Modern psychotherapeutic approaches to the treatment of post-traumatic stress disorder
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Karaush IS, Abramov SV. [Modern psychotherapeutic approaches to the treatment of post-traumatic stress disorder]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2024;(4):55-66. Russian
In this scientific review, in order to study modern psychotherapeutic approaches to post-traumatic stress disorder (PTSD) and identify trends in optimizing existing methods, an analysis of scientific medical publications by Russian and foreign authors in the bibliographic databases PubMed, Google Academy, Science Direct, RSCI was carried out. This review discusses: the diversity and features of psychopathological manifestations of PTSD, methods of psychotherapy with proven effectiveness, their biological basis and prospects for their optimization in the context of existing limitations and/or modern technologies, the possibilities of combined approaches and aspects of combat PTSD therapy, which is relevant in the context of active military conflicts. In the perspective of optimizing existing methods, several trends have been identified: the study of the biological basis of the effects of the applied methods; the study of the features of psychopathological symptoms in various variants of PTSD as targets of psychotherapy and the integration of various approaches, methods and technologies. A key role belongs to the paradigm of restoring autobiographical memory, as its impairment plays an important role in the development and/or maintenance of PTSD symptoms.
Keywords post-traumatic stress disorder; psychotherapy; cognitive behavioral psychotherapy; exposure; desensitization and processing by eye movements; contextualization; reconsolidation of memory
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