Brenner Lorena, Härtter Charlotte, Bachem Rahel, Knaevelsrud Christine, Köllner Volker
Abt. Verhaltenstherapie und Psychosomatik, Rehazentrum Seehof der Deutschen Rentenversicherung, Teltow, Deutschland.
Forschungsgruppe Psychosomatische Rehabilitation, Medizinische Klinik mit Schwerpunkt Psychosomatik, Centrum für Innere Medizin und Dermatologie, Charité - Universitätsmedizin Berlin, Deutschland.
Psychother Psychosom Med Psychol. 2021 Oct;71(9-10):381-388. doi: 10.1055/a-1348-1896. Epub 2021 Mar 9.
This study examined differences in work-related behavioral and experiential patterns between patients with positive screening for complex PTSD (CPTSD), patients with positive screening for PTSD and patients with negative screening for trauma sequelae.
Participants were 566 patients (mean age 50.96 +/- 8.73 years; 70.3 % female) of a psychosomatic rehabilitation clinic. Self-reported screening instruments were administered to participants at the beginning of their inpatient psychotherapy. Univariate analyses of variance were used to assess group differences in work-related experience- and behavioral patterns. The instrument identifies 11 dimensions of health-promoting or -endangering behavior and experiences in coping with work and occupational demands.
On 8 of 11 work-related dimensions, significant differences were found between the groups "without PTSD" and "CPTSD". The "PTSD" and "CPTSD" groups differed significantly on the dimensions of "resignation tendencies", "offensive coping" and "life satisfaction". The groups "without PTSD" and "PTSD" did not differ significantly.
Patients with a positive CPTSD screening represent a particularly burdened patient group in the working context. They reported problematic behavior and experience patterns that correspond to the problem areas of self-organization described in the diagnostic criteria of the ICD-11.
This suggests that for patients with CPTSD special interventions within the context of medical-professional oriented rehabilitation are useful to compensate these deficits and maintain participation in working life.
