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Zur Wirksamkeit von psychotherapeutischen Interventionen bei jungen Flüchtlingen und Binnenvertriebenen mit posttraumatischen Symptomen

Ein systematischer Review

Published Online:June 30, 2015https://doi.org/10.1026/0942-5403/a000171

Abstract

Trotz hoher Zahlen junger Flüchtlinge und der häufig hohen Belastung mit Symptomen einer Posttraumatischen Belastungsstörung (PTBS) gibt es Unsicherheiten über Therapiemöglichkeiten und deren Effektivität in dieser Patientengruppe. Zur Untersuchung der Wirksamkeit unterschiedlicher Interventionen wurde ein systematischer Review durchgeführt. Nach einer Literaturrecherche mit 798 Treffern erfüllten zehn Studien die Einschlusskriterien. Acht Studien konnten signifikante Reduktionen der PTBS-Symptomatik feststellen. Vielversprechend erscheinen dabei folgende Therapien: Narrative Expositionstherapie für Kinder, „Meditation-Relaxation”, Eye Movement Desensitization and Reprocessing und „Rapid-Ed-Therapie”. Aufgrund der dürftigen Studienlage und methodischer Mängel ist eine genauere Empfehlung allerdings schwierig.


Treatment of Posttraumatic Symptoms in Child and Adolescent Refugees: A Systematic Review

Despite the high number of young refugees and the high rate of posttraumatic stress disorder (PTSD) symptoms in this group, there is uncertainty as to which treatments are effective. An extensive literature search resulted in 798 hits, of which 10 studies met our inclusion criteria. Eight studies reported a significant reduction of PTSD symptoms: narrative exposure therapy for children, meditation–relaxation, eye movement desensitization and reprocessing, and rapid-ed therapy. However, owing to the few available studies and their methodological shortcomings it is not possible to make recommendations based on the literature.

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