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Psychother Psychosom Med Psychol 2015; 65(11): 405-411
DOI: 10.1055/s-0035-1549962
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Mediale Exposition und posttraumatische Belastungsstörung: Übersicht und Implikationen für die therapeutische Behandlung

Media Exposure and Posttraumatic Stress Disorder: Review and Implications for Psychotherapy
Georgios Paslakis
1   Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum der Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen
,
Holmer Graap
1   Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum der Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen
,
Yesim Erim
1   Psychosomatische und Psychotherapeutische Abteilung, Universitätsklinikum der Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen
› Author Affiliations
Further Information

Publication History

eingereicht 26 February 2015

akzeptiert 14 April 2015

Publication Date:
25 June 2015 (online)

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Zusammenfassung

Die Posttraumatische Belastungsstörung (engl.: posttraumatic stress disorder, PTSD) tritt als psychische Reaktion auf traumatisierende Situationen außergewöhnlicher Bedrohung auf. Insbesondere nach den Anschlägen des 11. Septembers 2001 hat die wissenschaftliche Beschäftigung mit dem Einfluss der medialen Berichterstattung über Kriege und Terrorismus auf die psychischen Prozesse von Gesunden und der Frage, ob die mediale Exposition von Vor-Traumatisierten ein Trigger für eine Trauma-Re-Aktivierung sein kann, begonnen. Dabei fanden sich positive Assoziationen zwischen medialer Exposition und dem Vorliegen von PTSD-Symptomen. Die Dauer des Medienkonsums scheint dabei eine wichtige Variable zu sein. Für psychotherapeutisch Tätige bedeutet dies, dass sie besonders bei dieser Patientengruppe einen sorgsamen und selbstschützenden Umgang mit medialer Berichterstattung in der Behandlung zum Thema machen sollten.

Abstract

The posttraumatic stress disorder (PTSD) is conceptualised as a psychological reaction upon traumatic events of distinct threat. Especially after the terrorists´ attacks of September 11th 2001, the scientific evaluation of the impact of media coverage of war and terrorism on mental functions of healthy individuals and the question whether the exposure of previously traumatised individuals to media coverage of war and disasters may act as a trigger for a trauma re-activation has begun in the US. There are positive associations between media exposure and the presence of PTSD symptoms. The amount (length) of media consumption appears to be a crucial variable to consider. Psychotherapists are asked to broach the issue of a careful and self-protecting handling of media coverage during therapy.

Schlüsselwörter

posttraumatische Belastungsstörung - Fernsehen - Trigger - Re-Aktivierung - Stress

Key words

posttraumatic stress disorder - television - trigger - re-activation - stress
 

  • Literatur

  • 1 Vasterman P, Yzermans CJ, Dirkzwager AJ. The role of the media and media hypes in the aftermath of disasters. Epidemiol Rev 2005; 27: 107-114
    CrossrefPubMedGoogle Scholar
  • 2 Holmes EA, Bourne C. Inducing and modulating intrusive emotional memories: a review of the trauma film paradigm. Acta Psychol (Amst) 2008; 127: 553-566
    CrossrefPubMedGoogle Scholar
  • 3 Schuster MA, Stein BD, Jaycox L et al. A national survey of stress reactions after the September 11, 2001, terrorist attacks. N Engl J Med 2001; 345: 1507-1512
    CrossrefPubMedGoogle Scholar
  • 4 Schlenger WE, Caddell JM, Ebert L et al. Psychological reactions to terrorist attacks: findings from the National Study of Americans’ Reactions to September 11. JAMA 2002; 288: 581-588
    CrossrefPubMedGoogle Scholar
  • 5 Silver RC, Holman EA, McIntosh DN et al. Nationwide longitudinal study of psychological responses to September 11. JAMA 2002; 288: 1235-1244
    CrossrefPubMedGoogle Scholar
  • 6 Pfefferbaum B, Newman E, Nelson SD et al. Disaster media coverage and psychological outcomes: descriptive findings in the extant research. Curr Psychiatry Rep 2014; 16: 464
    CrossrefPubMedGoogle Scholar
  • 7 Silver RC, Holman EA, Andersen JP et al. Mental- and physical-health effects of acute exposure to media images of the September 11, 2001, attacks and the Iraq War. Psychol Sci 2013; 24: 1623-1634
    CrossrefPubMedGoogle Scholar
  • 8 Holman EA, Garfin DR, Silver RC. Media’s role in broadcasting acute stress following the Boston Marathon bombings. Proc Natl Acad Sci USA 2014; 111: 93-98
    CrossrefPubMedGoogle Scholar
  • 9 Ahern J, Galea S, Resnick H et al. Television images and probable posttraumatic stress disorder after September 11: the role of background characteristics, event exposures, and perievent panic. J Nerv Ment Dis 2004; 192: 217-226
    CrossrefPubMedGoogle Scholar
  • 10 Bernstein KT, Ahern J, Tracy M et al. Television watching and the risk of incident probable posttraumatic stress disorder: a prospective evaluation. J Nerv Ment Dis 2007; 195: 41-47
    CrossrefPubMedGoogle Scholar
  • 11 Ahern J, Galea S, Resnick H et al. Television images and psychological symptoms after the September 11 terrorist attacks. Psychiatry 2002; 65: 289-300
    CrossrefPubMedGoogle Scholar
  • 12 Butler LD, Koopman C, Azarow J et al. Psychosocial predictors of resilience after the September 11, 2001 terrorist attacks. J Nerv Ment Dis 2009; 197: 266-273
    CrossrefPubMedGoogle Scholar
  • 13 Holmes EA, Creswell C, O’Connor TG. Posttraumatic stress symptoms in London school children following September 11, 2001: an exploratory investigation of peri-traumatic reactions and intrusive imagery. J Behav Ther Exp Psychiatry 2007; 38: 474-490
    CrossrefPubMedGoogle Scholar
  • 14 Metcalfe R, Powdthavee N, Dolan P. Destruction and distress: using a quasi-experiment to show the effects of the September 11 attacks on mental well-being in the United Kingdom. Economic Journal 2011; 121: F81-F103
    CrossrefPubMedGoogle Scholar
  • 15 Bruckner TA, Catalano R, Ahern J. Male fetal loss in the U.S. following the terrorist attacks of September 11, 2001. BMC Public Health 2010; 10: 273
    CrossrefPubMedGoogle Scholar
  • 16 Smits L, Krabbendam L, de Bie R et al. Lower birth weight of Dutch neonates who were in utero at the time of the 9/11 attacks. J Psychosom Res 2006; 61: 715-717
    CrossrefPubMedGoogle Scholar
  • 17 Huddy L, Feldman S, Lahav G et al. Fear and terrorism: psychological reactions to 9//11. In: Norris P, Kern M, Jest M. editors. Framing terrorism: the news media, the government. New York City: Routledge; 2003. p 255-278
    Google Scholar
  • 18 Goodwin R, Palgi Y, Hamama-Raz Y et al. In the eye of the storm or the bullseye of the media: social media use during Hurricane Sandy as a predictor of post-traumatic stress. J Psychiatr Res 2013; 47: 1099-1100 Erratum in: J Psychiatr Res 2013; 47: 1835
    CrossrefPubMedGoogle Scholar
  • 19 Kennedy C, Charlesworth A, Chen JL. Disaster at a distance: impact of 9.11.01 televised news coverage on mothers’ and children’s health. J Pediatr Nurs 2004; 19: 329-339
    CrossrefPubMedGoogle Scholar
  • 20 Pfefferbaum B, Nixon SJ, Tivis RD et al. Television exposure in children after a terrorist incident. Psychiatry 2001; 64: 202-211
    CrossrefPubMedGoogle Scholar
  • 21 Fremont WP, Pataki C, Beresin EV. The impact of terrorism on children and adolescents: terror in the skies, terror on television. Child Adolesc Psychiatr Clin N Am 2005; 14: 429-451
    CrossrefPubMedGoogle Scholar
  • 22 Hoven CW, Duarte CS, Lucas CP et al. Psychopathology among New York city public school children 6 months after September 11. Arch Gen Psychiatry 2005; 62: 545-552
    CrossrefPubMedGoogle Scholar
  • 23 Comer JS, Furr JM, Beidas RS et al. Media use and children’s perceptions of societal threat and personal vulnerability. J Clin Child Adolesc Psychol 2008; 37: 622-630
    CrossrefPubMedGoogle Scholar
  • 24 Otto MW, Henin A, Hirshfeld-Becker DR et al. Posttraumatic stress disorder symptoms following media exposure to tragic events: impact of 9/11 on children at risk for anxiety disorders. J Anxiety Disord 2007; 21: 888-902
    CrossrefPubMedGoogle Scholar
  • 25 Nishi D, Koido Y, Nakaya N et al. Peritraumatic distress, watching television, and posttraumatic stress symptoms among rescue workers after the Great East Japan earthquake. PLoS One 2012; 7: e35248
    CrossrefPubMedGoogle Scholar
  • 26 Ben-Zur H, Gil S, Shamshins Y. The relationship between exposure to terror through the media, coping strategies and resources, and distress and secondary traumatization. Int J Stress Manag 2012; 19: 132-150
    CrossrefPubMedGoogle Scholar
  • 27 Seligman MEP. Erlernte Hilflosigkeit. Über Depression, Entwicklung und Tod. Weinheim: Beltz; 1999
    Google Scholar
  • 28 Lazarus RS. Stress and Emotion. A new Synthesis. London: Free Association Books; 1999
    Google Scholar
  • 29 Boe HJ, Holgersen KH, Holen A. Reactivation of posttraumatic stress in male disaster survivors: the role of residual symptoms. J Anxiety Disord 2010; 24: 397-402
    CrossrefPubMedGoogle Scholar
  • 30 Tagay S, Gunzelmann T, Brähler E. Posttraumatische Belastungsstörungen alter Menschen. CIP-Medien, Psychotherapie 2009; 14: 334-342
    PubMedGoogle Scholar
  • 31 Polusny MA, Erbes CR, Murdoch M et al. Prospective risk factors for new-onset post-traumatic stress disorder in National Guard soldiers deployed to Iraq. Psychol Med 2011; 41: 687-698
    CrossrefPubMedGoogle Scholar
  • 32 Smid GE, van der Velden PG, Lensvelt-Mulders GJ et al. Stress sensitization following a disaster: a prospective study. Psychol Med 2012; 42: 1675-1686
    CrossrefPubMedGoogle Scholar
  • 33 Maercker A, Rosner R. Was wissen wir über die posttraumatische Belastungsstörung und wohin gehen zukünftige Entwicklungen? – Zur Psychologie der Traumafolgestörungen. In Maercker A, Rosner R. Hrsg Psychotherapie der posttraumatischen Belastungsstörungen. Stuttgart: Thieme; 2006: 3-17
    Article in Thieme ConnectGoogle Scholar
  • 34 Andrews B, Brewin CR, Philpott R et al. Delayed-onset posttraumatic stress disorder: a systematic review of the evidence. Am J Psychiatry 2007; 164: 1319-1326
    CrossrefPubMedGoogle Scholar
  • 35 Christenson RM, Walker JI, Ross DR et al. Reactivation of traumatic conflicts. Am J Psychiatry 1981; 138: 984-985
    CrossrefPubMedGoogle Scholar
  • 36 Solomon Z, Weisenberg M, Schwarzwald J et al. Posttraumatic stress disorder among frontline soldiers with combat stress reaction: the 1982 Israeli experience. Am J Psychiatry 1987; 144: 448-454
    CrossrefPubMedGoogle Scholar
  • 37 Solomon Z, Mikulincer M. Trajectories of PTSD: a 20-year longitudinal study. Am J Psychiatry 2006; 163: 659-666
    CrossrefPubMedGoogle Scholar
  • 38 Ressler KJ, Mayberg HS. Targeting abnormal neural circuits in mood and anxiety disorders: from the laboratory to the clinic. Nat Neurosci 2007; 10: 1116-1124
    CrossrefPubMedGoogle Scholar
  • 39 Charney DS, Deutch AY, Krystal JH et al. Psychobiologic mechanisms of posttraumatic stress disorder. Arch Gen Psychiatry 1993; 50: 295-305
    PubMedGoogle Scholar
  • 40 Horowitz MJ. Stress response. (3. Aufl.) Northvale NJ: Aronson syndromes; 1997
    Google Scholar
  • 41 Brewin CR. Posttraumatic stress disorder: Malady or myth?. New Haven: Yale University Press; 2003
    Google Scholar
  • 42 Brewin CR. Posttraumatic stress disorder: Malady or myth?. New Haven: Yale University Press; 2013
    Google Scholar
  • 43 Hellawell SJ, Brewin CR. A comparison of flashbacks and ordinary autobiographical memories of trauma: content and language. Behav Res Ther 2004; 42: 1-12
    CrossrefPubMedGoogle Scholar
  • 44 Holmes EA, Bourne C. Inducing and modulating intrusive emotional memories: a review of the trauma film paradigm. Acta Psychol (Amst) 2008; 127: 553-566
    CrossrefPubMedGoogle Scholar
  • 45 Holmes EA, James EL, Coode-Bate T et al. Can playing the computer game “Tetris” reduce the build-up of flashbacks for trauma? A proposal from cognitive science. PLoS One 2009; 4: e4153
    CrossrefPubMedGoogle Scholar
  • 46 Holmes EA, James EL, Kilford EJ et al. Key steps in developing a cognitive vaccine against traumatic flashbacks: visuospatial Tetris versus verbal Pub Quiz. PLoS One 2010; 5: e13706
    CrossrefPubMedGoogle Scholar
  • 47 Bisby JA, King JA, Brewin CR et al. Acute effects of alcohol on intrusive memory development and viewpoint dependence in spatial memory support a dual representation model. Biol Psychiatry 2010; 68: 280-286
    CrossrefPubMedGoogle Scholar
  • 48 Laposa JM, Rector NA. The prediction of intrusions following an analogue traumatic event: peritraumatic cognitive processes and anxiety-focused rumination versus rumination in response to intrusions. J Behav Ther Exp Psychiatry 2012; 43: 877-883
    CrossrefPubMedGoogle Scholar
  • 49 Luo P, Jiang Y, Dang X et al. Effects of different forms of verbal processing on the formation of intrusions. J Trauma Stress 2013; 26: 288-294
    CrossrefPubMedGoogle Scholar
  • 50 Bourne C, Mackay CE, Holmes EA. The neural basis of flashback formation: the impact of viewing trauma. Psychol Med 2013; 43: 1521-1532
    CrossrefPubMedGoogle Scholar
  • 51 Chou CY, La Marca R, Steptoe A et al. Biological responses to trauma and the development of intrusive memories: an analog study with the trauma film paradigm. Biol Psychol 2014; 103: 135-143
    CrossrefPubMedGoogle Scholar
  • 52 Jobson L, Dalgleish T. Cultural differences in the relationship between intrusions and trauma narratives using the trauma film paradigm. PLoS One 2014; 9: e106759
    CrossrefPubMedGoogle Scholar
  • 53 Brewin CR. A cognitive neuroscience account of posttraumatic stress disorder and its treatment. Behaviour Research and Therapy 2001; 39: 373-393
    PubMedGoogle Scholar
  • 54 Doronbekov TK, Tokunaga H, Ikejiri Y et al. Neural basis of fear conditioning induced by video clip: positron emission tomography study. Psychiatry Clin Neurosci 2005; 59: 155-162
    CrossrefPubMedGoogle Scholar
  • 55 Metcalfe J, Jacobs WJ. Emotional memory: The effects of stress on “cool” and “hot” memory systems. In Medin LD. (Ed.). The psychology of learning and motivation: Advances in research and theory. vol. 38. San Diego: Academic Press; 1998. pp. 187-222
    Google Scholar
  • 56 Bird CM, Bisby JA, Burgess N. The hippocampus and spatial constraints on mental imagery. Front Hum Neurosci 2012; 6: 142
    PubMedGoogle Scholar
  • 57 Whalley MG, Kroes MC, Huntley Z et al. An fMRI investigation of posttraumatic flashbacks. Brain Cogn 2013; 81: 151-159
    CrossrefPubMedGoogle Scholar
  • 58 Peres JF, McFarlane A, Nasello AG et al. Traumatic memories: bridging the gap between functional neuroimaging and psychotherapy. Aust N Z J Psychiatry 2008; 42: 478-488
    CrossrefPubMedGoogle Scholar
  • 59 Holland AC, Kensinger EA. Emotion and autobiographical memory. Phys Life Rev 2010; 7: 88-131
    CrossrefPubMedGoogle Scholar
  • 60 Vasterling JJ, Brewin C. Neuropsychology of PTSD: Biological, Cognitive and Clinical Perspectives. Guilford Press; 2005
    Google Scholar
  • 61 Coolin A, Erdfelder E, Bernstein DM et al. Explaining individual differences in cognitive processes underlying hindsight bias. Psychon Bull Rev 2015; 22: 328-348
    CrossrefPubMedGoogle Scholar
  • 62 Jones GH, Lovett JW. Delayed psychiatric sequelae among Falklands war veterans. J R Coll Gen Pract 1987; 37: 34-35
    PubMedGoogle Scholar
  • 63 Brockway S. Flashback as a post-traumatic stress disorder (PTSD) symptom in a World War II veteran. Mil Med 1988; 153: 372-373
    PubMedGoogle Scholar
  • 64 Long N, Chamberlain K, Vincent C. Effect of the Gulf War on reactivation of adverse combat-related memories in Vietnam veterans. J Clin Psychol 1994; 50: 138-144
    CrossrefPubMedGoogle Scholar
  • 65 Kinzie JD, Boehnlein JK, Riley C et al. The effects of September 11 on traumatized refugees: reactivation of posttraumatic stress disorder. J Nerv Ment Dis 2002; 190: 437-441
    CrossrefPubMedGoogle Scholar
  • 66 VA/DoD Clinical Practice Guideline Working Group . Management of Post-Traumatic Stress Disorder and Acute Stress Reaction. Washington, DC: VA Office of Quality and Performance; 2010
    Google Scholar
  • 67 Forbes D, Creamer M, Phelps A et al. Australian guidelines for the treatment of adults with acute stress disorder and post-traumatic stress disorder. Aust N Z J Psychiatry 2007; 41: 637-648
    CrossrefPubMedGoogle Scholar
  • 68 Monson CM, Schnurr PP, Resick PA et al. Cognitive processing therapy for veterans with military-related posttraumatic stress disorder. J Consult Clin Psychol 2006; 74: 898-907
    CrossrefPubMedGoogle Scholar
  • 69 Foa EB, Rothbaum BO. Treating the Trauma of Rape: Cognitive – Behavioral Therapy for PTSD. New York: Guilford Press; 1998
    Google Scholar
  • 70 Maercker A, Michael T. Posttraumatische Belastungsstörungen. In Margraf J, Schneider S. Hrsg Lehrbuch der Verhaltenstherapie. (3. Aufl.; Bd. 2) Heidelberg: Springer; 2009: 105-124
    CrossrefGoogle Scholar
  • 71 Sack M, Gromes B, Lempa W. Traumatherapie »light«. Schonende Traumatherapie durch Ressourcenaktivierung während der Traumabearbeitung. Trauma und Gewalt 2007; 1: 214-222
    PubMedGoogle Scholar
  • 72 Rudolf G, Schulte D. Gutachten zur wissenschaftlichen Anerkennung der EMDR-Methode (Eye-Movement Desensitization and Reprocessing) zur Behandlung der posttraumatischen Belastungsstörung. Wissenschaftlicher Beirat Psychotherapie 2006; Gesehen unter http://www.wbpsychotherapie.de/page.asp?his=0.1.17.55.56
    PubMedGoogle Scholar
  • 73 Shapiro F. Eye Movement Desensitization and Reprocessing. New York: Guilford; 2001
    Google Scholar
  • 74 Schauer M, Neuner F, Elbert T. Narrative exposure therapy: a short-term treatment for traumatic stress disorders. 2nd revised and expanded ed Toronto: Hogrefe; 2011
    Google Scholar
  • 75 Creamer M, Wade D, Fletcher S et al. PTSD among military personnel. Int Rev Psychiatry 2011; 23: 160-165
    CrossrefPubMedGoogle Scholar
  • 76 Stein DJ, Ipser J, McAnda N. Pharmacotherapy of posttraumatic stress disorder: A review of meta-analyses and treatment guidelines. CNS Spectrums 2009; 14: 25-31
    PubMedGoogle Scholar
  • 77 NICE (National Institute for Health and Clinical Excellence) . Post-traumatic Stress Disorder. London: Royal College of Psychiatrists and the British Psychological Society; 2005
    Google Scholar
  • 78 Bradley R, Greene J, Russ E et al. A multidimensional meta-analysis of psychotherapy for PTSD. Am J Psychiatry 2005; 162: 214-227
    Google Scholar
  • 79 Murphy D, Iversen A, Greenberg N. The mental health of veterans. J R Army Med Corps 2008; 154: 135-138
    PubMedGoogle Scholar
  • 80 Schreiber M, McEnany GP. Stigma, American military personnel and mental health care: challenges from Iraq and Afganistan. J Ment Health 2015; 24: 54-59
    CrossrefPubMedGoogle Scholar
  • 81 Erim Y, Morawa E, Atay H et al. Traumaerlebnisse, Posttraumatische Belastungsstörung und Kohärenzgefühl bei türkischsprachigen Patienten einer psychosomatischen Universitätsambulanz. Zeitschrift für Medizinische Psychologie 2009; 18: 108-116
    PubMedGoogle Scholar
  • 82 Tagay S, Zararsiz R, Erim Y et al. Traumatische Ereignisse und Posttraumatische Belastungsstörung bei türkischsprachigen Patienten in der Primärversorgung. Psychother Psychosom Med Psychol 2008; 58: 155-161
    Article in Thieme ConnectPubMedGoogle Scholar
  • 83 Maercker A. Posttraumatische Belastungsstörungen: Psychologie der Extrembelastungsfolgen bei Opfern politischer Gewalt. Lengerich: Pabst; 1998
    Google Scholar
  • 84 Bliese PD, Thomas JL, McGurk D et al. Mental health advisory teams: a proactive examination of mental health during combat deployments. Int Rev Psych 2011; 23: 127-134
    CrossrefPubMedGoogle Scholar
  • 85 Freyberger HJ, Kuwert P. Posttraumatische Belastungsstörung. Psychotherapeut 2013; 58: 269-275
    CrossrefPubMedGoogle Scholar
  • 86 American Psychiatric Association . Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: Author; 2013
    Google Scholar