今日文獻亮點集中在『解離性癲癇診斷工具優化』與『創傷性分娩的心理機制』,反映臨床對功能性神經症狀與周產期創傷的關注持續上升;同時,自傷行為與童年創傷、智力發展障礙的交織性也獲得新的實證支持。
Epilepsy & Behavior · Reconstruction and validation of a short version of the scale for suspicion of psychogenic non-epileptic seizures in a Japanese cohort.
將15題的PNES篩檢量表精簡為6題兩因子(情緒壓力、精神特徵)版本,具高敏感度但特異度偏低,適合急診或初步篩檢快速識別功能性/解離性癲癇。
Journal of Affective Disorders · The mediating role of rumination in the relationship between traumatic childbirth perception, birth satisfaction, and postpartum depressive symptoms.
創傷性分娩知覺透過反芻思考完全中介影響產後憂鬱,而生產滿意度則透過反芻思考部分中介;臨床應將反芻思考納入產後創傷評估與介入核心。
Nordic Journal of Psychiatry · Comorbid mental disorders in extensively hospitalized patients due to severe self-harm: the association with intellectual developmental disorders.
在嚴重自傷住院患者中,疑似智力發展障礙(IDD)與更高的精神共病數量顯著相關,且此關聯獨立於BPD、物質使用障礙與童年創傷之外。
Journal of Anxiety Disorders · Mapping relative proximity within an internalizing symptoms network.
PTSD在症狀網絡中與憂鬱和廣泛性焦慮最為鄰近,支持「痛苦型內化向度」涵蓋PTSD的分類構想,而恐懼型向度的證據較弱。
Military Medicine · The Health and Well-Being of Service Members and Veterans Before and During the COVID-19 Pandemic: Findings From the US Millennium Cohort Study.
疫情期間軍人與退伍軍人的PTSD、焦慮、憂鬱與問題性憤怒盛行率顯著高於疫情前,凸顯危機情境對創傷族群的加乘影響。
Health Expectations · Critically Exploring Self-Harm Through Lived Experience Perspectives: A Survivor-Controlled Integrative Review Employing Participatory Methodology.
自傷應理解為在社會處境中協商自我與經驗的情感實踐,而非僅是個人的情緒失調;臨床不應將其過度個人化與病理化。
Neurobiology of Disease · Impact of DSP4-induced locus coeruleus dysfunction on sleep: Systematic review and methodology.
系統性整理以DSP4損傷藍斑核模式探討睡眠結構變化的動物研究,並指出方法學變異來源,為PTSD相關睡眠障礙的神經機制研究奠基。
Kurume Medical Journal
疫情期間喪親者的憂鬱與感染焦慮、喪偶、與逝者互動不足相關;創傷後成長則與醫療專業人員支持及社會支持有關。
Neuropharmacology
D1R中型多棘神經元(非D2R)在氯胺酮線索引發的復發行為中扮演關鍵角色,對以氯胺酮治療PTSD的成癮風險評估具參考價值。
Journal of Affective Disorders
母嬰同室住院治療顯著改善憂鬱症狀與育兒技能,但PTSD、人格障礙與焦慮診斷預示出院時較高的憂鬱分數。