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DOI: 10.1055/s-0042-120578
Traumatisierung und Depression
Verantwortlicher Herausgeber dieser Rubrik: Prof. Dr. Fritz Hohagen, Lübeck
Publikationsverlauf
Publikationsdatum:
17. Juli 2017 (online)
Traumatisierung oder eine Vorgeschichte von belastenden Erfahrungen in der Kindheit finden sich bei bis zu 60% der Patienten mit einer depressiven Störung. Vermeidungsverhalten und fehlende Emotionsregulation beeinflussen dabei die interpersonellen Beziehungen der Patienten. Eine (traumabezogene) Verhaltenstherapie kann hier mit spezifischen Interventionen helfen.
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Bei mehr als der Hälfte der Patienten mit einer depressiven Störung finden sich belastende Ereignisse in der Kindheit oder eine Traumatisierung.
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Der Effekt von Traumatisierung und belastenden Kindheitsereignissen auf depressive Störungen wird vermutlich durch psychologische und psychobiologische Mechanismen vermittelt.
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Krisengenerierendes Verhalten führt zu weiteren belastenden Lebensereignissen.
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Traumabezogenes oder generalisiertes Vermeidungsverhalten führt zu Verstärkerdefiziten.
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Defizite in der Emotionsregulation führen zu mangelnder Bewältigung der Gegenwart.
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Defizite in der sozialen Kognition führen zur Aufrechterhaltung interpersoneller Konflikte.
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Grübel- und Sorgenprozesse interferieren mit einer angemessenen Handlungsplanung.
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Moderne verhaltenstherapeutische Methoden setzen entweder direkt an den traumatischen Erinnerungen und den daraus entstehenden Prozessen an oder adressieren die oben genannten vermittelnden Mechanismen.
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