Wenn ein Trauma krank macht

Bei einer ‚Posttraumatischen Belastungsstörung‘ (PTBS) triggern Auslösereize die schrecklichen Erinnerungen an Missbrauch, Katastrophen, Tod oder Krieg. Die Betroffenen erleben ihre Gegenwart als Albtraum, ziehen sich oft zurück und leiden auch unter körperlichen Beschwerden. Wissentlich oder unwissentlich behandeln Physiotherapeut*innen auch Menschen mit traumatischen Erlebnissen.

Publication History

Article published online:
12 July 2022

• Literatur

• 1 Dilling H, Mombour W, Schmidt MH. et al. (Hrsg.) Weltgesundheitsorganisation. Internationale Klassifikation psychischer Störungen: ICD–10 Kapitel V (F) – Klinisch-diagnostische Leitlinien. 5. Aufl.. Bern: Verlag Hans Huber; 2005
• 2 Maercker A, Forstmeier S, Wagner B. et al. Posttraumatische Belastungsstörung in Deutschland. Nervenarzt 2008; 79 (05) 577-586
• 3 Nisar S, Bhat A, Hashem S. et al. Genetic and Neuroimaging Approaches to Understanding Post-Traumatic Stress Disorder. International Journal of Molecular Sciences 2020; 21: 4503; DOI: 10.3390/ijms21124503.
• 4 Boos A. Kognitive Verhaltenstherapie nach chronischer Traumatisierung. Ein Therapiemanual. 2. Aufl.. Bern: Hogrefe Verlag; 2014
• 5 Kessler RC, McLaughlin KA, Green JG. et al. Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys. Br J Psychiatry 2010; 197 (05) 378-385 DOI: 10.1192/bjp.bp.110.080499.
• 6 Bernstein DP, Fink L, Handelsman L. et al. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry 1994; 151 (08) 1132-1136 DOI: 10.1176/ajp.151.8.1132.
• 7 Lindert J, von Ehrenstein OS, Grashow R. et al. Sexual and physical abuse in childhood is associated with depression and anxiety over the life course: systematic review and meta-analysis. Int J Public Health 2014; 59 (02) 359-372 DOI: 10.1007/s00038-013-0519-5.
• 8 Shapero BG, Black SK, Liu RT. et al. Stressful life events and depression symptoms: the effect of childhood emotional abuse on stress reactivity. J Clin Psychol 2014; 70 (03) 209-223 DOI: 10.1002/jclp.22011.
• 9 Spann MN, Mayes LC, Kalmar JH. et al. Childhood abuse and neglect and cognitive flexibility in adolescents. Child Neuropsychol 2012; 18 (02) 182-189 DOI: 10.1080/09297049.2011.595400.
• 10 Carpenter LL, Shattuck TT, Tyrka AR. et al. Effect of childhood physical abuse on cortisol stress response. Psychopharmacology (Berl) 2011; 214 (01) 367-375 DOI: 10.1007/s00213-010-2007-4.
• 11 Heim C, Newport DJ, Heit S. et al. Pituitary-adrenal and autonomic responses to stress in women after sexual and physical abuse in childhood. JAMA 2000; 284 (05) 592-597 DOI: 10.1001/jama.284.5.592.
• 12 Teicher MH, Samson JA, Anderson CM. et al. The effects of childhood maltreatment on brain structure, function and connectivity. Nat Rev Neurosci 2016; 17 (10) 652-666 DOI: 10.1038/nrn.2016.111.
• 13 Carrion VG, Weems CF, Richert K. et al. Decreased prefrontal cortical volume associated with increased bedtime cortisol in traumatized youth. Biol Psychiatry 2010; 68 (05) 491-493 DOI: 10.1016/j.biopsych.2010.05.010.
• 14 Carrion VG, Weems CF, Reiss AL. Stress predicts brain changes in children: a pilot longitudinal study on youth stress, posttraumatic stress disorder, and the hippocampus. Pediatrics 2007; 119 (03) 509-516 DOI: 10.1542/peds.2006-2028.
• 15 Danese A, Moffitt TE, Harrington H. et al. Adverse childhood experiences and adult risk factors for age-related disease: depression, inflammation, and clustering of metabolic risk markers. Arch Pediatr Adolesc Med 2009; 163 (12) 1135-1143 DOI: 10.1001/archpediatrics.2009.214.
• 16 Slopen N, Kubzansky LD, McLaughlin KA. et al. Childhood adversity and inflammatory processes in youth: a prospective study. Psychoneuroendocrinology 2013; 38 (02) 188-200 DOI: 10.1016/j.psyneuen.2012.05.013.
• 17 Monteiro S, Ferreira FM, Pinto V. et al. Absence of IFNγ promotes hippocampal plasticity and enhances cognitive performance. Transl Psychiatry 2016; 6 (01) e707 DOI: 10.1038/tp.2015.194.
• 18 McCarthy-Jones S, McCarthy-Jones R. Body mass index and anxiety/depression as mediators of the effects of child sexual and physical abuse on physical health disorders in women. Child Abuse Negl 2014; 38 (12) 2007-2020 DOI: 10.1016/j.chiabu.2014.10.012.
• 19 Meeusen R. Exercise, nutrition and the brain. Sports Med 2014; 44 (Suppl. 01) S47-S56 DOI: 10.1007/s40279-014-0150-5.
• 20 Cloitre M, Stovall-McClough C, Zorbas P. et al. Attachment organization, emotion regulation, and expectations of support in a clinical sample of women with childhood abuse histories. J Trauma Stress 2008; 21 (03) 282-289 DOI: 10.1002/jts.20339.
• 21 Hadianfard H. Child abuse in group of children with attention deficit-hyperactivity disorder in comparison with normal children. Int J Community Based Nurs Midwifery 2014; 2 (02) 77-84
• 22 Sullivan PM, Knutson JF. Maltreatment and disabilities: a population-based epidemiological study. Child Abuse Negl 2000; 24 (10) 1257-1273 DOI: 10.1016/s0145-2134(00)00190-3.
• 23 Schäfer I, Gast U, Hofmann A. et al. Posttraumatische Belastungsstörung. S3 Leitlinie der Deutschsprachigen Gesellschaft für Psychotraumatologie (DeGPT) (Federführende Fachgesellschaft).Version: 19.12.2019. Im Internet (Stand: 20.04.2022): https://www.awmf.org/uploads/tx_szleitlinien/155-01l_S3_Posttraumatische_Belastungsstoerung_2020-02_1.pdf
• 24 Bisson JI, Ehlers A, Matthews R. et al. Psychological treatments for chronic post-traumatic stress disorder. Systematic review and meta-analysis. Br J Psychiatry 2007; 190: 97-104 DOI: 10.1192/bjp.bp.106.021402.
• 25 Shapiro F. Eye movement desensitization and reprocessing (EDMR) therapy: Basic principles, protocols, and procedures. 3. Aufl.. New York: The Guilford Press; 2018