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Kapfhammer, HP.
Concepts for psychotherapy of acute and posttraumatic stress disorders
NERVENHEILKUNDE. 2008; 27(1-2): 28-+.
Doi: 10.1055/s-0038-1627107
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- Leading authors Med Uni Graz
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Kapfhammer Hans-Peter
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- Abstract:
- Acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) are frequent, but not obligatory psychological sequelae following major trauma. The typical psychopathologicol symptoms of ASD and PTSD are best described within a multifactorial model integrating both neurobiological and psychosocial influences. Psychodynamic and above all cognitive-behavioral models serve as important rationale for disorder-specific psychotherapeutic approaches. Psychotherapeutic interventions have to be separately evaluated as general preventive strategy during the immediate posttraumatic aftermath, as early intervention with high risk persons showing signs of ASD, and as treatment of patients with PTSD. In a critical survey on empirical studies, psychological debriefing cannot be considered as a positive approach to be recommended as general preventive measure during the immediate posttraumatic phase. There ore some empirical data demonstrating positive effects of cognitive-behavioral interventions in ASD, of psychodynamic psychotherapy, cognitive-behavioral therapy, and EMDR in the treatment of PTSD. Major clinical restrictions of patient sampling within special research facilities, however, do not allow an unconditional generalization of these data to psychiatric routine care.
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acute stress disorder
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posttraumatic stress disorder
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psychotherapy
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psychological debriefing
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cognitive-behavioral therapy
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psychodynamic psychotherapy
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EMDR