New insights into secondary prevention in post-traumatic stress disorder

摘要: Post-traumatic stress disorder (PTSD) is unique amongst psychiatric disorders in two ways. Firstly, there usually a very clear point of onset- the traumatic event The second feature PTSD that it characterized by failure normal response to resolve. Given these characteristics, appears good candidate for secondary prevention, ie, interventions immediately after trauma. Evidence available starting from current concepts and contemporary research potential prevention are presented. Common practices aftermath trauma such as debriefing benzodiazepines need be carefully considered, taking into account their harm spontaneous recovery process, trajectory PTSD, not only judging them according immediate (comforting) effects. A discussion balance required between aiding but interfering with potent natural resolution symptoms (that expected most cases), along avenues future research, Results small pilot study single intervention hydrocortisone appear promising, clearly indicate further studies.