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Personalisierte Internet-Psychotherapie-Angebote für die posttraumatische Belastungsstörung

Personalized internet-based treatment services for posttraumatic stress disorder

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Zusammenfassung

E-Mental-Health als innovative Form der psychotherapeutischen Versorgung findet in den letzten Jahren zunehmend Beachtung. Im Bereich der posttraumatischen Belastungsstörung (PTBS) und verwandter Belastungsfolgestörungen sind internetbasierte und andere E-Mental-Health-Angebote in großer Vielfalt entwickelt worden. Die niedrigschwelligsten Angebote in einem gestuften Versorgungssystem („stepped-care“) sind die reinen webbasierten Selbsthilfeprogramme. Auf der anderen Seite des Spektrums stehen Online-Psychotherapien und Virtual-Reality-Programme; während die Angebote im Bereich der M(obile)-Mental-Health die Palette neuer technologischer Möglichkeiten in der Psychotherapie ergänzen. Die vorliegenden Wirksamkeitsstudien belegen für alle vorgestellten Angebote klinische Wirksamkeit, auch wenn einige der Angebote noch nicht in Studien analog zu Phase-III-Studien der Psychopharmakologie untersucht wurden. E-Mental-Health-Angebote werden in Zukunft international mehr und mehr das Gesicht unseres Faches prägen.

Summary

Among the most important innovations within the psychotherapeutic care system are the new opportunities in the field of e-mental health. During the past decade, Internet-based and other e-mental health approaches for the treatment of post-traumatic stress disorder and related stress-associated symptoms have been developed in great variety. Solely Internet-based self-help programs are the lowest-threshold approaches in a stepped-care system. By contrast, individualized online psychotherapy and virtual reality programs are at the opposite pole of the spectrum. Approaches in the field of m(obile)-mental health complement these new developments in psychotherapy. The existing evidence supports the clinical efficacy of all the described approaches, although not all have been tested rigorously analog to phase III studies in psychopharmacology. Nonetheless, e-mental health approaches will shape our field more and more in the future.

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Notes

  1. Für Selbsthilfeprogramme, Apps und Serious Games wird hier der Begriff Klienten anstelle „Patienten“ gewählt.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. A. Maercker, T. Hecker und E. Heim geben an, dass kein Interessenkonflikt besteht.

Alle im vorliegenden Manuskript beschriebenen Untersuchungen am Menschen wurden mit Zustimmung der zuständigen Ethikkommission, im Einklang mit nationalem Recht sowie gemäß der Deklaration von Helsinki von 1975 (in der aktuellen, überarbeiteten Fassung) durchgeführt. Von allen beteiligten Patienten liegt eine Einverständniserklärung vor.

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  1. Psychopathologie & Klinische Intervention, Psychologisches Institut, Universität Zürich, Binzmühlestr. 14/17, 8044, Zürich, Schweiz

    A. Maercker, T. Hecker & E. Heim

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  1. A. Maercker
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  2. T. Hecker
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  3. E. Heim
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Correspondence to A. Maercker.

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Maercker, A., Hecker, T. & Heim, E. Personalisierte Internet-Psychotherapie-Angebote für die posttraumatische Belastungsstörung. Nervenarzt 86, 1333–1342 (2015). https://doi.org/10.1007/s00115-015-4332-7

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