Tratamento do transtorno do estresse pós-traumático complexo em crianças e adolescentes de acordo com a CID-11: revisão de literatura

Autores

  • Ricardo Akiyoshi Nakamura Residente de Psiquiatria, Residência Médica em Psiquiatria, 8 COREME da Secretaria Municipal de Saúde de São Paulo, SP, São Paulo, SP, Brasil https://orcid.org/0000-0001-5088-9045
  • Marcelo Bruno Generoso Departamento de Saúde Mental, Faculdade de Ciências Médicas da Santa Casa de São Paulo, FCMSCSP, São Paulo, SP, Brasil https://orcid.org/0000-0002-6270-8026
  • Amelia Karoline Costa Bacalhau Preceptor de Residência Médica em Psiquiatria, 8 COREME da Secretaria Municipal de Saúde de São Paulo, SP, Brasil https://orcid.org/0009-0008-6032-2067

DOI:

https://doi.org/10.25118/2763-9037.2023.v13.994

Palavras-chave:

transtorno de estresse pós-traumatico complexo, Terapia Cognitiva Comportamental Focada no Trauma, Tratamento do Transtorno de Estresse Pós-Traumático Complexo, crianças, adolescentes

Resumo

Introdução: Mais de 60% dos jovens relatam ter experimentado pelo menos uma experiência traumática durante a infância. O Transtorno de Estresse Pós-Traumático Complexo (TEPTC) é um novo diagnóstico da CID-11, com poucos estudos publicados sobre seu tratamento, principalmente em crianças e adolescentes. Objetivo: Revisar a literatura disponível sobre o tratamento do Transtorno de Estresse Pós-Traumático Complexo na Infância e Adolescência (TEPTC-IA) e definir as melhores estratégias para seu tratamento. Método: Através de revisão narrativa, foram incluídos artigos abordando o tratamento do TEPTC-IA. O levantamento dos artigos publicados na literatura foi realizado nas bases de dados: 1) BVS – Biblioteca Virtual em Saúde, e 2) PubMed, com as palavras, suas variantes e siglas de Transtorno de Estresse Pós-Traumático Complexo na Infância e Adolescência e “Complex Post-Traumatic Stress Disorder in children and adolescents”. Resultado: Foram incluídos 5 artigos publicados sobre tratamento do TEPTC-IA, com ênfase principalmente em Terapia Cognitiva Comportamental Focada no Trauma (TCC-FT). Conclusão: O presente estudo observou que a TCC-FT é a terapia mais estudada e efetiva para TEPTC-IA, porém, os sintomas do TEPTC como desregulação afetiva ainda causam sofrimento relevante após o tratamento. Os estudos analisados sugerem necessidade de aperfeiçoamento do tratamento, como maior individualização da terapia, com ênfase nos aspectos mais deficientes de cada paciente, como maior tempo da TCC-FT na fase de tratamento da desregulação afetiva e funcionamento relacional. Um estudo de Terapia de Processamento Cognitivo Adaptada ao Desenvolvimento (TPCAD) demonstrou efetividade para TEPTC-IA

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Biografia do Autor

Ricardo Akiyoshi Nakamura, Residente de Psiquiatria, Residência Médica em Psiquiatria, 8 COREME da Secretaria Municipal de Saúde de São Paulo, SP, São Paulo, SP, Brasil

Marcelo Bruno Generoso, Departamento de Saúde Mental, Faculdade de Ciências Médicas da Santa Casa de São Paulo, FCMSCSP, São Paulo, SP, Brasil

Amelia Karoline Costa Bacalhau, Preceptor de Residência Médica em Psiquiatria, 8 COREME da Secretaria Municipal de Saúde de São Paulo, SP, Brasil

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Publicado

2023-09-08

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Nakamura RA, Generoso MB, Bacalhau AKC. Tratamento do transtorno do estresse pós-traumático complexo em crianças e adolescentes de acordo com a CID-11: revisão de literatura. Debates em Psiquiatria [Internet]. 8º de setembro de 2023 [citado 13º de julho de 2024];13:1-17. Disponível em: https://revistardp.org.br/revista/article/view/994

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