Gegenüber der ICD-10 sind die komplexe posttraumatische
Belastungsstörung sowie die anhaltende Trauerstörung in der
ICD-11 hinzugekommen, und die Anpassungsstörung wurde neu
konzeptualisiert. Diese Störungsbilder sind für die
Rehabilitation relevant – als Hauptdiagnosen in der Psychosomatik
und als Komorbidität in der somatischen Rehabilitation.
Abstract
Due to significant changes in the new ICD-11 classification, stress-related
disorders have advanced further into clinical and scientific focus. In
contrast to the ICD-10 classification, complex posttraumatic stress
disorder as well as prolonged grief have been established as independent
diagnoses. Additionally, the diagnostic criteria for adjustment disorder
were newly conceptualized and refined. Stress-related disorders have a
high relevance for out- and inpatient rehabilitation centers.
Posttraumatic stress disorder (PTSD) has a 1-year-prevalence in Germany
of 1–2%. Comorbidities such as depression or anxiety
disorders are common. PTSD may also result from physical illness and can
in turn complicate the course of the disease or even lead to
chronification of symptoms. The most effective treatment is a
trauma-focused psychotherapy, which usually takes place in an outpatient
setting. Psychosomatic inpatient rehabilitation is a valuable resource
in the treatment plan of PTSD. The optimal point is mostly following the
acute therapy when reintegration to work and social life is the aim. As
rehabilitation centers can provide a safe therapeutic setting for
patients, allowing them to open up about their trauma, it can pave the
way to a trauma focused treatment. Additionally, socio-medical aspects
of trauma-related disorders will be touched upon in this
overview.
Schlüsselwörter
posttraumatische Belastungsstörung - PTBS - Rehabilitation - komplexe Posttraumatische Belastungsstörung - Anpassungsstörung
Keywords
post-traumatic stress disorder - PTSD in rehabilitation clinics - rehabilitation - complex PTSD - Adjustment Disorder
