Article

Le traitement de l'état de stress post-traumatique

34433, +90-212-249 6949, Sıraselviler, Beyoğlu, Istanbul; Section of Trauma Studies Institute of Psychiatry King's College London, United Kingdom; Istanbul Center for Behavior Research and Therapy, Turkey

ABSTRACT L'état de stress post-traumatique (ÉSPT) est un trouble mental commun chez les personnes qui ont été exposées à des évènements traumatiques. Depuis son introduction au sein des systèmes de classification en psychiatrie dans les années 1980, diverses approches psychothérapeutiques ont été mises à l'essai dans le traitement de l'ÉSPT. L'efficacité de ces thérapies dans la réduction des symptômes de stress post-traumatique varie considérablement de l'une à l'autre. Des méta-analyses d'essais cliniques contrôlés à répartition aléatoire ont permis de conclure que les psychothérapies se concentrant sur le traumatisme sont les plus efficaces dans le traitement de l'ÉSPT (Bisson et coll. 2007; Bradley et coll. 2005; Van Etten et Taylor 1998). Les thérapies axées sur les traumatismes comprennent des approches de thérapie cognitivo-comportementale (TCC), particulièrement la thérapie par l'exposition et la thérapie cognitive, ainsi que l' intégration neuro-émotionnelle par les mouvements oculaires (Eye Movement Desensitization and Reprocessing ou EMDR). Une analyse de ces thérapies, de leur fondement théorique, de leurs applications, de leur efficacité et des enjeux entourant leur possibilité d'exécution dans différents contextes est exposée dans le présent article.

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May 21, 2014