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Kognitionsfokussierte Therapie der posttraumatischen Belastungsstörung

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Posttraumatische Belastungsstörungen

Zusammenfassung

Nach einem traumatischen Erlebnis entwickeln die meisten Personen für einige Zeit Symptome der posttraumatischen Belastungsstörung (PTBS), jedoch gesunden viele im Laufe der nächsten Monate auch ohne professionelle Hilfe. Bei einer Untergruppe kommt es zu einem chronischen Verlauf. In diesem Kapitel soll ein kognitives Modell der Aufrechterhaltung posttraumatischer Symptome beschrieben werden, das als Grundlage kognitiver Interventionen dienen soll.

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Literatur

  • Beck, A. T & Emery, G. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.

    Google Scholar 

  • Bisson, J., Ehlers, A., Matthews, R., Pilling, S., Richards, D. & Turner, S. (2007). Systematic review and metaanalysis of psychological treatments for posttraumatic stress disorder. British Journal of Psychiatry, 190, 97–104.

    Article  PubMed  Google Scholar 

  • Borkovec, T. D & Inz, J. (1990). The nature of worry in generalized anxiety disorder: A predominance of thought-activity. Behaviour Research and Therapy, 28, 153–158.

    Article  PubMed  Google Scholar 

  • Bradley, R., Greene, J., Russ, E., Dutra, L. & Westen, D. (2005). A multidimensional meta-analysis of psychotherapy for PTSD. American Journal of Psychiatry, 162, 214–217.

    Article  PubMed  Google Scholar 

  • Brewin, C. R., Scragg, P., Robertson, M., Thompson, M., d’Ardenne, P. & Ehlers, A. (2008). Promoting mental health following the London bombings: A screen and treat approach. Journal of Traumatic Stress, 21, 3–8.

    Article  PubMed  Google Scholar 

  • Chembtob, C., Roitblat, H. L., Hamada, R. S., Carlson, J. G & Twentyman, C.T. (1988). A cognitive action theory of posttraumatic stress disorder. Journal of Anxiety Disorders, 2, 253–275.

    Article  Google Scholar 

  • Clark, D. M. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24, 461–470.

    Article  PubMed  Google Scholar 

  • Committee on Treatment of Posttraumatic Stress Disorder. (2008). Treatment of posttraumatic stress disorder: Assessment of the evidence. Washington, D.C. National Academies Press.

    Google Scholar 

  • Creamer, M., Burgess, P & Pattison, P. (1992). Reaction to trauma: A cognitive processing model. Journal of Abnormal Psychology, 101, 452–459.

    Article  PubMed  Google Scholar 

  • Duffy, M., Gillespie, K & Clark, D. M. (2007). Post-traumatic stress disorder in the context of terrorism and other civil conflict in Northern Ireland: randomised controlled trial. British Medical Journal, 334, 1147–1150.

    Article  PubMed  Google Scholar 

  • Dunmore, E., Clark, D. M. & Ehlers, A. (2001 ). A prospective study of the role of cognitive factors in persistent posttraumatic stress disorder after physical or sexual assault. Behaviour Research and Therapy, 39, 1063–1084.

    Article  PubMed  Google Scholar 

  • Ehlers, A. (1999). Posttraumatische Belastungsstörung. Göttingen: Hogrefe.

    Google Scholar 

  • Ehlers, A. & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319–345.

    Article  PubMed  Google Scholar 

  • Ehlers, A & Clark, D. M. (2008). Posttraumatic stress disorder: The development of effective psychological treatments. Nordic Journal of Psychiatry, 62(S47), 11–18.

    Article  PubMed  Google Scholar 

  • Ehlers, A., Clark, D. M., Hackmann, A., McManus, F., Fennell, M. (2005). Cognitive therapy for PTSD: development and evaluation. Behaviour Research and Therapy, 43, 413–431.

    Article  PubMed  Google Scholar 

  • Ehlers, A., Clark, D. M., Hackmann, A., McManus F., Fennell, M., Herbert, C & Mayou, R. (2003). A randomized controlled trial of cognitive therapy, self-help booklet, and repeated assessment as early interventions for PTSD. Archives of General Psychiatry, 60, 1024–1032.

    Article  PubMed  Google Scholar 

  • Ehlers, A., Clark, D. M., Hackmann, A., Grey, N., Wild, J., Deale, A., Albert, I & Stott, R. (in Vorbereitung). A randomized controlled trial of intensive and weekly cognitive therapy and emotion-focused therapy in the treatment of PTSD.

    Google Scholar 

  • Ehlers, A., Margraf, J & Roth, W. T. (1988). Selective information processing, interoception, and panic attacks. In I. Hand & H.U. Wittchen (Hrsg.), Panic and Phobias (S. 129–148). Berlin: Springer.

    Google Scholar 

  • Ehlers, A., Mayou, R.A. & Bryant, B. (1998). Psychological predictors of chronic PTSD after motor vehicle accidents. Journal of Abnormal Psychology, 107, 508–519.

    Article  PubMed  Google Scholar 

  • Ehlers, A & Steil, R. (1995). Maintenance of intrusive memories in posttraumatic stress disorder: A cognitive approach. Behavioural and Cognitive Psychotherapy, 23, 217–249.

    Article  Google Scholar 

  • Ehring, T, Ehlers, A & Glucksman, E. (2008). Do cognitive models help in predicting the severity of posttraumatic stress disorder, phobia and depression after motor vehicle accidents? A prospective longitudinal study. Journal of Consulting and Clinical Psychology, 76, 219–230.

    Article  PubMed  Google Scholar 

  • Foa, E. B & Riggs, D. S. (1993). Posttraumatic stress disorder in rape victims. American Psychiatric Press Review of Psychiatry 12. Washington DC: Author.

    Google Scholar 

  • Foa, E. B., Steketee, G & Rothbaum, B. O. (1989). Behavioral/cognitive conceptualizations of post-traumatic stress disorder. Behavior Therapy, 20, 155–176.

    Article  Google Scholar 

  • Foa, E. B., Rothbaum, B. O., Riggs, D. S & Murdock, T. (1991). Treatment of posttraumatic stress disorder in rape-victims: A comparison between cognitive-behavioral procedures and counseling. Journal of Consulting and Clinical Psychology, 59, 715–723.

    Article  PubMed  Google Scholar 

  • Foa, E. B., Riggs, D. S., Massie, E. D & Yarczower, M. (1995). The impact of fear activation and anger on the efficacy of exposure treatment for posttraumatic stress disorder. Behavior Therapy, 25, 487–499.

    Article  Google Scholar 

  • Gillespie, K., Duffy, M., Hackmann, A & Clark, D.M. (2002). Community based cognitive therapy in the treatment of posttraumatic stress disorder following the Omagh bomb. Behaviour Research and Therapy, 40, 345–357.

    Article  PubMed  Google Scholar 

  • Halligan, S. L, Michael, T., Clark, D. M. & Ehlers, A. (2003). Posttraumatic stress disorder following assault: the role of cognitive processing, trauma memory, and appraisals. Journal of Consulting and Clinical Psychology, 71, 419–431.

    Article  PubMed  Google Scholar 

  • Horowitz, M.J. (1976). Stress response syndromes. New York: Aronson.

    Google Scholar 

  • Jones, J. C & Barlow, D. H. (1990). The etiology of posttraumatic stress disorder. Clinical Psychology Review, 10, 299–328.

    Article  Google Scholar 

  • Keane, T. M., Zimering, R. T & Caddell, R. T. (1985). A behavioral formulation of PTSD in Vietnam veterans. Behavior Therapist, 8, 9–12.

    Google Scholar 

  • Kleim, B., Ehlers, A. & Glucksman, E. (2007). Prediction of chronic posttraumatic stress disorder after assault. Psychological Medicine, 37, 1457–1468.

    Article  PubMed  Google Scholar 

  • Mayou, R., Bryant, B. & Duthie, R. (1993). Psychiatric consequences of road traffic accidents. British Medical Journal, 307, 647–651.

    Article  PubMed  Google Scholar 

  • Murray, J., Ehlers, A. & Mayou, R. A. (2002). Dissociation and posttraumatic stress disorder: Two prospective studies of road traffic accident victims. British Journal of Psychiatry, 180, 363–368.

    Article  PubMed  Google Scholar 

  • National Institute of Clinical Excellence (2005). Posttraumatic stress disorder: The management of PTSD in adults and children in primaryand secondary care. In Clinical guideline 26. Available: http://www.nice.org.uk/guidance/CG26.

    Google Scholar 

  • Ozer, E. J., Best, S., Lipzey, T. L. & Weiss, D. S. (2003). Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis. Psychological Bulletin, 129, 52–73.

    Article  PubMed  Google Scholar 

  • Peterson, K. C., Prout, M. F & Schwarz, R. A. (1991). Posttraumatic stress disorder. A clinician’s guide. New York: Plenum.

    Google Scholar 

  • Purdon, C. (1999). Thought suppression and psychopathology. Behaviour Research and Therapy, 37, 1029–1054.

    Article  PubMed  Google Scholar 

  • Resick, P. A & Schnicke, M. K. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60, 748–756.

    Article  PubMed  Google Scholar 

  • Resick, P. A., Nishith, P., Weaver, T. L., Astin, M. C., Feuer, C. A. (2002). A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 70, 867–879.

    Article  PubMed  Google Scholar 

  • Resick, P. A., Galovski, T. E., O’Brien Uhlmansiek, M., Scher, C. D., Clum, G. A. & Young-Yu, Y. (2008). A randomized clinical trial to dismantle components of cognitive processing therapy for posttraumatic stress disorder in female victims of interpersonal violence. Journal of Consulting and Clinical Psychology, 76, 243–258.

    Article  PubMed  Google Scholar 

  • Rothbaum, B. O., Foa, E. B., Riggs, D. S., Murdock, T. & Walsh, W. (1992). A prospective examination of post-traumatic stress disorder in rape-victims. Journal of Traumatic Stress, 5, 455–475.

    Article  Google Scholar 

  • Salkovskis, P. M. & Campbell, P. (1994). Thought suppression induces intrusion in naturally occurring negative intrusive thoughts. Behaviour Research and Therapy, 32, 1–8.

    Article  PubMed  Google Scholar 

  • Salkovskis, P. M. & Kirk, J. (1989). Obsessional Disorders. In K. Hawton, P.M. Salkovskis. & D.M. Clark (Hrsg.), Cognitive behaviour therapy for psychiatric problems. Oxford: Oxford University Press.

    Google Scholar 

  • Schönfeld, S. & Ehlers, A. (2006). Overgeneral memory extends to pictorial retrieval cues and correlates with cognitive features in posttraumatic stress disorder. Emotion, 6, 611–622.

    Article  PubMed  Google Scholar 

  • Shalev, A. Y., Schreiber, S. & Galai, T. (1993). Early psychological responses to traumatic injury. Journal of Traumatic Stress, 6, 441–450.

    Article  Google Scholar 

  • Smith, P., Yule, W., Perrin, S., Tranah, T., Dalgleish, T., Clark, D. M. (2007). Cognitive-behavioral therapy for PTSD in children and adolescents: A preliminary randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1051–1061.

    Article  PubMed  Google Scholar 

  • Steil, R. (1996). Posttraumatische Intrusionen nach Verkehrsunfällen — Faktoren der Aufrechterhaltung. Unveröffentlichte Dissertation, Göttingen, Georg-August-Universität.

    Google Scholar 

  • Steil, R. & Ehlers, A. (2000). Dysfunctional meaning of posttraumatic intrusions in chronic PTSD. Behaviour Research and Therapy, 38, 537–558.

    Article  PubMed  Google Scholar 

  • Steil, R., Dyer, A., Priebe, K., Kleindienst, N., Linehan, M., Harned, M. & Bohus, M. (2009) Dialectical behavior therapy for posttraumatic stress disorder and pervasive emotional dyscontrol related to childhood sexual abuse: A pilot study of an intensive inpatient program. Zentralinstitut für Seelische Gesundheit, Mannheim: Manuskript

    Google Scholar 

  • Van der Kolk, B. A. & Van der Hart, O. (1991). The intrusive past: The flexibility of memory and the engraving of trauma. American Imago, 48, 425–454.

    Google Scholar 

  • Wegner, D. M., Schneider, D. J., Carter, S. R. & White, T. L. (1987). Paradoxical effects of thought suppression. Journal of Personality and Social Psychology, 53(1), 5–13.

    Article  PubMed  Google Scholar 

  • Wells, A. (1994). Attention and the control of worry. In G. C. L. Davey & F. Tallis (Hrsg.), Worrying: Perpectives on Theory, Assessment, and Treatment (pp. 101–135). Chichester: Wiley.

    Google Scholar 

  • Winter, H. (1996). Posttraumatische Belastungsstörung nach Verkehrsunfällen. Frankfurt: Lang.

    Google Scholar 

  • Yehuda, R., Southwick, S. M. & Giller, E. L. (1992). Exposure to atrocities and severity of chronic posttraumatic stress disorder in Vietnam combat veterans. American Journal of Psychiatry, 149, 333–336.

    PubMed  Google Scholar 

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Steil, R., Ehlers, A., Clark, D.M. (2009). Kognitionsfokussierte Therapie der posttraumatischen Belastungsstörung. In: Maercker, A. (eds) Posttraumatische Belastungsstörungen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-88489-7_13

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