{"id":2356,"date":"2014-07-07T11:36:13","date_gmt":"2014-07-07T03:36:13","guid":{"rendered":"https:\/\/edu.secda.info\/pcrohs\/?p=2356"},"modified":"2023-04-18T10:02:06","modified_gmt":"2023-04-18T02:02:06","slug":"%e7%b2%be%e7%a5%9e%e7%96%be%e7%97%85%e8%88%87%e5%a3%93%e5%8a%9b","status":"publish","type":"post","link":"https:\/\/edu.secda.info\/pcrohs\/?p=2356","title":{"rendered":"\u7cbe\u795e\u75be\u75c5\u8207\u58d3\u529b"},"content":{"rendered":"<p><a href=\"https:\/\/edu.secda.info\/pcrohs\/wp-content\/uploads\/2023\/04\/\u7cbe\u795e\u75be\u75c5\u8207\u58d3\u529b.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-2357\" src=\"https:\/\/edu.secda.info\/pcrohs\/wp-content\/uploads\/2023\/04\/\u7cbe\u795e\u75be\u75c5\u8207\u58d3\u529b.jpg\" alt=\"\" width=\"359\" height=\"220\" srcset=\"https:\/\/edu.secda.info\/pcrohs\/wp-content\/uploads\/2023\/04\/\u7cbe\u795e\u75be\u75c5\u8207\u58d3\u529b.jpg 359w, https:\/\/edu.secda.info\/pcrohs\/wp-content\/uploads\/2023\/04\/\u7cbe\u795e\u75be\u75c5\u8207\u58d3\u529b-300x184.jpg 300w\" sizes=\"(max-width: 359px) 100vw, 359px\" \/><\/a><\/p>\n<p style=\"font-weight: 400;\">\u4eca\u5929\u807d\u5230\u4e00\u5834\u7cbe\u95e2\u7684\u6f14\u8b1b\uff0c\u8a72\u7cbe\u795e\u79d1\u91ab\u5e2b\u4e5f\u70ba\u719f\u6089\u8077\u696d\u58d3\u529b\u4e4b\u5c08\u5bb6\uff0c\u7279\u8a8c\u4e4b\u5206\u4eab\u3002\u4ed6\u5148\u5448\u73fe\u53f0\u5851\u5de5\u7a0b\u5e2b\u5728\u7d50\u5a5a\u524d\u5915\uff0c\u56e0\u4e00\u5e74\u4f86\u5de5\u5b89\u5927\u610f\u5916\u4e0d\u65b7\uff0c\u4f46\u7121\u6cd5\u5f97\u5230\u516c\u53f8\u652f\u6301\u6574\u9813\uff0c\u53c8\u6709\u9577\u6642\u9593\u52a0\u73ed\u58d3\u529b\u904e\u5927\uff0c\u5c0e\u81f4\u7cbe\u795e\u91cd\u5ea6\u6df7\u4e82(\u4ed6\u6c92\u6709\u6182\u9b31\u75c7)\uff0c\u7121\u6cd5\u4f5c\u51fa\u7406\u6027\u5224\u65b7\u800c\u81ea\u6bba\u4e4b\u6848\u4f8b\uff0c\u7d93\u52de\u59d4\u6703\u8acb\u6559\u65e5\u672c\u5c08\u5bb6\u800c\u8a8d\u5b9a\u70ba\u8077\u696d\u75c5\u3002\u81ea\u6bba\u524d\u5148\u4ee5\u7c21\u8a0a\u901a\u77e5\u540c\u4e8b\uff0c\u53ef\u60dc\u4f86\u4e0d\u60dc\u62ef\u6551\u3002<\/p>\n<p style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0\u00a0\u4f9d\u7167\u7cbe\u795e\u91ab\u5b78\u6703\u7684\u770b\u6cd5\uff0c\u58d3\u529b\u76f8\u95dc\u4e4b\u7cbe\u795e\u75be\u75c5\u61c9\u53ea\u6709\u4e09\u7a2e\uff0c\u5305\u62ec\uff1aAdjustment disorder, acute stress disorder(ASD),\u00a0\u53capost traumatic stress disorder (PTSD\u5982\u6551\u707d\u76ee\u7779\u6b7b\u4ea1\u5f15\u8d77\uff0c\u61c9\u5340\u5225Grief reaction)\u3002\u7b2c\u4e00\u9805\u70ba\u9069\u61c9\u554f\u984c\uff0c\u75c7\u72c0\u8f03\u8f15\uff0c\u5e7e\u500b\u6708\u5167\u9069\u61c9\u5f8c\u6703\u6539\u5584\u3002\u800cASD\u8207\u6025\u6027\u58d3\u529b\u4e8b\u4ef6\u6709\u95dc\uff0c\u5176\u5be6\u4e5f\u5305\u62ec\u6162\u6027\u58d3\u529b\uff0c\u5982\u9577\u6642\u9593\u5de5\u4f5c\uff0c\u7761\u7720\u525d\u596a\uff0c\u8f2a\u73ed\uff0c\u58d3\u529b\u5927\u4e5f\u53ef\u56e0\u70ba\u81ea\u4e3b\u6027\u5dee\u00a0(\u4f8b\u5982\u8b77\u58eb\u00a0VS\u91ab\u751f)\u3002\u5c0e\u81f4\u4e4b\u8eab\u9ad4\u53cd\u61c9\u70ba\u4ea4\u611f\u795e\u7d93\u4ea2\u596e,\u00a0\u8cc0\u723e\u8499(HPA axis)\u00a0\u5206\u6ccc\u6df7\u4e82\uff0c\u9032\u800c\u6703\u5f71\u97ff\u5b78\u696d\u3001\u5de5\u4f5c\u7b49\u3002\u58d3\u529b\u6e90\u53ef\u5305\u62ec\u74b0\u5883\u58d3\u529b\u6e90\u3001\u707d\u8b8a\u3001\u751f\u6d3b\u6539\u8b8a\u3001\u65e5\u5e38\u7463\u4e8b(\u7d2f\u7a4d)\u3001\u5fc3\u7406\u56e0\u7d20(\u5982\u8981\u6c42\u5b8c\u7f8e)\u7b49\u3002\u800c\u58d3\u529b\u7684\u7279\u5fb5\u5305\u62ec\uff1a\u58d3\u529b\u6709\u65b9\u5411\u6027\u3001\u5931\u53bb\u63a7\u5236\u529b\u3001\u4e0d\u53ef\u9810\u671f\u6027\u3001\u5931\u53bb\u767c\u6d29\u7ba1\u9053\u3001\u58d3\u529b\u6703\u7d2f\u7a4d\u3001\u4e3b\u89c0\u6027\u7b49\u3002\u8b1b\u8005\u4ee5\u80d6\u5973\u4eba\u5750\u6298\u758a\u6905\uff0c\u4ee5\u53ca\u821e\u5973\u526a\u5f71\u8f49\u9ad4\u70ba\u9806\u6642\u91dd\u3001\u9006\u6642\u91dd\u65b9\u5411\u4f86\u505a\u73fe\u5834\u6e2c\u8a66\uff0c\u807d\u773e\u679c\u7136\u51fa\u73fe\u5206\u6b67\u4e4b\u7b54\u6848\u3002<\/p>\n<p style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0\u00a0\u58d3\u529b\u5982\u4f55\u9020\u6210\u75be\u75c5?\u00a0\u8207\u75c5\u60a3\u4e4b\u58d3\u529b\u6e90\u3001\u8017\u7aed\u3001\u9ad4\u8cea\u57fa\u56e0\u7684\u8106\u5f31\u6027\u6709\u95dc\u3002\u4f46\u6709\u4e9b\u60c5\u6cc1\u53cd\u800c\u662f\u7cbe\u795e\u75be\u75c5\u72c0\u6cc1\u5f71\u97ff\u5de5\u4f5c\uff0c\u4f8b\u5982\u60a3\u8005\u5403\u93ae\u5b9a\u5291\u9020\u6210\u5de5\u4f5c\u8a18\u61b6\u529b\u3001\u6ce8\u610f\u529b\u53d7\u5f71\u97ff\u3002\u6b64\u5916\u5728\u56e0\u679c\u95dc\u4fc2\u4e4b\u5224\u5b9a\u4e0a\u4e5f\u6709\u5169\u7a2e\u622a\u7136\u4e0d\u540c\u7684\u601d\u8003\u6a21\u5f0f\uff0c\u5c31\u91ab\u5b78\u4e0a\u8a00\uff1a\u7576\u5c31\u6700\u5927\u53ef\u80fd\u53ca\u7bc4\u570d\u4f86\u601d\u8003\u5f71\u97ff\u7cbe\u795e\u75c5\u4e4b\u6210\u56e0\uff1b\u5c31\u6cd5\u5f8b\u4e0a\u800c\u8a00\u537b\u662f\u8cac\u4efb\u4e4b\u5224\u5b9a\u3002\u800c\u9452\u5b9a\u8207\u6cbb\u7642\u6642\u4e4b\u9762\u8ac7\u614b\u5ea6\u4e5f\u4e0d\u540c\u3002\u5de5\u4f5c\u6210\u56e0\u5224\u5b9a\u4e4b\u91ab\u5b78\u8b49\u64da\u6709\u9650\uff0c\u9664\u745e\u5178\u3001\u52a0\u62ff\u5927\u5b89\u5927\u7565\u7701\uff0c\u4e39\u9ea5\u5224\u4f8b\u3001\u65e5\u672c(+\u7814\u7a76)\u4e26\u4e0d\u591a\u3002\u52de\u59d4\u6703\u4e4b\u8077\u696d\u7cbe\u795e\u75be\u75c5\u4e4b\u8a8d\u5b9a\u53c3\u8003\u65e5\u672c\uff0c\u662f\u4ee5F3 affective ,mood disorder F4,neurotic,stress related, somatoform disorder\u70ba\u4e3b\u3002\u4f9d\u58d3\u529b\u4e8b\u4ef6\u4f5c\u8a8d\u5b9a\uff0c\u4f7f\u7528\u8868\u4e00(\u4e03\u5927\u9805)rule in\u3001\u8868\u4e8c(\u975e\u56e0\u5de5\u4f5c) rule out\uff0c\u4e2d\u5ea6\u58d3\u529b\u5f37\u5ea6\u5982\u6bd4\u4e00\u822c\u4eba\u660e\u986f\u53ef\u8003\u616e\u5347\u7d1a\uff0c\u6709\u4e09\u4f8b\u5916\u689d\u6b3e\u53ef\u76f4\u63a5\u8a8d\u5b9a\u70ba\u5f37\u5ea6\uff1b*\u00a0\u8868\u672a\u4f86\u53ef\u80fd\u8abf\u6574\u3002<\/p>\n<p style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0\u00a0\u65bc\u7cbe\u795e\u9451\u5b9a\u6642\u61c9\u6ce8\u610f\u8a3a\u65b7\u6a19\u6e96\uff0c\u59822013\u5e74\u66f4\u65b0\u4e4bDSM5\u6839\u64da\u7814\u7a76\u7d50\u679c\u3001\u70ba\u64cd\u4f5c\u624b\u7b56\u3001\u65b0\u51fa\u7248\u4e4bicd10\u00a0\u8207\u4e4b\u8f03\u63a5\u8fd1\u3002\u5176\u4ed6\u5e38\u898b\u554f\u984c\u70ba\u8a3a\u65b7\u662f\u5426\u53ef\u78ba\u8a8d?\u00a0\u4e0d\u540c\u6642\u9593\u8a3a\u65b7\u53ef\u4ee5\u4e0d\u540c\u3001\u770b\u8b49\u64da\u529b\uff0c\u4e5f\u8b93\u5176\u5b83\u5c08\u696d\u4eba\u54e1\u8a55\u4f30\u4e4b\u4ee5\u907f\u514d\u4e3b\u89c0\u3002\u00a0\u8cc7\u6599\u5ba2\u89c0\u3001\u5145\u4efd\u5426?\u00a0\u58d3\u529b\u4e8b\u4ef6\u5171\u901a\u6027-\u7ba1\u6578\u5343\u4eba\u7d93\u7406\u4e4b\u58d3\u529b\u5927\uff1f\u672a\u5fc5\u3002\u5c0d\u65bc\u75c5\u4eba\u4e4b\u9673\u8ff0\u61c9\u76f8\u4fe1\u6216\u5b58\u7591?\u00a0\u5b9c\u5c31\u9673\u8ff0\u4e4b\u5c0d\u8c61\u3001\u6642\u9593\u3001\u5730\u9ede\u3001\u5167\u5bb9\u3001\u53ef\u4fe1\u5ea6\uff0c\u5ba2\u89c0\u4e8b\u5be6\u3001\u4e3b\u89c0\u9673\u8ff0\u67e5\u6838\uff0c\u6700\u597d\u4e5f\u8003\u616e\u77e5\u60c5\u540c\u610f\uff0c\u91ab\u5b78\u502b\u7406\uff0c\u4ee5\u9054\u5230\u5e73\u8861\u70ba\u539f\u5247\u3002\u4e14\u5982\u75c5\u4eba\u8eab\u5fc3\u72c0\u614b\u4e0d\u7a69\u5b9a\u6642\u76e1\u91cf\u52ff\u4f5c\u8a8d\u5b9a\uff0c\u4e5f\u8981\u6ce8\u610f\u5176\u7cbe\u795e\u72c0\u614b\u662f\u5426\u6703\u5f15\u767c\u653b\u64ca\u6027\u7b49\u3002\u8a50\u75c5\u5728\u7f8e\u570b\u76db\u884c\u738717%\uff0c\u591a\u898b\u65bc\u7531\u4fdd\u96aa\u3001\u91ab\u7642\u3001\u770b\u8b77\u7b49\u5f9e\u696d\u4eba\u54e1\u57f7\u884c\u6216\u6307\u5c0e\uff0c\u507d\u9020\u7cbe\u795e\u75c7\u72c0\u8005\u4e5f\u5e38\u719f\u6089\u5c08\u6709\u540d\u8a5e\uff0c\u9019\u6642\u53ef\u4ee5\u8acb\u75c5\u60a3\u65e5\u9593\u75c5\u623f\u4f4f\u9662\u4ee5\u4ed4\u7d30\u89c0\u5bdf\u3002\u5c0d\u65bc\u81ea\u6bba\u8005\u4e4b\u5fc3\u7406\u5256\u6790( psy. autopsy)\u6709\u9700\u8981\uff0c\u5982\u524d\u8ff0\u4e4b\u907a\u66f8\u50c5\u66ab\u6642\u5fc3\u7406\u72c0\u614b\uff0c\u4ecd\u5b9c\u6709\u89aa\u8fd1\u8005\u4e4b\u9673\u6558(First person accounts)\u8f03\u80fd\u6df1\u5165\u4e86\u89e3\u81ea\u6bba\u539f\u56e0\u3002<\/p>\n<p style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0\u6e1b\u5c11\u7761\u7720\u6642\u9593\u53ef\u6cbb\u6182\u9b31\u75c7\uff0c\u4f46\u50c5\u9650\u65bc\u524d\u5e7e\u5929\uff1b\u559d\u9152\u53ef\u91cb\u653e\u58d3\u529b\uff0c\u4f46\u9157\u9152\u5247\u8207\u81ea\u6bba\u6709\u660e\u986f\u76f8\u95dc\u6027\u3002\u8b1b\u5e2b\u8a8d\u70ba\u898f\u5f8b\u63a5\u53d7\u91ab\u5e2b\u85e5\u7269\u6cbb\u7642\u8005\u8f03\u6613\u6062\u5fa9\u5de5\u4f5c\u80fd\u529b\uff0c\u4e26\u53ef\u5c31\u5176\u5de5\u4f5c\u4e4b\u6027\u8cea\u3001\u7dad\u6301\u3001\u85aa\u8cc7\u4f86\u5224\u65b7\u4e4b\u3002<\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_2356\" class=\"pvc_stats all  \" data-element-id=\"2356\" style=\"\"><i class=\"pvc-stats-icon medium\" aria-hidden=\"true\"><svg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"chart-bar\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" class=\"svg-inline--fa fa-chart-bar fa-w-16 fa-2x\"><path fill=\"currentColor\" d=\"M396.8 352h22.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-192 0h22.4c6.4 0 12.8-6.4 12.8-12.8V140.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h22.4c6.4 0 12.8-6.4 12.8-12.8V204.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zM496 400H48V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-16c0-8.84-7.16-16-16-16zm-387.2-48h22.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8z\" class=\"\"><\/path><\/svg><\/i> <img 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