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Background <p>Posttraumatic stress disorder (PTSD) is a&#xa0;frequent disorder with a&#xa0;lifetime prevalence of approximately 4% that is associated with a&#xa0;significant impairment in the quality of life. It is particularly prevalent in clinical samples. Although there is a&#xa0;high rate of spontaneous remission within the first 6&#xa0;months, PTSD tends to become chronic without treatment, making therapy necessary. Psychotherapy is recommended before pharmacotherapy.</p> Objective <p>The most effective psychotherapy programs for the treatment of PTSD, complex PTSD and the special features of comorbid mental disorders are described.</p> Material and methods <p>The results from meta-analyses, important original studies and the recommendations of national and international treatment guidelines are taken into account.</p> Results and conclusion <p>Trauma-focused psychotherapy is the first line treatment for PTSD. It has a&#xa0;high acceptance and demonstrates large effect sizes. The best outcomes have been found for prolonged exposure, cognitive processing therapy and eye movement desensitization and reprocessing. These therapies either focus primarily on changing the appraisal of the traumatic event and its consequences or more strongly on exposure to the memory or they combine both interventions. Trauma-focused therapy should also be used in patients with complex PTSD and comorbid mental disorders, such as psychosis and substance use disorders.</p>

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Traumafokussierte Psychotherapie der (komplexen) Posttraumatischen Belastungsstörung

  • 期刊论文

  • 发表日期：

    2025年12月3日

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  • Kathlen Priebe

摘要

Background

Posttraumatic stress disorder (PTSD) is a frequent disorder with a lifetime prevalence of approximately 4% that is associated with a significant impairment in the quality of life. It is particularly prevalent in clinical samples. Although there is a high rate of spontaneous remission within the first 6 months, PTSD tends to become chronic without treatment, making therapy necessary. Psychotherapy is recommended before pharmacotherapy.

Objective

The most effective psychotherapy programs for the treatment of PTSD, complex PTSD and the special features of comorbid mental disorders are described.

Material and methods

The results from meta-analyses, important original studies and the recommendations of national and international treatment guidelines are taken into account.

Results and conclusion

Trauma-focused psychotherapy is the first line treatment for PTSD. It has a high acceptance and demonstrates large effect sizes. The best outcomes have been found for prolonged exposure, cognitive processing therapy and eye movement desensitization and reprocessing. These therapies either focus primarily on changing the appraisal of the traumatic event and its consequences or more strongly on exposure to the memory or they combine both interventions. Trauma-focused therapy should also be used in patients with complex PTSD and comorbid mental disorders, such as psychosis and substance use disorders.