{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T22:09:31Z","timestamp":1747174171323,"version":"3.40.5"},"reference-count":24,"publisher":"Hogrefe Publishing Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Praxis"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:p> Zusammenfassung. Traumafolgest\u00f6rungen werden in der \u00e4rztlichen Praxis vergleichsweise selten als solche diagnostiziert. Bei ausgepr\u00e4gtem Kontrollbed\u00fcrfnis, starker \u00c4ngstlichkeit und Unruhe, Schreckhaftigkeit, Erstarrung bis hin zur Dissoziation, sozialem R\u00fcckzug, Misstrauen oder einer vegetativen \u00dcbererregung muss an das Vorliegen einer posttraumatischen Belastungsst\u00f6rung (PTSD) gedacht werden. Einfache Screening-Instrumente wie der \u00abPrimary Care PTSD Screen\u00bb eignen sich f\u00fcr eine Erstbeurteilung. Solange die Symptomatik nicht gravierend und lange anhaltend ist sowie keine Risikofaktoren f\u00fcr die Entwicklung einer schweren PTSD vorliegen, geht es in der \u00e4rztlichen Praxis darum, \u00e4ussere und innere Sicherheit herzustellen, \u00fcber evtl. Hilfsangebote zu informieren, das Leiden zu w\u00fcrdigen und vorhandene sichere Beziehungen zu f\u00f6rdern. Bei einem Vollbild einer PTSD resp. einem betr\u00e4chtlichen Leidensdruck ist eine \u00dcberweisung f\u00fcr eine fachpsychotherapeutische oder psychiatrische Weiterabkl\u00e4rung und Behandlung angezeigt. <\/jats:p>","DOI":"10.1024\/1661-8157\/a004000","type":"journal-article","created":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T08:05:42Z","timestamp":1675238742000},"page":"87-91","source":"Crossref","is-referenced-by-count":0,"title":["Traumafolgest\u00f6rungen \u2013 ein relevantes Gesundheitsproblem"],"prefix":"10.1024","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6085-126X","authenticated-orcid":true,"given":"Klaus","family":"Bally","sequence":"first","affiliation":[{"name":"Universit\u00e4res Zentrum f\u00fcr Hausarztmedizin                beider Basel\/uniham-bb, Kantonsspital Baselland, Liestal, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tig.2020.10.006"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2015.08.005"},{"key":"c3","volume-title":"Internationale Klassifikation psychischer St\u00f6rungen. 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Deutsche Version des \u00abPrimary Care Posttraumatic\n                  Stress Disorder screening questionnaire\u00bb.  Universit\u00e4t Hamburg 2010 . https:\/\/zep-hh.de\/wp-content\/uploads\/2015\/05\/PC_PTSD.pdf;\n                  letzter Zugriff 29.09.2022."},{"key":"c18","doi-asserted-by":"crossref","unstructured":"Sch\u00e4fer I , \n                     Gast U , \n                     Hofmann A    et al.  S3-Leitlinie Posttraumatische Belastungsst\u00f6rung.\n                  Berlin; Springer:\n                  2019.","DOI":"10.1007\/978-3-662-59783-5"},{"key":"c19","first-page":"208","volume":"4","author":"Siegrist P","year":"2010","journal-title":"Trauma und Gewalt"},{"key":"c20","first-page":"247","author":"Sack M","year":"2013","journal-title":"Komplexe Traumafolgest\u00f6rungen. 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