title: [Sequential traumatization, trauma-related disorders and psychotherapeutic approaches in war-traumatized adult refugees and asylum seekers in Germany].
abstract: The impact of war and violence on the mental and physical health of the civilian population is immense. Traumatization is often experienced sequentially, which leads to a higher risk for developing trauma-related disorders (PTSD, depression, chronic pain).Refugees traumatized by war experience specific stressors related to their status of residence (e. g., application hearing, length of the asylum procedure). Together with limited access to health care, these constitute additional risk factors for developing somatic and psychological illnesses.Adequate treatment for this highly vulnerable group requires a multimodal approach facilitated by translators. According to the S3 guidelines (S3-Richtlinien), trauma-adapted psychotherapeutic treatment has to be complemented by the activities of social workers, by medical treatment, and by legal advice.
authors.affiliation: Klinische Psychologie und Psychotherapie, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Deutschland. m.boettche@bzfo.de.|Behandlungszentrum für Folteropfer e. V., Berlin, Deutschland. m.boettche@bzfo.de.
authors.forename: Maria
authors.initials: M
authors.lastname: Böttche
authors.affiliation: Klinische Psychologie und Psychotherapie, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Deutschland.|Behandlungszentrum für Folteropfer e. V., Berlin, Deutschland.
authors.forename: Carina
authors.initials: C
authors.lastname: Heeke
authors.affiliation: Klinische Psychologie und Psychotherapie, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Deutschland.
authors.forename: Christine
authors.initials: C
authors.lastname: Knaevelsrud
mesh_terms: D003130:Combat Disorders / Q000523:psychology* / Q000628:therapy*; D005858:Germany; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D011613:Psychotherapy / Q000379:methods / Q000458:organization & administration*; D011635:Public Health Administration / Q000379:methods; D012036:Refugees / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology* / Q000628:therapy*; D014104:Torture / Q000523:psychology
keywords: Posttraumatic stress disorder; Psychotherapy; Refugees; Torture victims; War