title: [Psychological treatment of posttraumatic stress disorder after sexual abuse: an overview].
abstract: There is an ongoing debate how to treat posttraumatic stress disorder related to childhood sexual abuse. In Germany patients mostly receive a psychodynamically oriented treatment with a long-lasting stabilization before the use of exposure-based interventions. The number of randomized controlled trials on posttraumatic stress disorder related to childhood sexual abuse is quite limited. The results of these studies show that cognitive-behavioral trauma-focussing interventions are very efficacious with large effect sizes. 2 controlled studies on psychodynamically oriented treatment found only small improvements in posttraumatic symptoms. The high dropout rates in prolonged exposure especially in patients with co-occurring personality disorders point towards the need of a emotion regulation training before the exposure phase. Future studies should include subgroup-analyses and the assessment of adverse effects during therapy.
authors.affiliation: Zentralinstitut für Seelische Gesundheit, Klinik für Psychosomatik und Psychotherapeutische Medizin, Mannheim.
authors.forename: Kathlen
authors.initials: K
authors.lastname: Priebe
authors.forename: Regina
authors.initials: R
authors.lastname: Steil
authors.forename: Nikolaus
authors.initials: N
authors.lastname: Kleindienst
authors.forename: Anne S
authors.initials: AS
authors.lastname: Dyer
authors.forename: Antje
authors.initials: A
authors.lastname: Krüger
authors.forename: Martin
authors.initials: M
authors.lastname: Bohus
mesh_terms: D000328:Adult; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D004325:Dreams / Q000523:psychology; D005260:Female; D005858:Germany; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D010352:Patient Dropouts; D010554:Personality Disorders / Q000150:complications / Q000523:psychology; D016032:Randomized Controlled Trials as Topic; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy*; D014930:Women