[Dialectical behavioral therapy for complex posttraumatic stress disorder (DBT-PTSD): an evidence-based disorder-specific treatment program].

التفاصيل البيبلوغرافية
العنوان:	[Dialectical behavioral therapy for complex posttraumatic stress disorder (DBT-PTSD): an evidence-based disorder-specific treatment program].
عنوان ترانسليتريتد:	Dialektisch behaviorale Therapie für komplexe posttraumatische Belastungsstörung (DBT-PTBS): ein evidenzbasiertes störungsspezfisches Behandlungsprogramm.
المؤلفون:	Bohus M; Klinik für Psychosomatik und Psychotherapeutische Medizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, J5, 68159, Mannheim, Deutschland. martin.bohus@zi-mannheim.de.; McLean Hospital, Harvard Medical School, Boston, MA, USA. martin.bohus@zi-mannheim.de.; Forschungs- und Behandlungszentrum für Psychische Gesundheit, Abteilung für Klinische Psychologie und Psychotherapie, Ruhr Universität Bochum, Bochum, Deutschland. martin.bohus@zi-mannheim.de., Vonderlin R; Klinik für Psychosomatik und Psychotherapeutische Medizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, J5, 68159, Mannheim, Deutschland.
المصدر:	Der Nervenarzt [Nervenarzt] 2024 Jul; Vol. 95 (7), pp. 630-638. Date of Electronic Publication: 2024 Jun 14.
نوع المنشور:	English Abstract; Journal Article
اللغة:	German
بيانات الدورية:	Publisher: Springer Verlag Country of Publication: Germany NLM ID: 0400773 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-0407 (Electronic) Linking ISSN: 00282804 NLM ISO Abbreviation: Nervenarzt Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Berlin : Springer Verlag
مواضيع طبية MeSH:	Dialectical Behavior Therapy/methods , Evidence-Based Medicine , Stress Disorders, Post-Traumatic/therapy , Stress Disorders, Post-Traumatic/psychology, Adolescent ; Child ; Humans ; Cognitive Behavioral Therapy/methods ; Evidence-Based Practice ; Germany
مستخلص:	Dialectical behavioral therapy for complex posttraumatic stress disorders (DBT-PTSD) is a modular treatment program that was developed at the Central Institute for Mental Health at the University of Heidelberg, Germany in 2005-2021. DBT-PTSD is designed to meet the needs of patients with complex PTSD related to sexual or physical trauma in childhood and adolescence. It is specifically designed for patients suffering from severe emotional dysregulation, persistent self-injury, chronic suicidal ideation, severe dissociative symptoms and a markedly negative self-concept with a high level of guilt, shame, self-loathing and interpersonal problems. To address these different core symptoms, DBT-PTSD combines evidence-based therapeutic strategies: principles, rules, and skills of DBT, trauma-specific cognitive and exposure-based techniques, imaginative interventions and procedures for behavioral change. The treatment program is designed to be carried out in an outpatient (45 weeks) or residential (12 weeks) setting. The results from two randomized controlled trials showed large effect sizes across very different symptom domains and a significant superiority of DBT-PTSD over Cognitive Processing Therapy (CPT). Based on these results, DBT-PTSD is currently a promising evidence-based treatment program for all features of a complex PTSD after sexual abuse in childhood and adolescence. (© 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)
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فهرسة مساهمة:	Keywords: Efficacy; Modular treatment program; Sexual abuse; Trauma-related self-concept; Trauma-therapeutic techniques Local Abstract: [Publisher, German] Die dialektisch behaviorale Therapie für komplexe posttraumatische Belastungsstörungen (DBT-PTBS) ist ein modulares Behandlungsprogramm, das am Zentralinstitut für Seelische Gesundheit (ZI) der Universität Heidelberg in den Jahren 2005 bis 2021 entwickelt wurde. DBT-PTBS ist auf die Bedürfnisse von PatientInnen mit komplexer PTBS nach sexueller oder körperlicher Traumatisierung in der Kindheit und Jugend ausgerichtet. Sie wurde speziell für Betroffene konzipiert, die unter schweren Problemen der Emotionsregulation, anhaltenden Selbstverletzungen, chronischen Suizidgedanken sowie schweren dissoziativen Symptomen leiden und dabei ein ausgeprägtes negatives Selbstkonzept mit einem hohen Maß an Schuld, Scham, Selbstverachtung und zwischenmenschlichen Problemen zeigen. Um diese sehr unterschiedlichen Kernbereiche zu behandeln, kombiniert die DBT-PTBS evidenzbasierte therapeutische Strategien: Prinzipien, Regeln und Fertigkeiten der DBT, traumaspezifische kognitive und expositionsbasierte Techniken sowie imaginative Interventionen und Verfahren zur Verhaltensänderung. Das Behandlungsprogramm ist so konzipiert, dass es sowohl ambulant (45 Wochen) als auch stationär (12 Wochen) durchgeführt werden kann. Ergebnisse aus zwei randomisiert-kontrollierten Studien zeigen große Effektstärken auf unterschiedlichste Symptombereiche sowie eine signifikante Überlegenheit von DBT-PTBS im Vergleich zur „Cognitive Processing Therapy“ (CPT). Aufgrund dieser Ergebnisse ist die DBT-PTBS ein vielversprechendes evidenzbasiertes Behandlungsprogramm für alle Merkmale einer komplexen PTBS nach sexuellem Missbrauch in der Kindheit und Jugend.
تواريخ الأحداث:	Date Created: 20240614 Date Completed: 20240703 Latest Revision: 20240705
رمز التحديث:	20240706
DOI:	10.1007/s00115-024-01680-y
PMID:	38874612
قاعدة البيانات:	MEDLINE

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تدمد:	1433-0407
DOI:	10.1007/s00115-024-01680-y