Brenner Lorena, Chrysanthou Sophia, Rothermund Eva, Köllner Volker
Forschungsgruppe Psychosomatische Rehabilitation, Charité Universitätsmedizin Berlin, Berlin, Deutschland.
Reha-Zentrum Seehof der Deutschen Rentenversicherung, Lichterfelder Allee 55, 14513, Teltow, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2024 Jul;67(7):833-842. doi: 10.1007/s00103-024-03908-3. Epub 2024 Jun 18.
The "International Classification of Diseases 11th Revision" (ICD-11) introduces complex post-traumatic stress disorder (CPTSD) as a separate diagnosis to account for the effects that persistent or repetitive trauma can have. In CPTSD, disorders of self-organization are added to the core symptoms of PTSD. It can be assumed that those affected are impaired in their professional lives as a result. The aim of this paper is to provide an overview of the effects of CPTSD on work-related functioning and to present possible consequences for therapeutic and rehabilitative treatment.
A scoping review with a literature search in the MEDLINE, APA PsycArticles, and APA PsycInfo databases was conducted in February 2024.
Of 2378 studies on KPTBS, five studies were included, of which only three dealt more specifically with the impact on the world of work. Those affected appear to have a poorer prognosis for maintaining their ability to work and are therefore to be regarded as a socio-medical risk group with regard to long-term maintenance of participation in working life.
The current state of research on the effects of the CPTSD symptom complex on the world of work is surprisingly limited. In comparison, the results indicate that CPTSD has a greater negative impact on the ability to function in the world of work than PTSD and other mental disorders. It is still unclear which psychopathological mechanisms mediate the connection. Only basic findings on the psychopathology of CPTSD are available. Treatment approaches that address the disorders of self-organization in addition to PTSD symptoms appear necessary.
《国际疾病分类第11次修订本》（ICD - 11）引入了复杂创伤后应激障碍（CPTSD）作为一种单独的诊断类别，以说明持续性或重复性创伤可能产生的影响。在CPTSD中，自我组织障碍被添加到创伤后应激障碍的核心症状中。可以推测，受影响者的职业生活因此受到损害。本文旨在概述CPTSD对工作相关功能的影响，并介绍治疗和康复治疗可能产生的后果。
2024年2月进行了一项范围综述，并在MEDLINE、美国心理学会心理学全文数据库（APA PsycArticles）和美国心理学会心理学文摘数据库（APA PsycInfo）中进行了文献检索。
在2378项关于KPTBS的研究中，纳入了5项研究，其中只有3项更具体地探讨了对工作领域的影响。受影响者在维持工作能力方面的预后似乎较差，因此就长期维持工作生活参与度而言，应被视为一个社会医学风险群体。
关于CPTSD症状复合体对工作领域影响的研究现状出人意料地有限。相比之下，结果表明CPTSD对工作领域功能的负面影响比创伤后应激障碍和其他精神障碍更大。目前尚不清楚是哪些心理病理机制介导了这种联系。目前只有关于CPTSD心理病理学的基本研究结果。除了创伤后应激障碍症状外，针对自我组织障碍的治疗方法似乎是必要的。
