{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:20Z","timestamp":1740126800186,"version":"3.37.3"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2024,2]]},"abstract":"Zusammenfassung<\/jats:title>\n Hintergrund Patient*innen mit einer Borderline\n Pers\u00f6nlichkeitsst\u00f6rung (BPS) bringen aufgrund der\n Schwierigkeiten in Selbstregulation und Interaktion besondere Anforderungen an\n Therapien mit, die bei BPS-spezifischen Ans\u00e4tzen auch adressiert werden.\n Vor diesem Hintergrund wurden ambulante Psychotherapeut*innen nach den\n Faktoren befragt, die in ihrem therapeutischen Angebot f\u00fcr\n Patient*innen mit BPS eine entscheidende Rolle spielen.<\/jats:p>\n Methode \u00dcber ihre auf der Internetseite der\n Kassen\u00e4rztlichen Vereinigung ver\u00f6ffentlichte Emailadresse wurden\n Psychotherapeut*innen f\u00fcr Erwachsene kontaktiert, wovon 231\n einen Online-Fragebogen beantworteten. Die Ergebnisse wurden deskriptiv\n ausgewertet und im Hinblick auf das Aufnahmeverhalten der\n Psychotherapeut*innen inferenzstatistisch untersucht.<\/jats:p>\n Ergebnisse Fast 90% gaben an, dass sie Patient*innen mit\n BPS generell in eine Therapie aufnehmen w\u00fcrden. Von diesen hatten jedoch\n 85% keinen Therapieplatz zur Verf\u00fcgung. Die erlernte\n Verfahrensrichtung der Psychotherapeut*innen war dabei nicht\n ausschlaggebend daf\u00fcr, ob sie zur Behandlung bereit waren. Die meisten\n Psychotherapeut*innen (85%) empfahlen eine\n BPS-st\u00f6rungsspezifische Therapie wie die Dialektisch-Behaviorale\n Therapie (DBT), die Mentalisierungsbasierte Therapie (MBT), die\n \u00dcbertragungsfokussierte Psychotherapie (TFP) oder die Schematherapie\n (ST). Allerdings waren nur knapp 7% in einem solchen\n st\u00f6rungsspezifischen Verfahren zertifiziert. Als deutliche\n pers\u00f6nliche Belastungsfaktoren wurden vor allem das\n Suizidalit\u00e4tsrisiko (70%) und potenzielle fremdaggressive\n Verhaltensweisen (59%) genannt. Zudem zeigte sich, dass es f\u00fcr\n das Aufnahmeverhalten eine Rolle spielte, ob die Psychotherapeut*innen\n in einem zus\u00e4tzlichen Therapieansatz (mit mind. 16 Unterrichtseinheiten)\n weitergebildet waren oder nicht.<\/jats:p>\n Schlussfolgerung Die Versorgungssituation f\u00fcr Menschen mit BPS,\n die einen ambulanten Psychotherapieplatz suchen, ist nach wie vor als\n unzureichend zu bewerten. Dies liegt vor allem an einem allgemeinen Mangel an\n verf\u00fcgbaren Therapiepl\u00e4tzen sowie an verschiedenen\n \u00c4ngsten und Bef\u00fcrchtungen, wie die erh\u00f6hte\n Suizidalit\u00e4t, die sich wiederum negativ auf das ambulante\n Therapieangebot auswirken k\u00f6nnen. Psychotherapeut*innen, die\n eine st\u00f6rungsspezifische Weiterbildung absolviert haben, f\u00fchlen\n sich durch suizidale Verhaltensweisen weniger belastet. Da jedoch wenige\n Therapeut*innen BPS-spezifische Therapien anbieten k\u00f6nnen, ist\n es unumg\u00e4nglich, spezifische Weiterbildungsangebote auszubauen und auch\n (finanziell) zu unterst\u00fctzen. Um dem Versorgungsbedarf gerecht zu\n werden, sind berufliche Ver\u00e4nderungen dringend notwendig.<\/jats:p>","DOI":"10.1055\/a-2197-9956","type":"journal-article","created":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T01:13:39Z","timestamp":1707182019000},"page":"70-77","source":"Crossref","is-referenced-by-count":0,"title":["Zur Aufnahme von Patient*innen mit Borderline\n Pers\u00f6nlichkeitsst\u00f6rung in die ambulante\n Psychotherapie"],"prefix":"10.1055","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3121-6851","authenticated-orcid":false,"given":"Lena","family":"Saba\u00df","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie und Psychotherapie,\n Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen"},{"name":"Psychology School, Hochschule Fresenius, University of Applied\n Sciences, M\u00fcnchen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sina","family":"Hahn","sequence":"additional","affiliation":[{"name":"Psychology School, Hochschule Fresenius, University of Applied\n Sciences, M\u00fcnchen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Padberg","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie und Psychotherapie,\n Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6051-5207","authenticated-orcid":false,"given":"Susanne","family":"H\u00f6rz-Sagstetter","sequence":"additional","affiliation":[{"name":"Klinische Psychologie und Psychotherapie, Psychologische Hochschule\n Berlin (PHB), Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Rentrop","sequence":"additional","affiliation":[{"name":"Fachbereich Klinische Sozialpsychiatrie, kbo-Inn-Salzach-Klinikum,\n Wasserburg am Inn"},{"name":"Klinik und Poliklinik f\u00fcr Psychiatrie und Psychotherapie, TU\n M\u00fcnchen, M\u00fcnchen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Jobst","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie und Psychotherapie,\n Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,2,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"533","DOI":"10.4088\/jcp.v69n0404","article-title":"Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Borderline\n Personality Disorder","volume":"69","author":"B F Grant","year":"2008","journal-title":"J Clin Psychiatry"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1016\/j.psc.2018.07.008","article-title":"Community and Clinical Epidemiology of Borderline Personality 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