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Peritraumatische dissociatie:

acute reacties op schokkende gebeurtenissen en hun gevolgenPeritraumatische dissociatie

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samenvatting

Peritraumatische dissociatie verwijst naar uitingen van derealisatie, tijdsverstoring, depersonalisatie en verbijstering tijdens of direct na een schokkende gebeurtenis. Deze directe reacties blijken nauw samen te hangen met later optredende posttraumatische stress-stoornissen. Dit artikel biedt een overzicht van dit nieuwe onderzoeksveld en gaat daarbij ook in op de diagnose acute stress-stoornis, op heftige emoties als voorspeller van latere problematiek en op relevante meetinstrumenten.

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Referenties

  • apa (1994). Diagnostic and statistical manual of mental disorders, Fourth Edition – DSM-IV. Washington, DC: American Psychiatric Association.

  • Brom, D., & Kleber, R.J. (1985). De Schok Verwerkings Lijst. Nederlands Tijdschrift voor de Psychologie, 40, 164-168.

    Google Scholar 

  • Brom, D., Kleber, R.J., & Defares, P.B. (1986). Traumatische ervaringen en psychotherapie. Lisse: Swets & Zeitlinger.

    Google Scholar 

  • Bryant, R.A., & Harvey, A.G. (1997). Acute stress disorder: A critical review of diagnostic issues. Clinical Psychology Review, 17, 757-773.

    Article  CAS  PubMed  Google Scholar 

  • Carlier, I.V.E., Lamberts, R.D., Gersons, B.P.R., & Uchelen, A.J. van (1995). Het lange-termijneffect van debriefen: een vervolgonderzoek bij de Amsterdamse politie naar anleiding van de Bijlmerramp. Amsterdam: Academisch Medisch Centrum, Vakgroep Psychiatrie.

    Google Scholar 

  • Chemtob, C.M., Tomas, S., Law, W., & Cremniter, D. (1997). Postdisaster psychosocial intervention: A field study of the impact of debriefing on psychological distress. American Journal of Psychiatry, 154, 415-417.

    CAS  PubMed  Google Scholar 

  • Creamer, M. (1995). A cognitive processing formulation of posttrauma responses. In R.J. Kleber, C.R. Figley & B.P.R. Gersons (Eds.), Beyond trauma: Cultural and societal dynamics (pp.55-74). New York: Plenum Press.

    Google Scholar 

  • Ellemers, J.E. (1956). De Februari-ramp. Assen: Van Gorcum.

    Google Scholar 

  • Foa, E.B., Hearst-Ikeda, D., & Perry, K.J. (1995). Evaluation of a brief cognitive behavioral program for the prevention of chronic PTSD in recent assault victims. Journal of Consulting and Clinical Psychology, 63, 948-955.

    Article  CAS  PubMed  Google Scholar 

  • Fischer, G., Becker-Fischer, M., & Düchting, C. (1998). Neue Wege in der Hilfe für Gewaltopfer: Ergebnisse und Verfahrensvorschläge aus dem Kölner Opferhilfe Modell. Köln: Ministerium für Arbeit, Gesundheid und Soziales des Landes Nordrhein-Westfalen.

    Google Scholar 

  • Griffin, M.G., Resick, P.A., & Mechanic, M.B. (1997). Objective assessment of peritraumatic dissociation: Psychophysiological indicators. American Journal of Psychiatry, 154, 1081-1088.

    CAS  PubMed  Google Scholar 

  • Hart, O. van der (1995) (red.). Trauma, dissociatie en hypnose. Houten: Bohn Stafleu Van Loghum.

    Google Scholar 

  • Hart, O. van der, & Friedman, B. (1989). A reader's guide to Pierre Janet on dissociation: A neglected intellectual heritage. Dissociation, 2, 3-16.

    Google Scholar 

  • Hart, O. van der, Pop, V.J.M., Son, M.J.M. van, & Smittenberg, J. (1998). Giving birth: A happy or traumatic event? Voordracht 2nd Dutch Conference on psychology and health, Rolduc, Kerkrade, 25-27 mei.

  • Harvey, A.G., & Bryant, R.A. (1998). The relationship between acute stress disorder and posttraumatic stress disorder: A prospective evaluation of motor vehicle accident survivors. Journal of Consulting and Clinical Psychology, 66, 507-512.

    Article  CAS  PubMed  Google Scholar 

  • Holen, A. (1993). The North Sea oil rig disaster. In J.P. Wilson & B. Raphael (Eds.), International handbook of traumatic stress syndromes (pp. 471-478). New York: Plenum Press.

    Google Scholar 

  • Horowitz, M.J., Wilner, N., & Alvarez, W. (1979). Impact of event scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209-218.

    CAS  PubMed  Google Scholar 

  • Kardiner, A. (1941). The traumatic neuroses of war. New York: Paul Hoeber.

    Book  Google Scholar 

  • Kleber, R.J. (1996). Traumatische ervaringen: gevolgen, verwerking en hulpverlening. In: P. van Splunteren et al. (Red.), Handboek Maatschappelijk Werk Methodiek (pp. D 1015 1-29). Houten: Bohn Stafleu Van Loghum.

    Google Scholar 

  • Kleber, R.J., & Brom, D. (1989). Incidentie van posttraumatische stress-stoornissen na frontervaringen, geweldsmisdrijven, ongevallen en rampen. Tijdschrift voor Psychiatrie, 31(10), 675-691.

    Google Scholar 

  • Kleber, R.J., & Brom, D., in collaboration with Defares, P.B. (1992). Coping with trauma: Theory, prevention and therapy. Amsterdam/Lisse: Swets & Zeitlinger Publishers.

    Google Scholar 

  • Kleber, R.J., Mittendorff, C., & Hart, O. van der (1997). Posttraumatische stress. In: W. Everaert et al. (red.), Handboek Klinische Psychologie (pp. D 2000 1-30). Houten: Bohn Stafleu Van Loghum.

    Google Scholar 

  • Kolk, B.A. van der, & Hart, O. van der (1989). Pierre Janet and the breakdown of adaptation in psychological trauma. American Journal of Psychiatry, 146, 1530-1540.

    PubMed  Google Scholar 

  • Kolk, B.A. van der, Hart, O. van der, & Marmar, C.R. (1996). Dissociation and information processing in posttraumatic stress disorder. In: B. van der Kolk, A.C. McFarlane & L. Weisaeth (Eds.), Traumatic stress (pp. 303-330). New York: Guilford Press.

    Google Scholar 

  • Koopman, C., Classen, C., & Spiegel, D. (1994). Predictors of posttraumatic stress symptoms among survivors of the Oakland/Berkeley, Calif., firestorm. American Journal of Psychiatry, 151, 888-894.

    CAS  PubMed  Google Scholar 

  • Marmar, C.R., Foy, D., Kagan, B., & Pynoos, R.S. (1993). An integrated approach for treating post-traumatic stress. American Psychiatric Press Review of Psychiatry, 12, 239-272.

    Google Scholar 

  • Marmar, C.R., Weiss, D.S., & Metzler, T.J. (1997). The peritraumatic dissociative experiences questionnaire. In: J.P. Wilson & T.M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 412-428). New York: The Guilford Press.

    Google Scholar 

  • Marmar, C.R., Weiss, D.S., Metzler, T.J., & Delucchi, K. (1996). Characteristics of emergency services personnel related to peritraumatic dissociation during critical incident exposure. American Journal of Psychiatry, 153, 94-102

    CAS  PubMed  Google Scholar 

  • Marmar, C.R., Weiss, D.S., Schlenger, W.E., Fairbank, J.A., Jordan, K., Kulka, R.A., & Hough, R.L. (1994). Peritraumatic dissociation and posttraumatic stress disorder in male Vietnam theater veterans. American Journal of Psychiatry, 151, 902-907.

    CAS  PubMed  Google Scholar 

  • Mitchell, J.T., & Everly, G.S. (1995). Critical Incident Stress Debriefing (CISD) and the prevention of work-related traumatic stress among high risk occupational groups. In: G.S. Everly & J.M. Lating (Eds.), Psychotraumatology: key papers and core concepts in post-traumatic stress (pp. 267-280). New York: Plenum Press.

    Google Scholar 

  • Moleman, N., Hart, O. van der, & Kolk, B.A. van der (1992). The partus stress reaction: A neglected etiological factor in post-partum psychiatric disorders. Journal of Nervous and Mental Disease, 180, 271-272.

    Article  CAS  PubMed  Google Scholar 

  • Noyes, R., Hoenk, P.R., Kuperman, S., & Slymen, D.J. (1977). Depersonalization in accident victims and psychiatric patients. Journal of Nervous and Mental Disease, 164, 401-407.

    Article  PubMed  Google Scholar 

  • Ploeg, H.M. van der, & Kleijn, W.C. (1989). Being held hostage in The Netherlands: A study of long-term aftereffects. Journal of Traumatic Stress, 2, 153-171.

    Article  Google Scholar 

  • Raphael, B., Meldrum, L., & McFarlane, A.C. (1995). Does debriefing after psychological trauma work? British Medical Journal, 310, 1479-1480.

    CAS  PubMed  Google Scholar 

  • Shalev, A.Y., Peri, T., Canetti, L., & Schreiber, S. (1996). Predictors of ptsd in injured trauma survivors: A prospective study. American Journal of Psychiatry, 153, 219-225.

    CAS  PubMed  Google Scholar 

  • Solomon, Z. (1993). Combat stress reaction: The enduring toll of war. New York: Plenum Press.

    Google Scholar 

  • Solomon, Z., & Mikulincer, M. (1998). From CSR to PTSD: A three year longitudinal study. Medical Corps, Department of Mental Health, The Israel Defence Forces.

  • Spiegel, D., & Cardeña, E. (1991). Disintegrated experience: The dissociative disorders revisited. Journal of Abnormal Psychology, 100, 366-378.

    Article  CAS  PubMed  Google Scholar 

  • Swank, R.L. (1949). Combat exhaustion. Journal of Nervous and Mental Disease, 109, 475-508.

    Article  CAS  PubMed  Google Scholar 

  • Tichenor, V., Marmar, C.R., Weiss, D.S., Metzler, T.J., & Ronfeldt, H.M. (1996). The relationship of peritraumatic dissociation and posttraumatic stress: Findings in female Vietnam theatre veterans. Journal of Consulting and Clinical Psychology, 64, 1054-1059

    Article  CAS  PubMed  Google Scholar 

  • Velden, P.G. van der, Burg, S. van der, Steinmetz, C.H.D., & Bout, J. van den (1992). Slachtoffers van bankovervallen. Houten: Bohn Stafleu Van Loghum.

    Google Scholar 

  • Velden, P.G. van der, & Kleber, R.J. (1997). Een traumatische vakantie: een onderzoek naar slachtoffers van een scheepsramp. Gedrag & Gezondheid, 25, 176-189.B

    Google Scholar 

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    Rolf Kleber

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  1. Rolf Kleber
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  2. Onno van der Hart
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Prof. Dr. R.J. Kleber is verbonden aan de Universiteit Utrecht, de Katholieke Universiteit Brabant en het Instituut voor Psychotrauma. Correspondentieadres: Klinische Psychologie, Universiteit Utrecht, Heidelberglaan 1, 3584 CS Utrecht.

Prof. Dr. O. van der Hart is verbonden aan de riagg Zuid/Nieuw West Amsterdam, de Universiteit Utrecht en het Cats-Polm Instituut.

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Kleber, R., van der Hart, O. Peritraumatische dissociatie:. DITH 18, 136–144 (1998). https://doi.org/10.1007/BF03060200

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