Diagnostik einfacher und komplexer posttraumatischer St�rungen im Erwachsenenalter

Kunzke, Dieter; Güls, Frank

doi:10.1007/s00278-002-0279-9

Cited by 20 publications

(2 citation statements)

References 92 publications

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“…Zwar gibt es das Interview zur Komplexen Posttraumatischen Belastungsstörung (IK-PTBS [13]), doch ist es nicht unproblematisch, da einige nicht optimale psychometrische Indizes gefunden wurden und Abweichungen vom ursprünglichen Inventar bestehen [13][14][15]. Weiter ist es ein Fremdbeurteilungs-Instrument und somit zeitintensiv.…”

Section: Im Neu Erschienenen Diagnostic and Statistical Manual Of Mentalunclassified

Validierung der deutschen Übersetzung des revidierten Trauma Symptom Inventory (TSI-2) zur Erfassung komplexer posttraumatischer Belastungssymptomatik

Krammer

Grossenbacher

Goldstein

et al. 2017

Psychother Psych Med

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The study aimed to validate the German version of the revised Trauma Symptom Inventory (TSI-2) by John Briere. TSI-2 assesses complex posttraumatic stress symptoms. In order to validate it, further instruments were applied, namely the Adverse Childhood Experience Scale, the CIDI list, the revised Impact of Event-Scale, the interview for complex posttraumatic stress disorder, the revised symptom checklist 90, the dissociative experiences scale, the inventory for interpersonal problems, and the self-efficacy questionnaire. The participants were N=100 traumatized psychiatric in-patients of a psychiatric hospital localized in the German-speaking part of Switzerland. The sample consisted of N=42 women. The study design was longitudinal with 2 assessments. The second assessment took place 4 weeks after the first, in order to investigate retest reliability. Here, N=17 patients participated, of whom N=8 were women. Regarding the results, on average, 3.5 aversive or traumatic experiences during childhood were reported, and 2,1 during adulthood. The diagnosis of (classical) PTSD was estimated at 33%. The results indicate that TSI-2 is both reliable and valid with respect to different criteria: Most scales and subscales of the TSI-2 showed acceptable to very good internal consistencies (α from 0.73 to 0.95) as well as good discriminatory power, and an acceptable retest reliability. Results also indicate good divergent and convergent construct validity as well as good criterion validity. It was not possible to replicate the 4-factor-model presented by the original author of the TSI-2. Instead, in line with the study that validated the German translation of the first version of the TSI-1, a 2-factor-model was found. There were gender differences regarding the TSI-2 scales with higher posttraumatic stress symptoms in women. In conclusion, there is evidence that indicates that the German translation of the TSI-2 is a reliable and valid instrument for the assessment of complex posttraumatic stress symptoms.

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Section: Im Neu Erschienenen Diagnostic and Statistical Manual Of Mentalunclassified

Validierung der deutschen Übersetzung des revidierten Trauma Symptom Inventory (TSI-2) zur Erfassung komplexer posttraumatischer Belastungssymptomatik

Krammer

Grossenbacher

Goldstein

et al. 2017

Psychother Psych Med

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“…The diagnosis of PTSD does not result from life experiences, but from cross-sectional findings such as "intrusions" or "flashbacks," that is, sudden dissociative reliving of a situation, which should not be confused with stressful memories or feelings of unhappiness due to earlier life events, such as a divorce [Breslau et al, 1991;Kessler et al, 1995;Kunzke and Güls, 2003;Harder and Tschan, 2004;Nyberg, 2005;Sack, 2005;Kröger et al, 2010;Hecker and Maercker, 2015]. A diagnosis according to ICD-10 requires persistent symptoms after "an event or occurrence of extraordinary threat or catastrophic magnitude" no longer than 6 months previously.…”

Section: Introductionmentioning

confidence: 99%

Conceptualization of Stress-Related Disorders and PTSD by Cognitive Behavior Therapists

Lindauer

Muschalla

2023

Verhaltenstherapie

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Background: Many people experience stressful life events like social conflicts, accidents, or physical violence. Some develop post-traumatic stress disorders (PTSD) thereafter. A diagnostic problem is the differentiation between causal stressful events, occasional causes, pseudo-causes or retrospective reinterpretations. This study investigates how often the diagnosis PTSD is mentioned in outpatient behavioral therapy patients, and which causes, findings, and therapeutic measures are reported. Patients and Method: In 1,480 behavioral therapy case reports the assignment of the diagnosis PTSD was explored. Cases with PTSD (N = 106) were compared with other cases without PTSD (N = 95). Results: In 7.16% the diagnosis PTSD was given. In both groups 90% reported earlier stressful experiences. In only 17% of the PTSD cases an “extraordinary threat of catastrophic proportions” was reported. In a quarter, the trauma assumption was based only on therapist or patient suggestions. Dissociative symptoms or intrusion were described only in the PTSD cases. Discussion: The data suggest that (a) almost all patients report stressful experiences, (b) the diagnosis of PTSD is given only in a limited number of patients, (c) in PTSD cases, intrusion and dissociation are reported only in a minority of cases, and (d) in PTSD cases, the full spectrum of exposure techniques is mentioned. Conclusion: Stress-associated disorders need precise description and differentiation.

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Psychotherapy with Immigrants and Refugees from Crisis Zones

Joksimović

Schröder

Keuk³

2015

Trauma and Migration

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Diagnostik einfacher und komplexer posttraumatischer St�rungen im Erwachsenenalter

Cited by 20 publications

References 92 publications

Validierung der deutschen Übersetzung des revidierten Trauma Symptom Inventory (TSI-2) zur Erfassung komplexer posttraumatischer Belastungssymptomatik

Validierung der deutschen Übersetzung des revidierten Trauma Symptom Inventory (TSI-2) zur Erfassung komplexer posttraumatischer Belastungssymptomatik

Conceptualization of Stress-Related Disorders and PTSD by Cognitive Behavior Therapists

Psychotherapy with Immigrants and Refugees from Crisis Zones

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