精神病学精品教学（重庆医科大学）4Stress –related Disorde.pptVIP

Stress –Related Disorders应激相关障碍 Mental Health Center Li Jing Learning objectives  Master classification, clinical features, diagnoses and differential diagnoses of stress- related disorders(SRD). Master the definition of traumatic events Know treatment principles of SRD Understand the biological mechanism of SRD What is stressor? Stressor is any event or condition which causes stress. 应激源的分类（个体参加社会活动的范围和人际关系） What is stress? Stress (also called stressresponse) is the generalized response of the body to any stressor. 复习 Definition Stress-Related Disorders(SRD) ---Psychiatric diseases brought on or worsened by extreme traumatic stressor. Traumatic stressor Traumatic stressor (Traumatic event) involves actual or threatened death/serious injury to self or others and includes natural and man-made disaster. Natural disaster: earthquake fire disaster flood , drought snowstorm Earthquake War Rape Serious accident Kidnapping Violent assault Sexual or physical abuse 那段时间实在是太累了，也让很多人受 累了。我连书也看不进去……….. Traumatic stressor The necessary condition of SRD SRD is relative to the source , the duration and the intensity of the stress Dose-response relationship between intensity of exposure and SRD Neuroendocrine ---Neuroendocrine plays an important role in linking stress to various negative health outcomes. Neuroimmunology --- In general, most pschological and environmental stressors lead to impaired immune functions, especially those that regulate inflammatory and cytotoxic responses. Subtypes of SRD Acute stress disorder (ASD) Post-traumatic stress disorder (PTSD) Adjustment disorder(AD) Definition Acute stress disorder (ASD)/acute psychogenic reaction---is an anxiety disorder characteriz