Salta al menu principale di navigazione Salta al contenuto principale Salta al piè di pagina del sito
FrancoAngeli Journals

Sezione Generale - Linee guida per i disturbi sintomatici

N. 54 (2024)

Ruolo della TCC e sintesi linee guida per il trattamento psicologico del disturbo da stress post traumatico (PTSD), PTSD Complesso e PTSD Acuto

DOI
https://doi.org/10.3280/qpc54-2024oa18655
Inviata
10 ottobre 2024
Pubblicato
17-10-2024

Abstract

Le esperienze traumatica, sia quelle episodiche che quelle continuate nel tempo, specie durante lo sviluppo, possono generare quadri clinici specifici come il Disturbo da Stress Post-Traumatico (PTSD), il Disturbo Acuto da Stress (ASD) e il Disturbo da Stress Post-Traumatico complesso (CPTSD), ma anche costituire una dimensione psicopatologica che diffonde in tutti i quadri clinici peggiorandone la prognosi e gli esiti del trattamento. Le linee guida presentate in questa rassegna sono state sviluppate per il trattamento delle specifiche categorie diagnostiche. In particolare per il PTSD dall’American Psychiatric Association (APA; 2017), dal National Institute for Health and Care Excellence britannico (NICE; 2018), dal Department of Veterans Affairs (VA) and Department of Defense (DoD) of United States of America (VA/DoD; 2017). Per quanto riguarda invece l’ASD, indicazioni per la gestione dei pazienti con tale disturbo sono riportate nelle linee guida APA del 2004. La UK Psychological Trauma Society (2017), l’International Society for Traumatic Stress Studies (ISTSS; 2019), e il NICE (2018) forniscono linee guida per il cPTSD.

Riferimenti bibliografici

  1. Boterhoven de Haan K.L., Lee C.W., Fassbinder E., van Es S.M., Menninga S., Meewisse M.L., Rijkeboer M., Kousemaker M. & Arntz A. (2020). Imagery rescripting and eye movement desensitisation and reprocessing as treatment for adults with post-traumatic stress disorder from childhood trauma: randomised clinical trial. The British journal of psychiatry: the journal of mental science, 217(5): 609-615. DOI: 10.1192/bjp.2020.158.
  2. Card P. (2017). VA/DoD clinical practice guideline for the management of posttraumatic stress disorder and acute stress disorder.
  3. Chu J.A. (2010). Posttraumatic stress disorder: Beyond DSM-IV. The American journal of psychiatry, 167(6): 615-617. DOI: 10.1176/appi.ajp.2010.10030310.
  4. Courtois C.A., Brown L.S., Cook J., Fairbank J.A., Friedman M., Gone J.P., … & Kurtzman H. (2017). Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults. American Psychological Association Guideline Development Panel for the Treatment of PTSD in Adults Adopted as APA Policy February 24, 2017.
  5. Farina B. & Schimmenti A. (in press). Clinical reasoning for attachment trauma. In: Gomez A.M., Hosey J. (eds.). Handbook of Child Complex Trauma and Dissociation: Theory, Research, Clinical Applications. New York: Routledge.
  6. Farina B., Dimaggio G. & Mosquera D. (in press). Clinical reality connects different models of psychotherapy: commentary on clinical cases on treatment of cPTSD. Journal of Clinical Psychology.
  7. Farina B., Liotti M. & Imperatori C. (2019). The Role of Attachment Trauma and Disintegrative Pathogenic Processes in the Traumatic-Dissociative Dimension. Frontiers in Psychology, 10, 933. DOI: 10.3389/fpsyg.2019.00933.
  8. Herman J.L. (1992). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5(3): 377-391. DOI: 10.1002/jts.2490050305.
  9. International Society for Traumatic Stress Studies Guidelines Committee. (2019). ISTSS guidelines position paper on complex PTSD in adults. Oakbrook Terrace: International Society for Traumatic Stress Studies.
  10. Lippard E.T.C. & Nemeroff C.B. (2020). The Devastating Clinical Consequences of Child Abuse and Neglect: Increased Disease Vulnerability and Poor Treatment Response in Mood Disorders. The American Journal of Psychiatry, 177(1): 20-36. DOI: 10.1176/appi.ajp.2019.19010020.
  11. McCrory E.J., Gerin M.I. & Viding E. (2017). Annual Research Review: Childhood maltreatment, latent vulnerability and the shift to preventative psychiatry. The contribution of functional brain imaging. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 58(4): 338-357. DOI: 10.1111/jcpp.12713.
  12. National Institute for Clinical Excellence. (2018). Post-traumatic stress disorder: NICE guideline. www.nice.org.uk/guidance/ng116.
  13. UK Psychological Trauma Society (2017). Guideline for the treatment and planning of services for complex post-traumatic stress disorder in adults.
  14. Ursano R.J., Bell C., Eth S., Friedman M., Norwood A., Pfefferbaum B., Pynoos J.D., Zatzick D.F., Benedek D.M., McIntyre J.S., Charles S.C., Altshuler K., Cook I., Cross C.D., Mellman L., Moench L.A., Norquist G., Twemlow S.W., Woods S., Yager J., … Steering Committee on Practice Guidelines (2004). Practice guideline for the treatment of patients with acute stress disorder and posttraumatic stress disorder. The American Journal of Psychiatry, 161(11 Suppl): 3-31.

Metriche

Caricamento metriche ...