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An evidence-based approach to psychopharmacology for posttraumatic stress disorder (PTSD) - 2022 update.

Author: BajorLaura A, BalsaraCharmi, OsserDavid N

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.

Overview

This updated algorithm for post-traumatic stress disorder (PTSD) prioritizes treatment of sleep impairments with prazosin, followed by an SSRI for persistent symptoms. Other options like second-generation antipsychotics or anti-adrenergic agents for daytime use have limited evidence and are considered later.
Paper Details　
Original Abstract of the Article :
Algorithms for posttraumatic stress disorder were published by this team in 1999 and 2011. Developments since then warrant revision. New studies and review articles from January 2011 to November 2021 were identified via PubMed and analyzed for evidence supporting changes. Following consideration of ...See full text at original site
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引用元：
https://doi.org/10.1016/j.psychres.2022.114840

データ提供：米国国立医学図書館（NLM）

An Evidence-Based Approach to Psychopharmacology for Posttraumatic Stress Disorder (PTSD)

The field of [psychiatry] is constantly striving to develop more effective treatment strategies for [posttraumatic stress disorder (PTSD)]. This study presents an updated algorithm for the pharmacological treatment of PTSD, incorporating the latest evidence-based recommendations. The authors emphasize a step-wise approach, prioritizing the treatment of [sleep impairments] followed by addressing other PTSD symptoms. The algorithm highlights the importance of individualized treatment plans, taking into account patient-specific needs and preferences.

A Tailored Approach to PTSD Treatment

This updated algorithm for PTSD treatment emphasizes a personalized approach, prioritizing the treatment of sleep disturbances before addressing other PTSD symptoms. The authors recommend [prazosin] as the first-line treatment for [nightmares] and [non-nightmare disturbed awakenings], followed by [hydroxyzine] and [trazodone] for [difficulty initiating sleep]. This stepwise approach aims to optimize treatment effectiveness by addressing specific symptoms first.

Navigating PTSD Treatment: A Step-by-Step Approach

The updated algorithm for PTSD treatment provides a comprehensive and evidence-based guide for clinicians. The step-wise approach, focusing on sleep disturbances followed by other PTSD symptoms, allows for individualized treatment plans tailored to each patient's needs. This algorithm is a valuable tool for improving the management of PTSD.

Dr.Camel's Conclusion

Navigating PTSD treatment can be like finding your way through a vast and confusing desert. This updated algorithm offers a clear and evidence-based path for clinicians, allowing them to personalize treatment based on the patient's unique needs. It's a beacon of hope, guiding us towards better management and care for individuals struggling with PTSD.

Date :
  1. Date Completed 2022-11-16
  2. Date Revised 2023-01-03
Further Info :

Pubmed ID

36162349

DOI: Digital Object Identifier

10.1016/j.psychres.2022.114840

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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