# 法律程序中的创伤知情精神科倡导：预防一名患有复杂性创伤后应激障碍和限制型神经性厌食症的青少年在庭审中再次受创 - URL: https://alisanburak.com/zh/wcp-2026-posterler/ev0278 - Language: zh - Last updated: not specified - Page title: 法律程序中的创伤知情精神科倡导：预防一名患有复杂性创伤后应激障碍和限制型神经性厌食症的青少年在庭审中再次受创 | WCP 2026 摘要 > 一名青少年在出庭作证前因预期性再创伤而出现精神症状恶化；精神科团队为争取创伤知情司法安排所开展的倡导工作，伴随着其临床状况的恢复。 本页面由土耳其语自动翻译。 [阅读原文](https://alisanburak.com/wcp-2026-posterler/ev0278) 本页是借助人工智能编写的土耳其语摘要，介绍在第26届世界精神病学大会上报告的研究。研究归报告作者所有；引用时请查阅原始来源。 EV0278 电子海报创伤与应激病例报告 # 法律程序中的创伤知情精神科倡导：预防一名患有复杂性创伤后应激障碍和限制型神经性厌食症的青少年在庭审中再次受创 TRAUMA-INFORMED PSYCHIATRIC ADVOCACY DURING LEGAL PROCEEDINGS: PREVENTING COURT-RELATED RETRAUMATIZATION IN AN ADOLESCENT WITH COMPLEX PTSD AND RESTRICTIVE ANOREXIA NERVOSA 报告人: Shaikh T. Ali 国家: Pakistan 机构: Dow University of Health Sciences, Dow Medical College 一名青少年在出庭作证前因预期性再创伤而出现精神症状恶化；精神科团队为争取创伤知情司法安排所开展的倡导工作，伴随着其临床状况的恢复。 本病例报告旨在描述一名有童年期性虐待（childhood sexual abuse, CSA）史的青少年在刑事审判前反复出现的精神症状恶化，以及治疗团队所发挥的倡导作用。该患者同时存在与CSA相关的创伤后应激障碍（posttraumatic stress disorder, PTSD）、复杂性发展性创伤特征及限制型神经性厌食症；其进食障碍表现为限制进食、间歇性暴食和强迫性运动，体重下降约90磅（约41千克），并需住院治疗10天。治疗包括每周接受营养师咨询并进行营养恢复、运用针对内疚感和羞耻感的认知行为治疗（cognitive behavioural therapy, CBT）技术，以及从卧床休息逐步过渡到轻度活动，最终进食障碍达到持续缓解。随着庭审日期临近，患者的失眠、闪回和易激惹加重；精神科团队为争取在单独房间作证等创伤知情庭审安排，出具了正式书面意见。患者顺利完成作证，在随后一个月内，情绪、睡眠和社会参与均有所改善。此后，在创伤聚焦认知行为治疗框架下，治疗采用主观痛苦程度量表（Subjective Units of Distress Scale）进行评分，并练习着陆技术，将自我责备转化为自我关怀；减少米氮平和丁螺环酮等引起日间镇静的药物用量后，患者的清醒程度和在校表现得到改善。作者强调，预期性再创伤是有创伤经历的青少年病情恶化的一个尚未得到充分认识的原因；协调精神科照护、营养支持和法律倡导，能够在减少伤害的同时，保障患者参与司法程序。 [查看原始壁报](https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1430) 如何引用本研究？ APA 7： Ali, S. T., Williams, O. C. A., Baig, M., Reed, K. M., & Johnson, S. B. (2026, September 23-26). Trauma-informed psychiatric advocacy during legal proceedings: preventing court-related retraumatization in an adolescent with complex ptsd and restrictive anorexia nervosa [E-poster]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1430 Vancouver： Ali ST, Williams OCA, Baig M, Reed KM, Johnson SB. Trauma-informed psychiatric advocacy during legal proceedings: preventing court-related retraumatization in an adolescent with complex ptsd and restrictive anorexia nervosa [e-poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1430 作者姓名和标题格式由大会系统自动生成；使用前请与原始海报核对。 ## 相关主题 - [Olumsuz çocukluk yaşantılarının erişkin ruh sağlığı üzerindeki kalıcı etkileri: Delaware BRFSS 2023 bulguları](https://alisanburak.com/zh/wcp-2026-posterler/ev0091) - [HIV ile yaşayan kişilerde ruhsal bozukluk eştanısı, travmatik yaşantılar ve baş etme: Tanzanya'da travma sonrası stres, depresyon ve anksiyete üzerine kesitsel bir çalışma](https://alisanburak.com/zh/wcp-2026-posterler/ev0094) - [Kenya'da kenyatta ulusal hastanesi gençlik merkezine başvuran 18 ile 24 yaş arası gençlerde olumsuz çocukluk çağı yaşantıları, depresyon ve anksiyete](https://alisanburak.com/zh/wcp-2026-posterler/ev0097) - [Karmaşık (ilişkisel) travmada anlatı yoluyla anlamlandırma: nitel bir bakış](https://alisanburak.com/zh/wcp-2026-posterler/ev0099) - [Kronik sosyopolitik olumsuzluğun kollektif psikotravmatolojisine doğru: yedi kuramsal yapı](https://alisanburak.com/zh/wcp-2026-posterler/ev0107) [全部 WCP 2026 摘要](https://alisanburak.com/zh/wcp-2026-posterler) --- Kaynak / Source: https://alisanburak.com/zh/wcp-2026-posterler/ev0278 İletişim / Contact: Bağdat Caddesi, Veli Güneysu Apt. No:453 K:4 D:9, Suadiye / Kadıköy, İstanbul · +90 532 642 95 25 · info@alisanburak.com · https://alisanburak.com/bagdat-caddesi-psikoterapi-iletisim