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Posttraumatisk stress: Vad vi bör göra efter allvarliga händelser
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, National Center for Disaster Psychiatry.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, National Center for Disaster Psychiatry.
2013 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 110, no 3, 95-98 p.Article in journal (Refereed) Published
Abstract [sv]

I Sverige och Norden finns en god infrastruktur för psykosociala insatser i det tidiga skedet efter allvarliga händelser. Tillgången till senare adekvat psykologisk behandling är dock bristfällig.

Akuta insatser bör ha tyngdpunkten på att främja de drabbades egen förmåga till återhämtning.

Det är ineffektivt att förebygga posttraumatisk stress genom tidiga terapeutiska interventioner till alla drabbade oavsett symtomgrad.

I Norden används fortfarande insatser som forskning avråder från.

Traumafokuserad psykologisk behandling bör vara förs­tahandsval vid posttraumatiskt stressyndrom.

Flera läkemedel kan lindra posttraumatisk stress, men effekten är liten.

Abstract [en]

Disasters and other adverse life events may cause severe and chronic posttraumatic stress (PTS) in survivors. Knowledge varies within and across countries in Europe regarding psychosocial interventions after such events. Between 2007 and 2011, The European Network for Traumatic Stress (TENTS) established a network of expertise with the aim to examine the effectiveness of interventions on PTS after trauma, and develop and disseminate a teaching package throughout Europe. The systematic review by TENTS found a scarcity of research on acute interventions, and a lack of efficacy for preventive interventions, whereas trauma-focused psychotherapy is effective for severe acute and chronic PTS. Pharmacotherapy can alleviate chronic PTS although its effects are small. Sweden has a developed network for early psychosocial interventions after major events. As in most of Europe, however, there is a need for greater access to evidence-based psychotherapy.

Place, publisher, year, edition, pages
2013. Vol. 110, no 3, 95-98 p.
Keyword [sv]
katastrofer, posttraumatisk stress, tidiga insatser, krisberedskap, PTSD
National Category
Medical and Health Sciences
Research subject
Clinical Psychology; Psychiatry
Identifiers
URN: urn:nbn:se:uu:diva-194922OAI: oai:DiVA.org:uu-194922DiVA: diva2:606561
Note

Source: Scopus

Available from: 2013-02-19 Created: 2013-02-19 Last updated: 2017-12-06Bibliographically approved

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http://www.lakartidningen.se/07engine.php?articleId=19114

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Arnberg, Filip K.Johannesson, Kerstin Bergh

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