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학습 자료 둘러보기 →| Concept | Key Points |
|---|---|
| PTSD Core Clusters (DSM-5) | 1. Intrusion: Nightmares, flashbacks, distressing memories. 2. Avoidance: Of thoughts, feelings, places, people related to trauma. 3. Negative Cognitions/Mood: Negative beliefs, distorted blame, diminished interest, detachment. 4. Arousal/Reactivity: Irritability, hypervigilance, exaggerated startle, sleep disturbance. |
| Priority Nursing Diagnosis | Ineffective Coping, Risk for Self-Directed Violence, Chronic Low Self-Esteem, Disturbed Sleep Pattern. |
| Key Therapeutic Approaches | Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Eye Movement Desensitization and Reprocessing (EMDR), SSRI/SNRI medications (e.g., Sertraline, Paroxetine). |
| Condition | Key Differentiating Features | Onset/Duration |
|---|---|---|
| Post-Traumatic Stress Disorder (PTSD) | Symptoms last >1 month. Requires exposure to Criterion A trauma. Must have symptoms from all 4 clusters. | Onset can be delayed. Symptoms persist for months/years. |
| Acute Stress Disorder (ASD) | Similar symptoms to PTSD but occurs 3 days to 1 month post-trauma. Focus on dissociative symptoms (numbing, detachment, derealization). | Immediate onset after trauma. Resolves or progresses to PTSD. |
| Major Depressive Disorder (MDD) | Core feature is pervasive depressed mood or anhedonia (loss of interest). Watch out for confusion! Lack of specific trauma focus and re-experiencing/avoidance clusters. | Not linked to a specific trauma. Episodic course. |
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.