Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

Complex Trauma and Disorder of Extreme Stress(DESNOS)

복합외상과 극단적 스트레스 장애

  • Park, Seon-Cheol (Department of Neuropsychiatry, College of Medicine, and Institute of Mental Health, Hanyang University) ;
  • Kim, Seok-Hyeon (Department of Neuropsychiatry, College of Medicine, and Institute of Mental Health, Hanyang University)
  • 박선철 (한양대학교 의과대학 신경정신과학교실, 정신건강연구소) ;
  • 김석현 (한양대학교 의과대학 신경정신과학교실, 정신건강연구소)
  • Received : 2009.10.13
  • Accepted : 2009.10.14
  • Published : 2009.10.30
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Abstract

Disorder of Extreme Stress, Not Otherwise Specified (DESNOS) is the proposed diagnosis that meets the severe, complex, and prolonged psychological sequela of victims with chronic traumatization (e.g., family violence, incest, and childhood sexual or physical abuse). The hallmarks of DESNOS are a multiplicity of symptoms (e.g., somatization, dissociation, and depression), pathological changes in relationships, identity disturbances, and a propensity to experience repeated harm and injury at the hands of oneself and others. DESNOS can be directly assessed by Structured Interview of Disorder of Extreme Stress (SIDES) and Self- Report Inventory of Disorder of Extreme Stress (SIDES-SR). The treatment of DESNOS should be phaseoriented and involve movement back and forth among three basic stages : 1) stabilization ; 2) trauma processing ; 3) reintegration.

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