[Psychological treatment of posttraumatic stress disorder after sexual abuse: an overview]. / Psychotherapie der Posttraumatischen Belastungsstörung nach sexuellem Missbrauch: Ein Überblick über die Datenlage.
Psychother Psychosom Med Psychol
; 62(1): 5-17, 2012 Jan.
Article
em De
| MEDLINE
| ID: mdl-22271171
ABSTRACT
There is an ongoing debate how to treat posttraumatic stress disorder related to childhood sexual abuse. In Germany patients mostly receive a psychodynamically oriented treatment with a long-lasting stabilization before the use of exposure-based interventions. The number of randomized controlled trials on posttraumatic stress disorder related to childhood sexual abuse is quite limited. The results of these studies show that cognitive-behavioral trauma-focussing interventions are very efficacious with large effect sizes. 2 controlled studies on psychodynamically oriented treatment found only small improvements in posttraumatic symptoms. The high dropout rates in prolonged exposure especially in patients with co-occurring personality disorders point towards the need of a emotion regulation training before the exposure phase. Future studies should include subgroup-analyses and the assessment of adverse effects during therapy.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos de Estresse Pós-Traumáticos
/
Abuso Sexual na Infância
Tipo de estudo:
Clinical_trials
Limite:
Adult
/
Child
/
Female
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
De
Revista:
Psychother Psychosom Med Psychol
Ano de publicação:
2012
Tipo de documento:
Article