{"id":34398,"date":"2019-09-12T00:57:05","date_gmt":"2019-09-11T16:57:05","guid":{"rendered":"https:\/\/case.ntu.edu.tw\/blog\/?p=34398"},"modified":"2019-09-11T10:00:46","modified_gmt":"2019-09-11T02:00:46","slug":"%e7%82%ba%e4%bb%80%e9%ba%bc%e5%bf%83%e7%90%86%e6%b2%bb%e7%99%82%e5%b0%8d%e6%9f%90%e4%ba%9bptsd%e6%82%a3%e8%80%85%e8%80%8c%e8%a8%80%e6%95%88%e6%9e%9c%e5%a6%82%e6%ad%a4%e6%9c%89%e9%99%90%e5%91%a2","status":"publish","type":"post","link":"https:\/\/case.ntu.edu.tw\/blog\/?p=34398","title":{"rendered":"\u70ba\u4ec0\u9ebc\u5fc3\u7406\u6cbb\u7642\u5c0d\u67d0\u4e9bPTSD\u60a3\u8005\u800c\u8a00\u6548\u679c\u5982\u6b64\u6709\u9650\u5462\uff1f"},"content":{"rendered":"

\"\"<\/strong><\/p>\n

\u64b0\u6587\uff5c\u5468\u739f\u8431<\/strong><\/p>\n

\u5275\u50b7\u5f8c\u58d3\u529b\u75c7\u5019\u7fa4(Post-Traumatic Stress Disorder\uff1bPTSD)\uff0c\u662f\u6307\u4eba\u5728\u89aa\u81ea\u7d93\u6b77\u53ef\u6015\u4e8b\u4ef6\uff0c\u6216\u662f\u76ee\u7779\u89aa\u53cb\u906d\u9022\u50b7\u5bb3\u4ee5\u5f8c\uff0c\u7522\u751f\u7684\u4e00\u7cfb\u5217\u7cbe\u795e\u72c0\u614b\u5931\u8abf\u4ee5\u53ca\u884c\u70ba\u4e0d\u6b63\u5e38\uff0c\u9019\u4e9b\u60c5\u6cc1\u53ef\u80fd\u5305\u542b\uff1a\u904e\u5ea6\u7dca\u5f35\u3001\u6613\u6012\u3001\u60c5\u7dd2\u4f4e\u843d\u3001\u9003\u907f\u7279\u5b9a\u4eba\/\u4e8b\/\u7269\/\u5730\u9ede\u3001\u983b\u7e41\u5730\u505a\u60e1\u5922\u8207\u81ea\u6211\u50b7\u5bb3\u7b49\u3002\u9577\u671f\u800c\u8a00\u9664\u4e86\u6703\u9020\u6210\u5016\u5b58\u8005\u793e\u4ea4\u54c1\u8cea\u4f4e\u843d\uff0c\u9084\u6703\u63d0\u5347\u904e\u65e9\u6b7b\u4ea1\u3001\u5931\u667a\u7684\u98a8\u96aa\uff0c\u56e0\u6b64\u901a\u5e38\u6211\u5011\u6703\u5efa\u8b70\u60a3\u8005\u63a5\u53d7\u5fc3\u7406\u6cbb\u7642\uff0c\u53ef\u662f\u554f\u984c\u4f86\u4e86\uff0c\u5fc3\u7406\u6cbb\u7642\u5c0d\u90e8\u5206\u60a3\u8005\u800c\u8a00\uff0c\u600e\u9ebc\u597d\u50cf\u6548\u679c\u975e\u5e38\u6709\u9650\uff1f\u6211\u5011\u80fd\u5426\u5f9e\u300c\u8a18\u61b6\u300d\u3001\u300c\u5b78\u7fd2\u300d\u8207\u300c\u6ce8\u610f\u529b\u300d\u7684\u597d\u58de\u7a0b\u5ea6\uff0c\u4f86\u9810\u4f30\u60a3\u8005\u80fd\u5426\u5f9e\u7642\u7a0b\u4e2d\u53d7\u60e0\u5462\uff1f<\/p>\n

\u25cf\u5275\u50b7\u5f8c\u58d3\u529b\u75c7\u5019\u7fa4\uff1a\u5927\u8166\u8207\u8a8d\u77e5\u529f\u80fd\u7684\u6539\u8b8a<\/strong><\/span><\/p>\n

\u76ee\u524d\u5df2\u77e5\u6709\u4e00\u4e9b\u7279\u5b9a\u7684\u8166\u5340\u8207PTSD\u75c7\u72c0\u6709\u95dc\uff0c\u5b83\u5011\u5206\u5225\u662f\u674f\u4ec1\u6838(Amygdala)\u3001\u6d77\u99ac\u8ff4(Hippocampus)\u3001\u524d\u6263\u5e36\u8ff4(Anterior cingulate)\u4ee5\u53ca\u524d\u984d\u8449\u76ae\u8cea(Prefrontal cortex)\uff0c\u4e00\u500b\u4eba\u7684\u60c5\u7dd2\u6fc0\u70c8\u8d77\u4f0f\uff0c\u8207\u674f\u4ec1\u6838\u6709\u8457\u5bc6\u4e0d\u53ef\u5206\u7684\u95dc\u4fc2\uff0c\u5b83\u50cf\u662f\u96f7\u9054\u4e00\u6a23\uff0c\u6703\u5e6b\u6211\u5011\u5075\u6e2c\u5371\u96aa\uff0c\u5e36\u4f86\u9a5a\u5687\u3001\u5bb3\u6015\u8ddf\u7126\u616e\u7b49\u8ca0\u9762\u611f\u53d7\uff0c\u597d\u8b93\u6211\u5011\u77e5\u9053\u4ec0\u9ebc\u6642\u5019\u8a72\u9003\u96e2\u73fe\u5834\u3002\u7d93\u6b77\u904e\u91cd\u5927\u5275\u50b7\u4e8b\u6545\u7684\u4eba\uff0c\u4ed6\u5011\u7684\u674f\u4ec1\u6838\u5e38\u5e38\u904e\u5ea6\u6d3b\u5316\uff0c\u5c0e\u81f4\u5bb9\u6613\u53d7\u5230\u9a5a\u5687(\u4e0d\u4e00\u5b9a\u6bcf\u6b21\u90fd\u771f\u7684\u6709\u5371\u96aa)\uff0c\u4e14\u96e3\u4ee5\u6291\u5236\u81ea\u5df1\u56de\u60f3\u5275\u50b7\u4e8b\u6545\uff0c\u9023\u5e36\u8457\u628a\u4e8b\u767c\u7576\u6642\u7684\u7d93\u6b77\u8207\u611f\u53d7\u53c8\u300c\u5e36\u300d\u56de\u8eab\u4e0a\uff0c\u5f77\u5f7f\u53ef\u6015\u7684\u7d93\u6b77\u518d\u73fe\uff0c\u5728DSM-5\u88e1\u9762\uff0c\u9019\u6a23\u7684\u73fe\u8c61\u88ab\u7a31\u70ba\u300c\u518d\u7d93\u6b77(Re-experience)\u300d\uff0c\u5b83\u662fPTSD\u7684\u8a3a\u65b7\u6a19\u6e96\u4e4b\u4e00\u3002<\/p>\n

\u9664\u6b64\u4e4b\u5916\uff0c\u674f\u4ec1\u6838\u7684\u904e\u5ea6\u53cd\u61c9\u6703\u4fc3\u4f7f\u4eba\u9ad4\u7522\u751f\u300c\u76ae\u8cea\u9187(Cortisol)\u300d\u9019\u7a2e\u76ae\u8cea\u985e\u56fa\u9187(Corticosteroids)\uff0c\u5354\u52a9\u8eab\u9ad4\u7dad\u6301\u8840\u7cd6\u3001\u8840\u58d3\u7684\u5e73\u8861\u4ee5\u53ca\u63d0\u5347\u514d\u75ab\u529b\uff0c\u4f46\u9577\u671f\u5206\u6ccc\u9019\u7a2e\u6fc0\u7d20\u6703\u7d66\u6d77\u99ac\u8ff4\u5f62\u6210\u50b7\u5bb3\uff0c\u4f7f\u6d77\u99ac\u8ff4\u9ad4\u7a4d\u8b8a\u5c0f\u3001\u529f\u80fd\u6e1b\u9000\uff0c\u5f71\u97ff\u5b78\u7fd2\u8ddf\u8a18\u61b6\u65b0\u4e8b\u7269\u7684\u80fd\u529b\uff0c\u53cd\u5012\u662f\u5275\u50b7\u4e8b\u4ef6\u7684\u611f\u53d7\u548c\u7d30\u7bc0\u96a8\u8457\u674f\u4ec1\u6838\u4e00\u6b21\u53c8\u4e00\u6b21\u7684\u6fc0\u767c\uff0c\u88ab\u8a18\u9304\u5f97\u8d8a\u4f86\u8d8a\u6e05\u695a\u3002\u800cPTSD\u60a3\u8005\u7684\u524d\u6263\u5e36\u8ff4\u6d3b\u6027\u4e0d\u8db3\uff0c\u8c61\u5fb5\u8457\u90e8\u4efd\u5016\u5b58\u8005\u5728\u56de\u9867\/\u89c0\u770b\u8207\u5275\u50b7\u4e8b\u4ef6\u6709\u95dc\u7684\u984c\u6750\u6642\uff0c\u60c5\u7dd2\u8abf\u9069\u7684\u80fd\u529b\u6bd4\u8f03\u4e0d\u597d\uff0c\u800c\u4f4e\u843d\u7684\u524d\u984d\u8449\u76ae\u8cea\u6d3b\u6027\u53c8\u6703\u5c0e\u81f4\u4ed6\u5011\u96e3\u4ee5\u505a\u51fa\u5177\u5099\u5f48\u6027\u7684\u601d\u8003\u8207\u56de\u61c9\u3002<\/p>\n

\u25cf\u5fc3\u7406\u6cbb\u7642\u600e\u9ebc\u611f\u89ba\u6c92\u7528\uff1f\u8a8d\u77e5\u80fd\u529b\u597d\u58de\u8207\u7642\u6548\u7684\u95dc\u806f<\/strong><\/span><\/p>\n

\u4e00\u500b\u4f86\u81ea\u7f8e\u570b\u7684\u7814\u7a76\u5718\u968a\uff0c\u9080\u8acb56\u4f4d\u53c3\u8207\u904e\u7f8e\u8ecd\u5c0d\u4f0a\u6230\u722d\u4e26\u4e14\u78ba\u8a3a\u70baPTSD\u60a3\u8005\u7684\u5973\u8ecd\u5b98\uff0c\u60f3\u63a2\u8a0e\u5e7e\u500b\u5047\u8a2d\uff1a(1)\u60a3\u8005\u82e5\u5728\u63a5\u53d7\u5fc3\u7406\u6cbb\u7642\u524d\uff0c\u5c31\u6709\u6bd4\u8f03\u597d\u7684\u8a18\u61b6\u529b\u3001\u6ce8\u610f\u529b\u6291\u5236(Inhibition)\uff0c\u6216\u5169\u8005\u8868\u73fe\u7686\u597d\uff0c\u7642\u6548\u662f\u4e0d\u662f\u6703\u66f4\u660e\u986f\u5462\uff1f(2)\u53cd\u904e\u4f86\u8aaa\uff0c\u5fc3\u7406\u6cbb\u7642\u662f\u5426\u53ef\u70ba\u60a3\u8005\u63d0\u5347\u524d\u9762\u6240\u63d0\u7684\u9019\u5169\u9805\u8a8d\u77e5\u80fd\u529b\uff1f<\/p>\n

\u9019\u88e1\u6240\u63a1\u7528\u7684\u662f\u70ba\u671f\u7d0416\u9031\u7684\u66b4\u9732\u7642\u6cd5\u8ddf\u8a8d\u77e5\u884c\u70ba\u91cd\u5efa\uff0c\u6cbb\u7642\u524d\u5f8c\u90fd\u5206\u5225\u7528\u81ea\u9673\u5f0f\u554f\u5377\uff0c\u4f86\u8a55\u4f30\u60a3\u8005\u7684\u8a8d\u77e5\u80fd\u529b\u3001\u6182\u9b31\u9084\u6709\u7126\u616e\u7a0b\u5ea6\uff0c\u7814\u7a76\u7d50\u679c\u767c\u73fe\uff0c\u6cbb\u7642\u7684\u6210\u529f\u8207\u5426\uff0c\u4f3c\u4e4e\u8207\u60a3\u8005\u672c\u8eab\u7684\u5b78\u7fd2\u6216\u662f\u8a18\u61b6\u80fd\u529b\u597d\u58de\u8f03\u6709\u95dc\u4fc2\uff0c\u800c\u7642\u7a0b\u5247\u80fd\u77ef\u6b63\u60a3\u8005\u5c0d\u6ce8\u610f\u529b\u7684\u7ba1\u63a7\u65b9\u5f0f\uff0c\u5c0d\u5b78\u7fd2\u8207\u8a18\u61b6\u5f71\u97ff\u4e0d\u5927\uff0c\u56e0\u6b64\u76ee\u524d\u7814\u7a76\u4eba\u54e1\u66ab\u6642\u63a8\u8ad6\uff0c\u9019\u662f\u56e0\u70ba\u4eba\u5011\u5c0d\u81ea\u5df1\u6ce8\u610f\u529b\u7684\u638c\u63a7\u80fd\u529b\uff0c\u672c\u8eab\u5c31\u662fPTSD\u75c7\u72c0\u56b4\u91cd\u7a0b\u5ea6\u7684\u95dc\u9375\uff0c\u5927\u5bb6\u53ef\u4ee5\u60f3\u50cf\u4e00\u4e0b\uff0c\u5982\u679c\u60a3\u8005\u5728\u5fc3\u7406\u6cbb\u7642\u7684\u904e\u7a0b\u4e2d\uff0c\u5275\u50b7\u8a18\u61b6\u4e00\u518d\u88ab\u559a\u8d77\uff0c\u800c\u4ed6\u5011\u53c8\u96e3\u4ee5\u5c07\u6ce8\u610f\u529b\u8f49\u79fb\u81f3\u6bd4\u8f03\u4e2d\u6027\u7684\u984c\u6750\uff0c\u6216\u662f\u5fc3\u7406\u5e2b\u6240\u63d0\u4f9b\u7684\u65b0\u8a0a\u606f\uff0c\u6703\u4f7f\u7642\u7a0b\u96e3\u4ee5\u9032\u884c\u4e0b\u53bb\uff0c\u6240\u4ee5\u6ce8\u610f\u529b\u7684\u6291\u5236\u8ddf\u91cd\u65b0\u5c0e\u5411\uff0c\u6bd4\u8f03\u50cf\u662f\u5fc3\u7406\u6cbb\u7642\u6240\u8981\u57f9\u8a13\u3001\u6559\u5c0e\u60a3\u8005\u6539\u8b8a\u7684\u5176\u4e2d\u4e00\u500b\u74b0\u7bc0\uff0c\u800c\u8a18\u61b6\u80fd\u529b\u597d\u7684\u60a3\u8005\u6bd4\u8f03\u5bb9\u6613\u6210\u529f\u5b78\u5230\u9019\u9ede\u3002<\/p>\n

\u56de\u5230\u672c\u7bc7\u958b\u982d\u7684\u554f\u984c\uff0c\u8a18\u61b6\u3001\u5b78\u7fd2\u8207\u6ce8\u610f\u529b\u63a7\u5236\u7684\u80fd\u529b\uff0c\u662f\u5426\u53ef\u9810\u6e2c\u5fc3\u7406\u6cbb\u7642\u6210\u529f\u8207\u5426\uff1f\u53ef\u60dc\u7b54\u6848\u4f9d\u820a\u662f\uff1a\u4e0d\u78ba\u5b9a\u3002\u56e0\u70ba\u5728\u672c\u7bc7\u7814\u7a76\u7576\u4e2d\uff0c\u4e26\u6c92\u6709\u5b89\u6392\u63a7\u5236\u7d44\uff0c\u800c\u4e14\u5fc3\u7406\u6cbb\u7642\u5206\u70ba\u8a31\u591a\u4e0d\u540c\u7684\u7a2e\u985e\uff0c\u7136\u800c\u76ee\u524d\u6211\u5011\u53ea\u6709\u8a0e\u8ad6\u8a8d\u77e5\u884c\u70ba\u6cbb\u7642\u8207\u66b4\u9732\u7642\u6cd5\uff0c\u7121\u6cd5\u4ee3\u8868\u5176\u4ed6\u6cbb\u7642\u65b9\u6cd5\u7684\u6548\u679c\u3002<\/p>\n

\u6700\u95dc\u9375\u7684\u662f\uff0c\u5728\u7d93\u904e\u9019\u6a23\u70ba\u671f16\u9031\u5de6\u53f3\u7684\u7642\u7a0b\uff0c\u5118\u7ba1\u53d7\u8a66\u8005\u7684\u6ce8\u610f\u529b\u8f49\u79fb\u3001\u5c0e\u5411\u4ee5\u53ca\u6291\u5236\u7684\u80fd\u529b\u90fd\u51fa\u73fe\u4e86\u9032\u6b65\uff0c\u53cd\u800c\u66f4\u8b93\u7814\u7a76\u8005\u61f7\u7591\uff0c\u9019\u5230\u5e95\u662f\u56e0\u70ba\u7642\u7a0b\u7684\u7de3\u6545\uff0c\u9084\u662f\u53ea\u662f\u55ae\u7d14\u7684\u7df4\u7fd2\u6548\u61c9\u5462\uff1f\u56e0\u6b64\u672a\u4f86\u9084\u9700\u8981\u66f4\u591a\u7684\u76f8\u95dc\u7814\u7a76\uff0c\u624d\u80fd\u63d0\u5347\u5c08\u5bb6\u5c0dPTSD\u6a5f\u5236\u7684\u7406\u89e3\uff0c\u8a2d\u8a08\u51fa\u66f4\u5408\u9069\u7684\u7642\u7a0b\u3002<\/p>\n

 <\/p>\n

\u53c3\u8003\u8cc7\u6599\uff1a<\/strong><\/p>\n

    \n
  1. Kathleen Y. Haaland., Joseph R. Sadek., Jenna E. Keller & Diane T. Castillo., Neurocognitive Correlates of Successful Treatment of PTSD in Female Veterans., Journal of the International Neuropsychological Society., 2016<\/a><\/li>\n
  2. Neven Henigsberg., Petra Kalember., Zrnka Kova\u010di\u0107 Petrovi\u0107., Ana \u0160e\u010di\u0107., Neuroimaging Research in Posttraumatic Stress Disorder \u2013 focus on Amygdala, Hippocampus & Prefrontal Cortex., Progress in Neuropsychopharmacology & Biological Psychiatry., 2018<\/a><\/li>\n
  3. Shawna N. Jacob., Caroline P. Dodge., Jennifer J. Vasterling., Posttraumatic stress disorder and neurocognition: A bidirectional relationship?., Clinical Psychology Review., 2019<\/a><\/li>\n<\/ol>\n

     <\/p>\n

    \"\u52a0\u5165\u597d\u53cb\"<\/p>\n","protected":false},"excerpt":{"rendered":"

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