Zusammenfassung
Patienten mit posttraumatischer Belastungsstörung (PTBS) weisen im Vergleich zu Traumatisierten ohne PTBS und im Vergleich zu Patienten mit anderen psychiatrischen Diagnosen zumeist höhere Dissoziationswerte auf. Ausgeprägte dissoziative Symptome finden sich bei einer Subgruppe von etwa 20 % der PTBS-Patienten. Diese Subgruppe konnte in epidemiologischen, experimentellen sowie neurobiologischen Untersuchungen differenziert werden und wurde als Subtyp der PTBS in das DSM-5 aufgenommen. Zu der Annahme, dass Dissoziation generell einen negativen Einfluss auf den Behandlungserfolg einer traumafokussierenden Behandlung hat, ist die Datenlage noch gering. Es finden sich jedoch erste Hinweise für ein differenzielles Ansprechen auf therapeutische Interventionen in Abhängigkeit vom Ausmaß der Dissoziation.
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Priebe, K., Schmahl, C., Stiglmayr, C. (2013). Posttraumatische Belastungsstörung. In: Dissoziation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35066-5_6
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