????? ????-???????? ??????
??
????? ??? ????-???????? ??????
(?
??????
:
Complex post-traumatic stress disorder
?? ??????
C-PTSD
), ???
????? ?????
????? ??????? ?????? ??????? ???? ?????????. ?????? ???????? ??????????
????-?????????
??? ??????? ??????? ?????, ????? ?
?????? ?????
.
[1]
?????????? ???? ?????? ????? ????? ?????? ?????, ???????, ??????, ??????? ????????.
[2]
?????? ????? ?????? ?????? ????? ?? ??? ??
??????? ???????
?? ??????? ????? ??????. ???????? ????? ???????? ??????? ?? ?????? ???? ?????? ???.
[2]
??? ?????? ????? ???
??????
?????? ??????,
??????? ?????
?? ?????? ??????,
???????
?
?????
.
[2]
?????? ???? ?????? ????? ??????? ??????? ????????? ???????? ?? ????.
????-?????? ?????? ????? ????? ????? ?????????, ?? ??? ?????? ??????? ???? 1992, ?? ??? ???????
?'???? ????? ????
,
??????????
, ???? ?????? ?
???????
, ????? "?????? ??????". ????, ???? ?????? ?? ?????? ???? ??????? ??? ???????? ?? ??????? ?????? ?????? ???? ??? ????? (?????? ?? ????). ???????? ???? ???? ??????
??? ?????
,
????? ?????
, ??????
????? ?????
,
??????
??
????
??????? ?? ?? ?? ???? ?????? ?????? ???? ???? ???????, ???? ?????? ???? ??????,
??????? ??????
?
?????
?????? ?
????? ????
??????. ???? ????? ?? ?????? ?????? ??????? "
????? ??? ????-????????
" ?? ????? ?????? ?? ??? ??????? ?? ??????? ????? ???, ??? ????? ?????? ?? ??????? ?? ?????
???
,
????
?
????
.
????? ???? ??????, ??? ??????? ?? ?????? "????? ??? ???? ????????" ?????? ?????? ?????????? ?-DSM ????
1980
, ????? ?????? ?? ????-?????? ????? ????
?????
?
?????-?????
??? ???? ?
????? ???????
[11]
. ??? ????? ?????? ??? ?????? ?????? ?????? ???????: ????
1974
????? ?
????
?? ?????? ???'?
(Ann Wolbert Burgess,
(??')
??
??????????
????? ????? ?????????
(Lynda Lytle Holmstrom), ?????? ?????? ?? "
?????? ?????? ?????? ????
"
[12]
- ????? ?????? ?? ??? ?? ????? ?? ??? ?????? ?????? ???????????? ????????, ??? ?-
DSM
??-
ICD
. ????? ??????, ?????? ?? ???? ?????? ?? ?????? ?? ???'? ?????????? - ?? ?????? ????? ??? ??? ???? ???? ?????? ??? ????? ????? ?????? ???? ?? ??????-?????, ??? ??? ?????? ??-????? ???? ????? ??????, ?? ?? ????? ??? ????? ????? ?? ?????????? ?? ????? ?? (????, ????? ??? ?? ??????? ?????? ???? ????).
???? 2018 ?????? ??????? ?????? ??ICD-11. ?? ???, ???? ????? ?????? ???? ???????? ??? ?????? ?? ?????? ???? ??????? ?????????? DSM-VI ????? ???????. ?????? ????? ?? ???? ?????? ?????? ??????? ?? ?????????? ?? ??????, ????? ?? ??? ???????.
[2]
?????? ??? ???????? ?????? ??????????. ?? ?? ??"? ?? ?-
OECD
35% ?????? ?????? ?? ?? ????? ?????? ????? ?? ????? ?? ?????.
[13]
???? ?? ???? (???, ???? ??????, ???? ?????? ???') ???? ?????? ??????. ?????? ?? ????? ?????? ??????? ???????? ?? ??????, ???? ????? ?? ????????.
[13]
[14]
1 ??? 7 ????? ???? ????? ????? ??????, ??? ???? ???? ??? ????? ??????.
[15]
????-?????? ?????? ??? ???? ????? ?????-?????? ?????. ???? 2018 ???? ???? ??
???? ?????
?? ?-1,000 ??? ??????. ?????? ????? ???? ?-9% ??????????? ?????? ?
????-??????
, ???? 2.6% ?????? ?????-?????? ??????.
[16]
?????, ?????? ?????? ?????????? ?????? ?? ??? 1-8%. ???? ?????? ??????? ??????? ????, ?????? ?????? ????? ????? ?? ?-50%.
[1]
????
??????
?????? ???? ??????? ??? ??? 16-38%. ???? ??
?????
??????? ??? ??-15% ????? ????-?????? ?????? ??-7% ?????? ????? ????-?????? ?????. ???? ?? ?? ?????? ???? ???????? ??? ?13% ???? ????? ?????? ?????? ???? 21% ?????-?????? ?????.
[1]
??? ????? ???? ???????? ????? ???? ????, ?? ???? ?????? ?????? ?????-?????? ??????, ?????? ?? ????? ??????? ??????.
[1]
???? ?????-?????? ????? ????? ???? ???? ???? ????? ??????, ???? ?? ?? ???? ?????-?????? ??????, ?????? ????? ????? ???? ?????? ???????? ??? ?????.
[1]
?????? ?? ????? ????-???????? ?????? ??? ????? ?????????? ???? ?????. ?????? ????? ???? ??????? ????????? ?? ????? ??????? ?????? (
ICD
) ??????? ?-11, ???? 2018. ?????? ????? ?????? ??
????? ??? ????-????????
, ?????? ???????? ??? ???????? ??
?????? ??????? ????
.
[1]
????? ??????? ?????? ?? ?????? ?? ???? ??????? ??????????
DSM-IV
, ??? ??? ????? ?? ??? ??????, ?? ????? ????? ??? ????? ?????? ?????. ????? ???? ?????? ?? ?????? DSM-V.
?????? ?? ????-?????? ?????? ????? ????? ??
???? ??? ???????
?????? ?????? ?? ????? ????? ??????. ???? ???? ???? ????? ????? ?? ???? ?? ???? ?? ???????. ???????? ??????? ???? ?? ??????????? ??????, ????? ????? ?? ????? ??? ????? ?? ????. ??? ICD 11 ???? ???? ?????, ????? ??? ???? ?????? ???????? ???? ??? ????? ??????? ???? ????. ??? ????? ??????? ????? ?????? ?????? ???? ???? ????? ????-???????? ??????, ?? ??? ???? ?? ????
????? ??? ????-????????
, ????? ?? ???? ?? ????? ?????. ??????? ?? ?????? ???? ?????? ????? ????? ???????? ?? ???? ??????? ?? ?????
????
????????, ???
????? ??????
?????? ????? ??????.
[1]
?? ?????? ????? ??-???? ???????, ???? ??? ?????? ?? ???? ?? ???, ?? ????? ???? ????? ??? ????-???????? ?????. ?? ????? ????? ??? ???? ?????, ??? ????? ???? ????? ??? ????-???????? ??????.
[1]
?? ??? ???? ?? ?????? ????? ????? ?????? ????? ????????? ??????? ?????? ??? ????-????????, ??? ????? ???? ????? ?????? ????????.
[1]
????? ????? ?????????? ?? ????? ??? ????-???????? ??:
- ????? ???? ?? ?????? ????????
- ???????
???????? ???? ???????
- ????? ?? ???? ?????
????? ????? ?????????? ?? ????? ???? ????? ???????? ??????? ??:
?????? ????? ???? ??????? ????? ??????????? ??? ????? ?? ??????. ?? ???, ?????????? ?????? ??????? ??? ?????. ??????, ????? ??????? ???? ?????? ?????? ?
????? ???
, ????? ?????? ????????? ?????? ?????? ???? ????? ?????? ????????
?????????????
????? ?????? ?
?????? ?????
?? ????? ?
???
.
[1]
?????? ?? ?????? ???????? ?????????? ????? ?????? ?? ???? ??????. ???? ???????? ????? ??????, ???? ????? ????? ?????? ?
???????
. ???? ???????? ????? ?
??? ????????
, ???? ????? ?????? ?
????
?????? ???????
?????
?
????
. ???? ???????? ????? ?
????? ???????
, ???? ????? ??????
??????
?? ????? ?? ?? ??????.
[1]
- ??? ????? ?
????? ??? ????-????????
?? ??????? ?????-?????? ??? ??????? ?????-?????? ?????? ????? ????????? ?? ????? ???? ?? ?????? ????????, ??????? ?????? ???????? ?? ??????? ?????? ???? ?????. ?? ????-?????? ?????? ????? ?? ???????? ???????? ??? ????? ??????? ?????, ????? ???? ????? ?????? ?????? ????? ?????????. ???? ??????????? ?????-????????? ???? ???????, ?????????? ????????? ?????? ??????? ?? ?????? ???????, ???????? ?????? ??? ?? ?????? ?????, ?? ??? ????? ????? ???????.
[1]
??? ????? ?????????? ?????? ??? ????-???????? ??????, ?????? ?????? ??????? ????? ????? ????.
[1]
- ??? ????? ?
????? ?????? ??????
????? ?? ????? ?????? ?????? ?????? ?? ?? ?????? ??????? ?????, ????? ???? ?????? ?????????. ??? ?? ???, ?????? ?????? ??? ??? ???????. ??? ??????? ??? ?????? ?????? ?????? ?? ????? ????? ?? ????? ???????. ?? ?? ?? ?????? ?? ????? ?????? ?????? ??????? ?????? ?? ?????? ?????????, ?? ?? ????? ?? ???? ?????? ?? ??????. ???? ???? ??? ?????? ?? ????? ?????? ?????? ????? ???? ?????????????, ????? ????? ????????. ???? ???? ??? ????? ????? ?? ???? ?????? ??????, ?????? ????? ??? ???? ?????? ???? ??????? ?? ????? ?????? ??????, ?????? ????? ???? ????.
[1]
????? ??????? ????, ?? ??????? ?? ??? ?????? ????? ??? ??? ???????, ????? ??? ???? ???? ??? ??? ???? ???????.
[1]
?? ??? ????? ??????? ??????? ?????-?????? ??????.
- ?????? ????????????? -
?????? ??????
?????????? ?????? ??????? ?? ??????? ?????? ??????????? ??????? ?? ?
??????
, ?
?????
??
????? ??????
.
[17]
??????? ???? ?????? ????? ??? ??????? ????? ?????????.
[18]
?????? ??????????? ????? ???? ???? ????? ?? ????-?????? ??????,
[1]
???? ??? 29-77% ??? ?????? ?????????? ?????????????.
[19]
- ??????? ????? ???????
- ?????? ??? ??? ????????
- ????? ??????? ??????? (OCD)
- ?????? ?????
- ?????? ????
????? ?????? ?????? ?? ????????
??????????????
. ???? ????? ?? ???? ?????? ?????? ???? ????? ???? ?? ?
?????????
, ?
???????
, ?
???????
, ?
????? ???? ??????????
, ?
????? ?????? ?????
. ????? ????? ????? ????? ?? ????? ????, ?????? ?? ???? ?????? ?????? ?? ?????? ??? ???????? ?????????.
[1]
?????? ????? ??????? ?????? ??????? ???????????????? ??????? ??????? ?
?????? ?????
, ????? ??????????? ????????? ??
???
. ??? ?????? (9-13) ??? ????? ????? ????????
?????? ???????
(???????? ???????????) ??????? ??????? ??????? ??? (
??????? ???????????
).
[1]
?????? ??????? ??? ????? ????, ???? ???? 2022 ??? ?? ?????? ??? ???? ?????? ??????. ????, ???, ?????? ?
??????? ?????? ?????
???????? ??????? ?????? ??? ????-????????. ?? ???, ????? ?????? ?????? ?? ???????? ???????? ???? ?????? ?? ???? ???? ???? ???? ?? ??????, ??? ???? ???? ?????? ?? ??????????. ?????
???-??????
????? ?? ???? ????? ?????? ????? ?????? ?? ??? ????? ????? ????? ??????. ?? ????? ?? ????????? ?? ??????? ??????? ??????? ????????? ??
????? ????
?????? ??????, ??? ?? ??????? ???????. ?? ??? ????????? ??????? ?????? ????????? ????? ??????.
[1]
- ????? ??????? ???? ???????? (Skills Training in Affect and Interpersonal Regulation STAIR) ?????? ?? ????? ??????
- ????? ??????? ????????
?????? ??? ????-????????, ????? ????? ?????
(
??'
)
???????? ??????? ??? ?? ??????? ??????? ???????? ?? ????? ????? ????
?????? ??? ?????? ????? ??? ?????? ??????, ?????? ???????? ????? ????.
[1]
??????? ??????????? ??????? ???? ?????? ?????? 5 ????? ????? ????? ?????????-???????? ?????? ???????. ????? ?? ???? ?? ???? ?????? ??? ???????? ???????? ???, ???? ????? ?????.
[1]
?? ???, ?????? ?? ??????? ???????? ?? ???? ??????. ????? ?????? ?????? ?? ????? ??? ???? ???????? ?????? ???? ?????, ??? ????? ??????? ?????.
[1]
???? ?? ???? ?????? ??????, ???? ?????? ??????????? ?? ??? ????? ??????. ?? ????? ?????? ?????? ?????? ?????? ????, ?? ???? ?????? ?? ??? ????? ?????? ?????? ????? ???? ?????? ??????????. ?????? ???? SSRI ??? ?????? ????????? ?????? ?????? ?????? ?????? ?????-??????. ?? ????? ???-?????? ????? ??? ???? ????????? ??????? ?????? ????? ??????. SSRI ?? ?????? ???? ????????? ???? ?? ????? ??????? ?? ??????? ??????. ?????????? ?? ??????? ???? ?????? ??????. ?????? ????-????????? ?????-????????? ?? ?? ???? ?????????.
[1]
?????? ????? ???? ?????? ?? ????-?????? ??????. ???? 2018 ???? ???? ?? ???? ????? ?? ?-1,000 ??? ??????. ?????? ????? ???? ?-9% ??????????? ?????? ?????-??????, ???? 2.6% ?????? ?????-?????? ??????.
[20]
????? ???? ???? ??????? ??? ??? ??????? ????? ?? ???? ??? ???????.
[21]
????? ??? ?????? ????? ???????? ????? ???. ???? ?????? ??????????, ?? ????? ????? ???? ?? ????, ??? ??? ????? ???? ????.
- ???? ?????: ?????? ?????? ?????
(2004). ?????? ???? ?????? ????? ???????. ????? ?????? ?????? ????? ????, ?????????? ?? ????.
- ????, ?'???? (1992).
?????? ??????
. ?????
????? ?????
. ?? ????: ????? ?? ????.
- ??? ??? ????? ??????? (??????),
?????? ???????, ????? ??????? ?????
,
??????
, 2019.
- ?????? ??????
,
????????? ?? ??????? ??????
, ??? ?????:
???? ????
- ????? ????, 2020.
- ?????? ??????,(?????? ??????: ??? ???, ?"? ???? ???-????),
???? ???????????
, ??? ?????:
???? ????
- ????? ????, 2020.
- ^
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
Andreas Maercker, et al,
Complex post-traumatic stress disorder
,
The Lancet
400, 2022-07, ??' 60?72
doi
:
10.1016/S0140-6736(22)00821-2
- ^
1
2
3
4
Chris R. Brewin,
Complex post-traumatic stress disorder: a new diagnosis in ICD-11
,
BJPsych Advances
26, 2020-05, ??' 145?152
doi
:
10.1192/bja.2019.48
- ^
trauma
, APA Dictionary of Psychology
- ^
vicarious traumatization,
vicarious traumatization
, APA dictionary of psychology
- ^
???? ??,
?????? ????: ???? ????? ????? ????? ?????
, ????
ynet
, 12 ???? 2021
- ^
panic attack
, APA dictionary of psychology
- ^
acute stress disorder (ASD)
, APA Dictionary of Psychology
(???????)
- ^
posttraumatic stress disorder
, APA Dictionary of Psychology
(???????)
- ^
Chris R. Brewin,
Complex post-traumatic stress disorder: a new diagnosis in ICD-11
,
BJPsych Advances
26, 2020-05, ??' 145?152
doi
:
10.1192/bja.2019.48
- ^
adjustment disorder
, APA Dictionary of Psychology
(???????)
- ^
Bessel A. van der Kolk, Susan Roth, David Pelcovitz, Susanne Sunday, and Joseph Spinazzola,
Disorders of Extreme Stress: The Empirical Foundation of a Complex Adaptation to Trauma
,
Journal of Traumatic Stress
18, 2005, ??' 389?399
- ^
Ann Wolbert Burgess, Lynda Lytle Holmstrom,
Rape Trauma Syndrome
,
American Journal of Psychiatry
131, 1974-09, ??' 981?986
doi
:
10.1176/ajp.131.9.981
- ^
1
2
?????,
??"? ?????? ?????? ?????? ??????? ??????
, ???? ?????, ???? 2016
- ^
Wolff, N., Mchugo, G., Shi, J., Huening, J., & Frueh, B. C., Screening for PTSD among incarcerated men: A comparative analysis of computer-administered and orally administered modalities,
Criminal justice and behavior
- ^
???? ????,
?????? ?????????? ????? ????? ????? ?????? ???????
- ^
Menachem Ben-Ezra, Thanos Karatzias, Philip Hyland, Chris R. Brewin, Marylene Cloitre, Jonathan I. Bisson, Neil P. Roberts, Brigitte Lueger-Schuster, Mark Shevlin,
Posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) as per ICD-11 proposals: A population study in Israel
,
Depression and Anxiety
35, 2018-03, ??' 264?274
doi
:
10.1002/da.22723
- ^
American Psychological Association,
dissociative disorders
, dictionary.apa.org, 4 ??????? 2018
(???????)
- ^
Ruben Vonderlin, Nikolaus Kleindienst, Georg W. Alpers, Martin Bohus, Lisa Lyssenko, Christian Schmahl,
Dissociation in victims of childhood abuse or neglect: a meta-analytic review
,
Psychological Medicine
48, 2018-04-10, ??' 2467?2476
doi
:
10.1017/s0033291718000740
- ^
Hong Wang Fung, Wai Tong Chien, Stanley Kam Ki Lam, Colin A. Ross,
The Relationship Between Dissociation and Complex Post-Traumatic Stress Disorder: A Scoping Review
,
Trauma, Violence, & Abuse
24, 2023-12, ??' 2966?2982
doi
:
10.1177/15248380221120835
- ^
Menachem Ben-Ezra, Thanos Karatzias, Philip Hyland, Chris R. Brewin, Marylene Cloitre, Jonathan I. Bisson, Neil P. Roberts, Brigitte Lueger-Schuster, Mark Shevlin,
Posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) as per ICD-11 proposals: A population study in Israel
,
Depression and Anxiety
35, 2018-03, ??' 264?274
doi
:
10.1002/da.22723
- ^
Philip Hyland, Thanos Karatzias, Mark Shevlin, Marylene Cloitre, Menachem Ben-Ezra,
A longitudinal study of ICD-11 PTSD and complex PTSD in the general population of Israel
,
Psychiatry Research
286, 2020-04, ??' 112871
doi
:
10.1016/j.psychres.2020.112871