Behandlung der PTBS bei Erwachsenen

Augsburger, Mareike; Bering, Robert; Böttche, Maria; Ehring, Thomas; Frommberger, Ulrich; Gast, Ursula; Hecker, Tobias; Hoffmann, Arne; Kleim, Birgit; Knaevelsrud, Christine; Köllner, Volker; Kruse, Johannes; Lampe, Astrid; Liebermann, Peter; Lotzin, Annett; Maercker, Andreas; Mattheß, Helga; Michael, Tanja; Neuner, Frank; Rau, Heinrich; Reddemann, Olaf; Sachsse, Ulrich; Schäfer, Ingo; Schellong, Julia; Wöller, Wolfgang

doi:10.1007/978-3-662-59783-5_2

Cited by 1 publication

(2 citation statements)

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“…Psychotherapy in particular was dramatically underutilized. This is particularly important in light of the fact that national and international treatment guidelines recommend psychotherapeutic treatment as a first-line therapy for the most frequently diagnosed disorders (social phobia, PTSD and major depression) with high levels of evidence [ 22 , 23 , 26 ]. According to reporting from a 2014 National Health Interview Survey [ 29 ], around 10% of the adult population reported at least one contact with a psychiatrist or psychotherapist in the past 12 months.…”

Section: Discussionmentioning

confidence: 99%

“…Concerning treatment history, current and previous utilization of psychiatric, psychopharmacological and psychotherapeutic treatments were recorded. The assessment of whether participants reported treatment was guideline-compliant and classified based on subjects’ self-reported information about medication (concerning substance and dose), as well as psychiatric or psychotherapeutic treatment compared to national treatment guidelines of the respective disorders [ 22 , 23 , 24 , 25 , 26 ]. The distinction between psychiatric and psychopharmacological treatment was made to differentiate the rate of psychiatrically prescribed medication from that of primary care prescriptions.…”

Section: Methodsmentioning

confidence: 99%

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Psychiatric Morbidity, Utilization and Quality of Mental Health Care in Long-Term Unemployed People

Meiler

Franke²,

Scherbaum

et al. 2023

IJERPH

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Research has shown complex interactions between unemployment and mental health. However, the prevalence of specific mental disorders, utilization of mental health care services and influences on help-seeking behavior have been investigated surprisingly little in the past. In this study, we investigated a sample of long-term unemployed people in a cooperation program of the local unemployment agency and a psychiatric university hospital in a larger city in Germany. Mental disorders, treatment history, accordance of treatment to national treatment guidelines and factors influencing previous treatment were assessed. Participants (n = 879; male 56%, female 44%, mean age 43.9 years) showed a high psychiatric morbidity, mostly with diagnoses from the ICD-10 categories F1 (22%), F3 (61%) and F4 (68%). Currently, 18% were in psychiatric treatment, 6% were in psychotherapeutic treatment, and 28% received psychopharmacological treatment. Mostly young men underutilized the psychiatric–psychotherapeutic system, with middle-aged men and women being most frequently in psychopharmacological treatment. Of those treated, only about 10% of the subjects currently received a treatment according to national guidelines. The utilization of psychotherapeutic treatment was strikingly poor. This study identified high psychiatric morbidity and severe treatment gaps in unemployed people. These results can help to target subjects with specific needs for interventions and to modify counseling programs.

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Section: Discussionmentioning

confidence: 99%