《2010VADoD创伤后应激障碍管理临床实践指南》内容预览

Algorithms:
The VA/DoD also utilized an algorithmic approach for the 2004 Guideline for the Management Post-Traumatic Stress. This guideline update has also been developed using an algorithmic approach to guide the clinician in determining the care and the sequencing of the interventions on a patient-specific basis. The clinical algorithm incorporates the information that is presented in the guideline in a format that maximally facilitates clinical decision-making. The use of the algorithmic format was chosen because such a format improves data collection, facilitates clinical decision-making, and changes in patterns of resource use. However, this should not prevent providers from using their own clinical expertise in the care of an individual patient. Guideline recommendations are intended to support clinical decision-making and should never replace sound clinical judgment.
During the past 6 years, a number of well-designed randomized controlled trials of pharmacological and psychotherapeutic interventions for post-traumatic stress have been conducted. Therefore, the goal of this update is to integrate the results of this research and update the recommendations of the original guideline to reflect the current knowledge of effective treatment intervention. As in the original guideline, this update will explore the most important research areas of intervention to prevent the development of PTSD in persons who have developed stress reaction symptoms after exposure to trauma.

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