scholarly journals Pszichológiai intervenciók traumatikus események után a poszttraumás stressz zavar megelőzésére. Szisztematikus irodalmi áttekintés

2015 ◽  
Vol 156 (33) ◽  
pp. 1321-1334 ◽  
Author(s):  
Kinga Edit Fodor ◽  
István Bitter
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Current Status ◽  
Psychological Interventions ◽  
Cognitive Behavior ◽  
Negative Consequences ◽  
Targeted Interventions ◽  
Effective Interventions ◽  
Research Findings

Introduction: Because of the high prevalence of exposure to traumatic events and its negative consequences on mental health, the importance of effective interventions to prevent posttraumatic stress disorder has been emphasized. Aim: The authors wanted to evaluate the current status of evidence regarding early psychological interventions after traumatization. Method: A search was conducted in ProQuest PILOTS, PubMed, and Web of Science for early psychological interventions that were published between 2005 and 2015. Results: Twenty-one trials were identified, of which 6 presented immediate interventions (within 72 hours) and the rest early interventions within the first month. Based on these research findings immediate interventions are not effective, whilst multi-session cognitive behavior therapies could be effective in symptom reduction. Conclusions: Multi-session cognitive behavior therapy is preferred over immediate one session interventions especially over debriefing. A natural decline of symptoms was observed among controls and, therefore, targeted interventions are recommended only for people with higher risk for developing subsequent posttraumatic stress disorder. Orv. Hetil., 2015, 156(33), 1321–1334.

scholarly journals Pharmacotherapy of 1,044 inpatients with posttraumatic stress disorder: current status and trends in German-speaking countries

2020 ◽  
Author(s):  
Matthias A. Reinhard ◽  
Johanna Seifert ◽  
Timo Greiner ◽  
Sermin Toto ◽  
Stefan Bleich ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Treatment Options ◽  
Psychiatric Inpatient ◽  
Primary Diagnosis ◽  
Current Status ◽  
German Speaking ◽  
Inpatient Settings ◽  
Prescription Rates

AbstractPosttraumatic stress disorder (PTSD) is a debilitating psychiatric disorder with limited approved pharmacological treatment options and high symptom burden. Therefore, real-life prescription patterns may differ from guideline recommendations, especially in psychiatric inpatient settings. The European Drug Safety Program in Psychiatry (“Arzneimittelsicherheit in der Psychiatrie”, AMSP) collects inpatients’ prescription rates cross-sectionally twice a year in German-speaking psychiatric hospitals. For this study, the AMSP database was screened for psychiatric inpatients with a primary diagnosis of PTSD between 2001 and 2017. N = 1,044 patients with a primary diagnosis of PTSD were identified with 89.9% taking psychotropics. The average prescription rate was 2.4 (standard deviation: 1.5) psychotropics per patient with high rates of antidepressant drugs (72.0%), antipsychotics drugs (58.4%) and tranquilizing drugs (29.3%). The presence of psychiatric comorbidities was associated with higher rates of psychotropic drug use. The most often prescribed substances were quetiapine (24.1% of all patients), lorazepam (18.1%) and mirtazapine (15.0%). The use of drugs approved for PTSD was low (sertraline 11.1%; paroxetine 3.7%). Prescription rates of second-generation antipsychotic drugs increased, while the use of tranquilizing drugs declined over the years. High prescription rates and extensive use of sedative medication suggest a symptom-driven prescription (e.g., hyperarousal, insomnia) that can only be explained to a minor extent by existing comorbidities. The observed discrepancy with existing guidelines underlines the need for effective pharmacological and psychological treatment options in psychiatric inpatient settings.

Overwhelming Grief in a Traumatized World: Evolving Perspectives in Treatment

2007 ◽  
Vol 15 (4) ◽  
pp. 297-314 ◽  
Author(s):  
Diane A. Kempson
Keyword(s):  
Health Care ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Complex Ptsd ◽  
Treatment Interventions ◽  
Traditional Treatment ◽  
Health Care Practitioners ◽  
Effective Interventions ◽  
Morbid Conditions

Treatment of complex posttraumatic stress disorder (PTSD), often associated with co-morbid conditions, has been insufficiently studied and somewhat resistant to traditional treatment interventions. More recent research in the neurobiology of PTSD offers illumination in understanding reasons for such intractability. Neuroscience studies suggest possible reasons for the inabilities of persons with complex PTSD to verbalize their experiences. As a result, health care practitioners are challenged to find more effective interventions in these situations and to stay abreast of the newest research. The author reviews empirical findings of alternative/complementary interventions with a specific focus on body-oriented therapies in facilitating return to normal neurobiological functioning, thereby enhancing efficacy of “talk” therapies in resolution of PTSD.

The Impact of Psychological Interventions on Posttraumatic Stress Disorder and Pain Symptoms

2019 ◽  
Vol 35 (8) ◽  
pp. 703-712 ◽  
Author(s):  
Ellen Goldstein ◽  
Christina McDonnell ◽  
Rachel Atchley ◽  
Kathleen Dorado ◽  
Carter Bedford ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Psychological Interventions ◽  
Pain Symptoms ◽  
The Impact

scholarly journals The Perceptions of Trauma, Complaints, Somatization, and Coping Strategies among Syrian Refugees in Germany—A Qualitative Study of an At-Risk Population

2020 ◽  
Vol 17 (3) ◽  
pp. 693
Author(s):  
Ali Zbidat ◽  
Ekaterini Georgiadou ◽  
Andrea Borho ◽  
Yesim Erim ◽  
Eva Morawa
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Coping Strategies ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Qualitative Content Analysis ◽  
Coping Resources ◽  
Syrian Refugees ◽  
Targeted Interventions ◽  
War Experiences ◽  
And Coping

Background: A high prevalence of mental distress, especially posttraumatic stress disorder, has been widely confirmed among refugees. In order to establish adequate interventions in psychotherapy, however, it must first be examined whether refugees have similar ideas and concepts of stress, trauma, and healing. This study, therefore, aimed to analyze the representations of trauma, self-reported complaints, indications of somatization, and coping strategies among a refugee population. Methods: Semi-structured interviews based on the Cultural Formulation Interview (CFI) of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) were conducted with Syrian refugees who have residence permission in Germany. The interviews were audio-recorded, transcribed, and analyzed according to the qualitative content analysis of Mayring. The foci of interest were determined on the basis of the predefined interview guideline, and inductive subcategories were extracted from the transcripts. Results: Sixteen refugees participated (50% women; mean age: 35.5 years, SD = 11.2; the mean duration of stay in Germany: 23.3 months, SD = 6.6). War experiences were the most frequently reported subjective perceptions of trauma. Frequently reported complaints included sleeping disturbance, cardiovascular symptoms, rumination, and pain. Among half of the participants, we found indications of somatization. We identified the following coping strategies: Activity, cognitive coping, social coping, religious coping, avoidance, and emotional coping. Conclusions: War-related traumatic events are the most common trauma perceptions among Syrian refugees. The self-reported complaints demonstrate somatoform, depressive, and posttraumatic symptoms. Syrian refugees should be screened for somatization, depression, and posttraumatic stress disorder and should receive targeted interventions that consider and support individual coping resources.

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