Rehabilitation (Stuttg) 2020; 59(04): 237-250
DOI: 10.1055/a-1115-8520
CME-Fortbildung

Belastungsbezogene Störungen in der Rehabilitation

Stress-Related Disorders in Rehabilitation
Lili Kreutzer
,
Volker Köllner

Gegenüber der ICD-10 sind die komplexe posttraumatische Belastungsstörung sowie die anhaltende Trauerstörung in der ICD-11 hinzugekommen, und die Anpassungsstörung wurde neu konzeptualisiert. Diese Störungsbilder sind für die Rehabilitation relevant – als Hauptdiagnosen in der Psychosomatik und als Komorbidität in der somatischen Rehabilitation.

Abstract

Due to significant changes in the new ICD-11 classification, stress-related disorders have advanced further into clinical and scientific focus. In contrast to the ICD-10 classification, complex posttraumatic stress disorder as well as prolonged grief have been established as independent diagnoses. Additionally, the diagnostic criteria for adjustment disorder were newly conceptualized and refined. Stress-related disorders have a high relevance for out- and inpatient rehabilitation centers. Posttraumatic stress disorder (PTSD) has a 1-year-prevalence in Germany of 1–2%. Comorbidities such as depression or anxiety disorders are common. PTSD may also result from physical illness and can in turn complicate the course of the disease or even lead to chronification of symptoms. The most effective treatment is a trauma-focused psychotherapy, which usually takes place in an outpatient setting. Psychosomatic inpatient rehabilitation is a valuable resource in the treatment plan of PTSD. The optimal point is mostly following the acute therapy when reintegration to work and social life is the aim. As rehabilitation centers can provide a safe therapeutic setting for patients, allowing them to open up about their trauma, it can pave the way to a trauma focused treatment. Additionally, socio-medical aspects of trauma-related disorders will be touched upon in this overview.



Publication History

Publication Date:
26 August 2020 (online)

© Georg Thieme Verlag KG
Stuttgart · New York