[Evidence-based psychotherapy of posttraumatic stress syndrome-An update].

Autor: Steil R; Institut für Psychologie, Goethe-Universität Frankfurt, Varrentrappstraße 40-42, 60486, Frankfurt am Main, Deutschland. steil@psych.uni-frankfurt.de., Maercker A; Psychologisches Institut, Universität Zürich, Zürich, Schweiz., Jaworski L; Institut für Psychologie, Goethe-Universität Frankfurt, Varrentrappstraße 40-42, 60486, Frankfurt am Main, Deutschland., Bachem R; Psychologisches Institut, Universität Zürich, Zürich, Schweiz., Eberle D; Psychologisches Institut, Universität Zürich, Zürich, Schweiz.
Jazyk: němčina
Zdroj: Der Nervenarzt [Nervenarzt] 2024 Jul; Vol. 95 (7), pp. 616-621. Date of Electronic Publication: 2024 Jun 21.
DOI: 10.1007/s00115-024-01694-6
Abstrakt: Background: The aim of this article is to summarize the current state of research on the effectiveness of psychotherapeutic treatment of posttraumatic stress disorder (PTSD).
Methods: The results of current meta-analyses and trend-setting individual studies are summarized and the most important forms of intervention are explained.
Results: The psychotherapeutic treatment methods for PTSD are very effective, the effect sizes are large and superior to those of pharmacotherapy. Trauma exposure and cognitive restructuring are most effective. Trauma-focused procedures are generally superior to other forms of psychotherapy. A range of different cognitive behavioral procedures as well as eye movement desensitization and reprocessing are recommended. The most recent initial findings confirm a very good effectiveness for imagery rescripting methods as protective interventions without a formal confrontation with trauma. Individual therapy works better than group psychotherapy. In the group setting cognitive processing therapy has proven to be the best intervention. Trauma-focused treatment should also be used when comorbid conditions such as schizophrenia, bipolar disorder or addiction are present.
Discussion: Trauma-focused psychotherapy in an individual setting is the treatment of choice for PTSD. A large selection of effective methods and well-reviewed manuals are available. The German language S3 guidelines are currently being updated.
(© 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)
Databáze: MEDLINE
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