醫學專欄~蘇振翔-創傷後壓力症侯群：易慢性化及憂鬱‧須盡快專業處裡生理機制及治療原理篇

1. 10 21
215
posttraumatic stress
disorder, PTSD
3 1
acute stress
disorder, ASD
1 PTSD PTSD
PTSD
8%
10% 4%
PTSD
PTSD

2. PTSD
103
ASD PTSD
ASD
PTSD
1
PTSD
alexithymia
PTSD
2
3

3. 4
- -
hypothalamic-pituitary-adrenal
axis, HPA axis
frontal lobe cingulate
gyrus hippocampus
(insula
amygdaloid
PTSD 24
epinephrine
catecholamine
2
adrenergic receptors
downregulation
noradrenergic system PTSD
PTSD endogenous
opioid system
corticotropin
PTSD
3 2 PTSD
2
substance-related
disorders bipolar
disorders
46
PTSD
Genome-wide association
study PTSD
PTSD
PTSD

4. Chinese Version of
the Davidson Trauma Scale
17
0-4 0 1
2 2~3 3 4~6 4
0-4 0 /
1 / 2
/ 3 /
4 /
136 44
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.