Therapie-Evaluation einer stationären Gruppe «Traumabewältigung» innerhalb der psychosomatischen Behandlung und Rehabilitation von Patientinnen mit chronischer PTB

Abstract

Given the high rates of both traumatic events and of resulting posttraumatic stress disorder (PTSD) it is imperative to develop and to evaluate efficacious and cost-effective treatment for these individuals. The clinic for behavioral medicine St. Franziska Stift in Bad Kreuznach, Germany, offers group treatment for traumatized inpatients who suffer from chronic PTSD. The group-therapy is based on cognitive processing therapy (CPT) originally developed by Resick and Schnicke (1993). This approach has been modified according to the demands of an inpatient treatment program and is conducted in a manualized approach by trained clinicians. The format and the therapeutic goals of that group are described. The treatment undergoes evaluation at the moment. 55 inpatients have been treated in the group so far. All but one patient have been severely sexually traumatized either in childhood, adulthood or at several stages in life. All patients suffer from PTB and a high comorbidity of mental disorder. The severity of PTB is assessed before, after group treatment and in a 3-month follow up. Dysfunctional beliefs that are affected by traumatization according to CPT are assessed before and after treatment. Results of 52 patients (pre and post assessment) and 42 patients (katamnestic data) are presented. Results indicate that PTSD declines significantly, furthermore dysfunctional beliefs that are targeted in the treatment change to more functional beliefs. Critical issues that occur in the treatment and difficulties in implementing inpatient treatment for multiple assault victims are discussed.