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Aufgrund ihrer hohen Pr\u00e4valenz sollen traumatische Erfahrungen bei jeder Befund- und Anamneseerhebung erfasst werden. Die traumafokussierte Psychotherapie bleibt Therapie der ersten Wahl und soll auch bei der komplexen PTBS (kPTBS) mit komorbiden St\u00f6rungen angeboten werden sowie bei \u00e4lteren Menschen, Menschen mit Fluchthintergrund und Menschen mit leichten bis mittelgradigen St\u00f6rungen der Intelligenzentwicklung. Inzwischen liegt zu einem noch breiteren Spektrum von Methoden \u00fcberzeugende Evidenz vor, insbesondere aus dem Bereich der kognitiven Verhaltenstherapie (KVT). Traumafokussierte Interventionen k\u00f6nnen als Onlinebehandlung und in h\u00f6herer Frequenz (mehrfach pro Woche) angeboten werden. Auch bei Kindern und Jugendlichen ist die traumafokussierte KVT die Therapie der Wahl. Medikamente sind eine Behandlung zweiter Wahl und werden bei Kindern und Jugendlichen nicht empfohlen. Benzodiazepine und Z\u2011Subtanzen sollen generell nicht eingesetzt werden. Unter den adjuvanten Verfahren existiert die beste Evidenz zu Sport- und Bewegungstherapie. Ein wichtiges allgemeines Behandlungsprinzip betrifft die Etablierung traumainformierter Grundprinzipien (\u201etrauma-informed care\u201c) als standardisiertem Ansatz in Einrichtungen des Gesundheitswesens.<\/jats:p>","DOI":"10.1007\/s00115-026-02003-z","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:49:26Z","timestamp":1786632566000},"page":"524-530","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Behandlung der posttraumatischen Belastungsst\u00f6rung\u00a0\u2013 die aktualisierte S3-Leitlinie","Treatment of posttraumatic stress disorder\u2014The updated S3 guidelines"],"prefix":"10.1007","volume":"97","author":[{"given":"Ingo","family":"Sch\u00e4fer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Ehring","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Frommberger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Britta","family":"Jacobsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Knaevelsrud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid","family":"Lampe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Lehmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cosima","family":"Leithner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Maercker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Plener","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Rosner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca","family":"Schreyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carsten","family":"Spitzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"2003_CR1","doi-asserted-by":"publisher","DOI":"10.1080\/20008066.2024.2344364","volume":"15","author":"R Bachem","year":"2024","unstructured":"Bachem\u00a0R, Maercker\u00a0A, Levin\u00a0Y, K\u00f6hler\u00a0K, Willmund\u00a0G, Bohus\u00a0M et\u00a0al (2024) Assessing complex PTSD and PTSD: validation of the German version of the International Trauma Interview (ITI). 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