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CME

, Volume 16, Issue 6, pp 49–58 | Cite as

PTBS-Diagnose im Wandel

Traumafolgestörung
  • Ricarda Evens
  • Serdar Tarik Hizli
  • Olaf Schulte-HerbrüggenEmail author
CME Fortbildung

Zusammenfassung

Die posttraumatische Belastungsstörung ist eine vergleichsweise junge Diagnose, deren exakte definitorische Abgrenzung sich derzeit in der Überarbeitung befindet. In diesem Artikel werden Veränderungen in den internationalen Klassifikationssystemen sowie aktuelle psychopharmakologische und psychotherapeutische Behandlungsmöglichkeiten beschrieben. Im Anschluss erfolgt ein Ausblick auf aktuelle Entwicklungen und offene Forschungsfragen.

Schlüsselwörter

Posttraumatische Belastungsstörung Traumabearbeitung 

Literatur

  1. 1.
    Dilling H, Mombour W, Schmidt MH, Coltart W (Hrsg.), World Health Organization, WHO Press Mr Ian Coltart. Internationale Klassifikation psychischer Störungen: ICD-10 Kapitel V (F) — Klinisch-diagnostische Leitlinien. 10. Aufl. Bern: Hogrefe AG; 2015Google Scholar
  2. 2.
    American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Fifth Edition. Washington D.C.: American Psychiatric Association; 2013CrossRefGoogle Scholar
  3. 3.
    Maercker A, Brewin CR, Bryant RA, Cloitre M, van Ommeren M, Jones LM et al. Diagnosis and classification of disorders specifically associated with stress: proposals for ICD-11. World Psychiatry 2013;12(3):198–206PubMedPubMedCentralCrossRefGoogle Scholar
  4. 4.
    Hetrick SE, Purcell R, Garner B, Parslow R. Combined pharmacotherapy and psychological therapies for post traumatic stress disorder (PTSD). Cochrane Database Syst Rev 2010;7Google Scholar
  5. 5.
    Lee DJ, Schnitzlein CW, Wolf JP, Vythilingam M, Rasmusson AM, Hoge CW. Psychotherapy versus pharmacotherapy for posttraumatic stress disorder: systemic review and meta-analyses to determine first-line treatments. Depress Anxiety 2016;33(9):792–806PubMedCrossRefGoogle Scholar
  6. 6.
    Guina J, Rossetter SR, DeRhodes BJ, Nahhas RW, Welton RS. Benzodiazepines for PTSD: A Systematic Review and Meta-Analysis. J Psychiatr Pract 2015;21(4):281PubMedCrossRefGoogle Scholar
  7. 7.
    Bisson JI, Roberts NP, Andrew M, Cooper R, Lewis C. Psychological therapies for chronic posttraumatic stress disorder (PTSD) in adults. Cochrane Database Syst Rev 2013Google Scholar
  8. 8.
    Cusack K, Jonas DE, Forneris CA, Wines C, Sonis J, Middleton JC et al. Psychological treatments for adults with posttraumatic stress disorder: A systematic review and meta-analysis. Clin Psychol Rev 2016;43:128–41PubMedCrossRefGoogle Scholar
  9. 9.
    Flatten G, Gast U, Hofmann A, Knaevelsrud C, Lampe A, Liebermann P et al. S3 — Leitlinie Posttraumatische Belastungsstörung ICD-10: F43.1. Trauma Gewalt 2011;5(3):202–10Google Scholar
  10. 10.
    van Minnen A, Harned MS, Zoellner L, Mills K. Examining potential contraindications for prolonged exposure therapy for PTSD. Eur J Psychotraumatology 2012;3:18805CrossRefGoogle Scholar
  11. 11.
    Krüger A, Kleindienst N, Priebe K, Dyer AS, Steil R, Schmahl C et al. Non-suicidal self-injury during an exposure-based treatment in patients with posttraumatic stress disorder and borderline features. Behav Res Ther 2014;61:136–41PubMedCrossRefGoogle Scholar
  12. 12.
    Steil R, Dittmann C, Müller-Engelmann M, Dyer A, Maasch A-M, Priebe K. Dialectical behaviour therapy for posttraumatic stress disorder related to childhood sexual abuse: a pilot study in an outpatient treatment setting. Eur J Psychotraumatology 2018;9(1):1423832CrossRefGoogle Scholar
  13. 13.
    Harned MS, Korslund KE, Foa EB, Linehan MM. Treating PTSD in Suicidal and Self-injuring Women with Borderline Personality Disorder: Development and Preliminary Evaluation of a Dialectical Behavior Therapy Prolonged Exposure Protocol. Behav Res Ther 2012;50(6):381–6PubMedPubMedCentralCrossRefGoogle Scholar
  14. 14.
    Foa EB. Prolonged exposure therapy: past, present, and future. Depress Anxiety 2011;28(12):1043–7PubMedCrossRefGoogle Scholar
  15. 15.
    Foa EB, Hembree E, Rothbaum B. Prolonged Exposure Therapy for PTSD: Emotional Processing of Traumatic Experiences. Oxford; New York: Oxford University Press; 2007Google Scholar
  16. 16.
    Resick PA, Monson CM, Chard KM. Cognitive Processing Therapy for PTSD: A Comprehensive Manual. 1. Aufl. New York: Guilford Publications; 2017Google Scholar
  17. 17.
    Ehlers A, Clark DM, Hackmann A, McManus F, Fennell M. Cognitive therapy for post-traumatic stress disorder: development and evaluation. Behav Res Ther 2005;43(4):413–31PubMedCrossRefGoogle Scholar
  18. 18.
    Ehlers A, Clark DM. Posttraumatic stress disorder: The development of effective psychological treatments. Nord J Psychiatry. 2008;62:11–8PubMedPubMedCentralCrossRefGoogle Scholar
  19. 19.
    Ehlers A, Clark DM. A cognitive model of posttraumatic stress disorder. Behav Res Ther 2000;38(4):319–45PubMedCrossRefGoogle Scholar
  20. 20.
    Shapiro F. Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories. J Trauma Stress 1989;2(2):199–223CrossRefGoogle Scholar
  21. 21.
    Shapiro F. Eye Movement Desensitization and Reprocessing (EMDR): Basic Principles, Protocols, and Procedures, 2nd Edition. Second edition. New York: The Guilford Press; 2001Google Scholar
  22. 22.
    Davidson PR, Parker KCH. Eye movement desensitization and reprocessing (EMDR): A meta-analysis. J Consult Clin Psychol 2001;69(2):305–16PubMedCrossRefGoogle Scholar
  23. 23.
    Shapiro F. The Role of Eye Movement Desensitization and Reprocessing (EMDR) Therapy in Medicine: Addressing the Psychological and Physical Symptoms Stemming from Adverse Life Experiences. Perm J 2014;18(1):71–7PubMedPubMedCentralCrossRefGoogle Scholar
  24. 24.
    Schauer M, Neuner F, Elbert T. Narrative Exposure Therapy: A Short-Term Treatment for Traumatic Stress Disorders. Hogrefe Publishing; 2011Google Scholar
  25. 25.
    Grunert BK, Weis JM, Smucker MR, Christianson HF. Imagery rescripting and reprocessing therapy after failed prolonged exposure for post-traumatic stress disorder following industrial injury. J Behav Ther Exp Psychiatry 2007;38(4):317–28PubMedCrossRefGoogle Scholar
  26. 26.
    Langkaas TF, Hoffart A, Øktedalen T, Ulvenes PG, Hembree EA, Smucker M. Exposure and non-fear emotions: A randomized controlled study of exposure-based and rescripting-based imagery in PTSD treatment. Behav Res Ther 2017;97:33–42PubMedCrossRefGoogle Scholar
  27. 27.
    Hassija C, Cloitre M. STAIR Narrative Therapy: A Skills Focused Approach to Trauma-Related Distress 2015;11(3):172–9Google Scholar
  28. 28.
    Cloitre M, Stovall-McClough KC, Nooner K, Zorbas P, Cherry S, Jackson CL et al. Treatment for PTSD Related to Childhood Abuse: A Randomized Controlled Trial. Am J Psychiatry 2010;167(8):915–24PubMedCrossRefGoogle Scholar
  29. 29.
    Reddemann L. Psychodynamisch Imaginative Traumatherapie: PITT - Das Manual. Ein resilienzorientierter Ansatz in der Psychotraumatologie. 9., Druckaufl. Stuttgart: Klett-Cotta; 2017Google Scholar
  30. 30.
    Gersons BPR, Meewisse M-L, Nijdam MJ. Brief Eclectic Psychotherapy for PTSD. In: Schnyder U, Cloitre M (Hrsg.). Evidence based treatments for trauma-related psychological disorders: A practical guide for clinicians. Springer International Publishing; 2015; S. 255–76Google Scholar
  31. 31.
    Lindauer RJL, Gersons BPR, van Meijel EPM, Blom K, Carlier IVE, Vrijlandt I et al. Effects of brief eclectic psychotherapy in patients with posttraumatic stress disorder: randomized clinical trial. J Trauma Stress 2005;18(3):205–12PubMedCrossRefGoogle Scholar
  32. 32.
    Nijdam MJ, Gersons BPR, Reitsma JB, de Jongh A, Olff M. Brief eclectic psychotherapy v. eye movement desensitisation and reprocessing therapy for post-traumatic stress disorder: randomised controlled trial. Br J Psychiatry J Ment Sci 2012;200(3):224–31CrossRefGoogle Scholar
  33. 33.
    Powers MB, Halpern JM, Ferenschak MP, Gillihan SJ, Foa EB. A meta-analytic review of prolonged exposure for posttraumatic stress disorder. Clin Psychol Rev. 2010;30(6):635–41PubMedCrossRefGoogle Scholar
  34. 34.
    Asmundson GJG, Thorisdottir AS, Roden-Foreman JW, Baird SO, Witcraft SM, Stein AT, u. a. A meta-analytic review of cognitive processing therapy for adults with posttraumatic stress disorder. Cogn Behav Ther 2019;48(1):1–14PubMedCrossRefGoogle Scholar
  35. 35.
    Resick PA, Nishith P, Weaver TL, Astin MC, Feuer CA. A Comparison of Cognitive-Processing Therapy With Prolonged Exposure and a Waiting Condition for the Treatment of Chronic Posttraumatic Stress Disorder in Female Rape Victims. J Consult Clin Psychol 2002;70(4):867–79PubMedPubMedCentralCrossRefGoogle Scholar
  36. 36.
    Craske MG, Treanor M, Conway C, Zbozinek T, Vervliet B. Maximizing Exposure Therapy: An Inhibitory Learning Approach. Behav Res Ther 2014;58:10–23PubMedPubMedCentralCrossRefGoogle Scholar
  37. 37.
    Craske Michelle G., Hermans Dirk, Vervliet Bram. State-of-the-art and future directions for extinction as a translational model for fear and anxiety. Philos Trans R Soc B Biol Sci 2018;373(1742):20170025CrossRefGoogle Scholar
  38. 38.
    Resick PA, Galovski TE, Uhlmansiek M, Scher CD, Clum GA, Young-Xu Y. A randomized clinical trial to dismantle components of cognitive processing therapy for posttraumatic stress disorder in female victims of interpersonal violence. J Consult Clin Psychol 2008;76(2):243–58PubMedPubMedCentralCrossRefGoogle Scholar

Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  • Ricarda Evens
    • 1
  • Serdar Tarik Hizli
    • 1
  • Olaf Schulte-Herbrüggen
    • 1
    Email author
  1. 1.Friedrich von Bodelschwingh-Klinik, Klinik für Psychiatrie und PsychotherapieBerlinDeutschland

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