[Evidence-based psychotherapy of posttraumatic stress syndrome-An update]. / Evidenzbasierte Psychotherapie posttraumatischer Belastungsstörungen ein Update.
Nervenarzt
; 95(7): 616-621, 2024 Jul.
Article
em De
| MEDLINE
| ID: mdl-38906997
ABSTRACT
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.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Psicoterapia
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Transtornos de Estresse Pós-Traumáticos
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Terapia Cognitivo-Comportamental
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Medicina Baseada em Evidências
Idioma:
De
Ano de publicação:
2024
Tipo de documento:
Article