」與「情感」具有保護作用，說明國家認同在創傷恢復中的雙面性。
Research to real-world impact: evidence-based knowledge mobilization to improve support for UK women veterans who have experienced military sexual trauma.
European journal of psychotraumatology
透過知識轉化培訓提升英國女性退伍軍人軍創傷性創傷（MST）相關服務能力，特別是認知處理療法（CPT）的臨庝師自我效能，支持知識與實務間的橋梁建設。
Differential effects of stress by sex and stress model: the source matters.
Stress (Amsterdam, Netherlands)
壓力類型（如慢性不可預測vs捕食者氣味）與性別共同影響行為與神經內分泌反應，強調壓力研究需考量來源與性別交互效應。
Prospective Development of a Whole-Brain Connectivity and Electric Field-Guided Transcranial Magnetic Stimulation Atlas for Posttraumatic Stress Disorder Symptoms.
Biological psychiatry global open science
基於功能連結與電場模型構建全腦TMS導引圖譜，預測左前額葉連結增加與頂枕葉連結減少皆可減輕PTSD症狀，為個別化腦刺激提供機制導向目標。