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Nervenarzt. 2024 Jun 14. doi: 10.1007/s00115-024-01680-y. Online ahead of print.
ABSTRACT
Dialectical behavioral therapy for complex posttraumatic stress disorders (DBT-PTSD) is a modular treatment program that was developed at the Central Institute for Mental Health at the University of Heidelberg, Germany in 2005-2021. DBT-PTSD is designed to meet the needs of patients with complex PTSD related to sexual or physical trauma in childhood and adolescence. It is specifically designed for patients suffering from severe emotional dysregulation, persistent self-injury, chronic suicidal ideation, severe dissociative symptoms and a markedly negative self-concept with a high level of guilt, shame, self-loathing and interpersonal problems. To address these different core symptoms, DBT-PTSD combines evidence-based therapeutic strategies: principles, rules, and skills of DBT, trauma-specific cognitive and exposure-based techniques, imaginative interventions and procedures for behavioral change. The treatment program is designed to be carried out in an outpatient (45 weeks) or residential (12 weeks) setting. The results from two randomized controlled trials showed large effect sizes across very different symptom domains and a significant superiority of DBT-PTSD over Cognitive Processing Therapy (CPT). Based on these results, DBT-PTSD is currently a promising evidence-based treatment program for all features of a complex PTSD after sexual abuse in childhood and adolescence.
PMID:38874612 | DOI:10.1007/s00115-024-01680-y
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Dialectical behavioral therapy for complex posttraumatic stress disorder (DBT-PTSD): an evidence-based disorder-specific treatment program
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Posttraumatic stress disorder (PTSD) and complex PTSD in eating disorder treatment-seekers: Prevalence and associations with symptom severity Effectiveness of Dialectical Behavior Therapy (DBT) in a Forensic Psychiatric Hospital Longitudinal changes in the PTSD symptom network following trauma-focused treatment in military populations: Identifying central symptoms and the role of military sexual trauma Spirituality/Religion Among First Responders With and Without Posttraumatic Stress Disorder and Alcohol Misuse Skills training followed by either EMDR or narrative therapy for posttraumatic stress disorder in adult survivors of childhood abuse: a randomized controlled trial Healing wounded trees: clinicians' perspectives on treatment of complex posttraumatic stress disorder A Combined Kundalini Yoga and Cognitive Behavioral Therapy Program for Posttraumatic Stress Disorder: A Pilot Study A Combined Kundalini Yoga and Cognitive Behavioral Therapy Program for Posttraumatic Stress Disorder: A Pilot Study Meta-emotion therapy for complex trauma and binge eating: A case study When one tool is not enough: An integrative psychotherapeutic approach to treating complex PTSD Can Baseline Patient Clinical and Demographic Characteristics Predict Response to Early Posttraumatic Stress Disorder Interventions After Physical Injury? BPD Compass: Using a dimensional model of psychopathology to treat co-occurring borderline personality disorder and posttraumatic stress symptoms Subtypes of childhood maltreatment and posttraumatic stress disorder symptoms in an adult trauma sample: The mechanistic role of sleep PTSD, depression, and treatment outcomes: A latent profile analysis among active duty personnel in a residential PTSD program Comparison of 8-vs-12 weeks, adapted dialectical behavioral therapy (DBT) for borderline personality disorder in routine psychiatric inpatient treatment-A naturalistic study Comparison of 8-vs-12 weeks, adapted dialectical behavioral therapy (DBT) for borderline personality disorder in routine psychiatric inpatient treatment-A naturalistic study Heart rate reactivity during trauma recall as a predictor of treatment outcome in cognitive processing therapy for PTSD The influence of pretreatment respiratory sinus arrhythmia dimensions on trauma-focused cognitive behavioral therapy outcomes: Findings from a randomized controlled feasibility trial Mindless to Mindful Parenting? 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Posttraumatic stress disorder in children and adolescents: results of a cross-sectional study on the effects of the newly formulated PTSD and CPTSD diagnoses in the ICD-11 Design of a randomized clinical trial of brief couple therapy for PTSD augmented with intranasal oxytocin Influence of Stress Severity on Contextual Fear Extinction and Avoidance in a Posttraumatic-like Mouse Model Assessing complex PTSD and PTSD: validation of the German version of the International Trauma Interview (ITI) The application of machine learning techniques in posttraumatic stress disorder: a systematic review and meta-analysis Predicting aggressive behaviors: Examining unique and interactive roles of PTSD and emotion dysregulation in a minority sample Prevalence, comorbidities, and factors associated with prolonged grief disorder, posttraumatic stress disorder and complex posttraumatic stress disorder in refugees: a systematic review Changes in trauma appraisal during brief internet-based exposure and cognitive restructuring treatment for Arabic-speaking people with PTSD Peritraumatic dissociation and posttraumatic stress symptoms: the moderating role of perceived threat Stronger together: the longitudinal relations between partner responsiveness, dyadic coping and PTSD recovery
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Dialectical behavioral therapy for complex posttraumatic stress disorder (DBT-PTSD): an evidence-based disorder-specific treatment program
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Dialectical behavioral therapy for complex posttraumatic stress disorder (DBT-PTSD): an evidence-based disorder-specific treatment program
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DIALECTICAL BEHAVIOUR THERAPY FOR CSA-RELATED PTSD AMONG YOUNG ADOLESCENTS: A SINGLE CASE STUDY Trauma-Related Shame and Guilt as Prospective Predictors of Daily Mental Contamination and PTSD Symptoms in Survivors of Sexual Trauma Predictors and moderators of treatment outcomes in phase-based treatment and trauma-focused treatments in patients with childhood abuse-related post-traumatic stress disorder Does treatment specific-, disorder specific- or general therapeutic competence predict symptom reduction in posttraumatic stress disorder? 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Longitudinal associations among experiences of sexual assault, posttraumatic stress disorder symptoms, and heavy drinking in young adults BPD Compass: Using a dimensional model of psychopathology to treat co-occurring borderline personality disorder and posttraumatic stress symptoms Subtypes of childhood maltreatment and posttraumatic stress disorder symptoms in an adult trauma sample: The mechanistic role of sleep Non-fear emotions in changes in posttraumatic stress disorder symptoms during treatment Childhood maltreatment, dissociation and borderline personality disorder: Preliminary data on the mediational role of mentalizing in complex post-traumatic stress disorder Post-traumatic stress disorder (PTSD) and complex PTSD (CPTSD) - a clinical update of knowledge PTSD, depression, and treatment outcomes: A latent profile analysis among active duty personnel in a residential PTSD program Comparison of 8-vs-12 weeks, adapted dialectical behavioral therapy (DBT) for borderline personality disorder in routine psychiatric inpatient treatment-A naturalistic study Comparison of 8-vs-12 weeks, adapted dialectical behavioral therapy (DBT) for borderline personality disorder in routine psychiatric inpatient treatment-A naturalistic study Trauma-related shame predicts daily non-medical prescription opioid use among individuals with PTSD symptoms The impact of substance use on posttraumatic stress disorder symptoms and treatment discontinuation Heart rate reactivity during trauma recall as a predictor of treatment outcome in cognitive processing therapy for PTSD The influence of pretreatment respiratory sinus arrhythmia dimensions on trauma-focused cognitive behavioral therapy outcomes: Findings from a randomized controlled feasibility trial BLAME-LESS STUDY: a two-arm randomized controlled trial evaluating the effects of an online psychoeducation programme for adolescents who have experienced physical/sexual violence or sexual abuse. 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Videofeedback-Enhanced Psychotherapy for Violence-Exposed Mothers and Their Young Children The role of recurrent trauma on post-traumatic stress disorder symptoms and substance use among trauma exposed youth Home-based primary care providers' perspectives on the unique challenges of working with late life posttraumatic stress disorder within their population of Veterans The emerging role of the gut microbiome in posttraumatic stress disorder Effectiveness of the massed delivery of unified protocol for emotional disorders within an intensive outpatient program for military service members and veterans Engagement in posttraumatic stress disorder treatment for veterans who experienced military sexual trauma and are diagnosed with serious mental illness Alcohol use disorder as a moderator of the relationship between posttraumatic stress disorder and suicidality among military personnel Assessment of Comorbid Obsessive-Compulsive Disorder and Posttraumatic Stress Disorder Associations between transdiagnostic traits of psychopathology and hybrid posttraumatic stress disorder factors in a trauma-exposed community sample Effectiveness of dialectical behavior therapy as a transdiagnostic treatment for improving cognitive functions: a systematic review Daily exposure to combat-related cues and posttraumatic stress symptoms among veterans: Moderating effects of peri- and postdeployment experiences Indirect Associations Between PTSD Symptoms and Cannabis Problems in Young Adults: The Unique Roles of Cannabis Coping Motives and Medicinal Use Orientation Posttraumatic cognition change trajectories in veterans with PTSD who completed an intensive Cognitive Processing Therapy treatment program Cognitive-behavioural conjoint therapy versus prolonged exposure for PTSD in military service members and veterans: results and lessons from a randomized controlled trial Randomized controlled trial of two internet-based written therapies for world trade center workers and survivors with persistent PTSD symptoms The Role of Race, Social Support, Empowerment, and Posttraumatic Cognitions in Survivors of Intimate Partner Violence Symptoms of Posttraumatic Stress Disorder