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Critical Analysis of the Current Treatment Guidelines for Complex PTSD in Adults


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De Jongh, Ad ; Resick, Patricia A. ; Zoellner, Lori A. ; van Minnen, Agnes ; Lee, Christopher W. ; Monson, Candice M. ; Foa, Edna B. ; Wheeler, Kathleen ; ten Broeke, Erik ; Feeny, Norah ; Rauch, Sheila A. M. ; Chard, Kathleen M. ; Mueser, Kim T. ; Sloan, Denise M. ; van der Gaag, Mark ; Olasov Rothbaum, Barbara ; Neuner, Frank ; de Roos, Carlijn ; Hehenkamp, Lieve M. J. ; Rosner, Rita ; Bicanic, Iva A. E.:
Critical Analysis of the Current Treatment Guidelines for Complex PTSD in Adults.
In: Depression and Anxiety. 33 (2016) 5. - S. 359-369.
ISSN 1091-4269 ; 1520-6394


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According to current treatment guidelines for Complex PTSD (cPTSD), psychotherapy for adults with cPTSD should start with a “stabilization phase.” This phase, focusing on teaching self-regulation strategies, was designed to ensure that an individual would be better able to tolerate trauma-focused treatment. The purpose of this paper is to critically evaluate the research underlying these treatment guidelines for cPTSD, and to specifically address the question as to whether a phase-based approach is needed. As reviewed in this paper, the research supporting the need for phase-based treatment for individuals with cPTSD is methodologically limited. Further, there is no rigorous research to support the views that: (1) a phase-based approach is necessary for positive treatment outcomes for adults with cPTSD, (2) front-line trauma-focused treatments have unacceptable risks or that adults with cPTSD do not respond to them, and (3) adults with cPTSD profit significantly more from trauma-focused treatments when preceded by a stabilization phase. The current treatment guidelines for cPTSD may therefore be too conservative, risking that patients are denied or delayed in receiving conventional evidence-based treatments from which they might profit.

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Schlagwörter:treatment guidelines;PTSD;complex PTSD;phase-based treatment;stabilization
Institutionen der Universität:Philosophisch-Pädagogische Fakultät > Psychologie > Psychologie I - Lehrstuhl für Biologische und Klinische Psychologie
DOI / URN / ID:10.1002/da.22469
Titel an der KU entstanden:Nein
Eingestellt am: 11. Mai 2016 07:43
Letzte Änderung: 07. Feb 2019 15:31
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