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Originalia

Verlaufsuntersuchung depressiver Symptomatik nach akuter Traumatisierung

Eine prospektive Pilotstudie

Published Online:October 29, 2012https://doi.org/10.1026/1616-3443/a000151

Abstract

Hintergrund: Der Zusammenhang zwischen Akuter Belastungsstörung (ASD) und der Posttraumatischen Belastungsstörung (PTSD) ist vielfach untersucht. Wenige Erkenntnisse liegen über den klinischen Verlauf depressiver Symptome nach ASD vor. Fragestellung: Unterscheiden sich Patienten nach akuter Traumatisierung hinsichtlich der Entwicklung depressiver Symptome von Nicht-Traumatisierten? Methode: 39 akut Traumatisierte wurden mit einer gesunden Kontrollgruppe (KG, N=38) verglichen. Die ASD und die depressiven Symptome wurden mit standardisierten Verfahren (SKID, ASDS, DS) zu verschiedenen Messzeitpunkten untersucht. Ergebnisse: ASD-Patienten waren initial signifikant depressiver als die KG. Nach anfänglicher Beschwerderemission nahmen die depressiven Symptome bei der Gruppe der späteren PTSD-Patienten wieder zu. Schlussfolgerung: Depressive Symptome nach ASD sind sowohl bei Patienten mit als auch ohne nachfolgende PTSD häufig. Nach anfänglicher Remission der depressiven Beschwerden kann es zu einer Reexazerbation kommen.


Examination of the development of depressive symptoms after a traumatizing event

Background: Although several studies have already addressed the relationship between acute stress disorder (ASD) and posttraumatic stress disorder (PTSD), little is known about the course of depressive symptoms after acute traumatization. Objective: Do acutely traumatized patients differ from a non-traumatized control group in the development of depressive symptoms over time? Method: 39 traumatized patients with clinically relevant symptoms of ASD were compared to 38 healthy people in a control group. ASD and depressive symptoms were assessed using standardized diagnostic procedures (ASDS, SCID, DS) and were measured at different times. Results: Initially ASD patients showed significantly more symptoms of depression than the control group. After remitting during the first weeks following traumatization, the depressive symptomatology increased only in the trauma group with subsequent PTSD. Conclusion: Depressive symptoms following acute traumatization are not limited to patients developing PTSD. The depressive symptoms can exacerbate after inital remission.

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