International Psychogeriatrics,
Год журнала:
2014,
Номер
27(2), С. 297 - 304
Опубликована: Сен. 9, 2014
ABSTRACT
Background:
To
date,
few
studies
have
investigated
age
differences
in
posttraumatic
stress
disorder
(PTSD)
symptoms
and
none
has
examined
across
symptom
clusters:
avoidance,
re-experiencing,
hyperarousal.
The
first
objective
of
this
study
was
to
investigate
PTSD
its
three
clusters.
second
examine
indices
health
as
predictors
severity.
Methods:
Participants
were
104
male
veterans,
aged
22
87
years,
receiving
specialized
mental
outpatient
services.
Assessments
included
measures
health-related
quality
life,
pain
severity,
number
chronic
conditions,
PTSD,
both
total
on
the
Results:
There
significant
groups,
with
older
veterans
consistently
reporting
lower
each
Hierarchical
regression
analyses
indicated
that
inclusion
accounted
for
significantly
more
variance
over
above
by
alone.
Pain
severity
a
predictor
Conclusions
:
This
is
report
levels
among
These
findings
are
discussed
relation
experiencing
processing
emotion,
autobiographical
memory,
combat
experiences.
also
emphasizes
importance
assessing
those
particularly
who
less
likely
receive
healthcare.
Conflict and Health,
Год журнала:
2021,
Номер
15(1)
Опубликована: Март 6, 2021
Abstract
Background
Though
studies
measuring
war-related
stressors
and
resultant
trauma
among
U.S.
military
veterans
are
abundant,
few
address
how
wartime
affect
native
to
warzones.
Even
fewer
assess
the
stress
exposure
resulting
experienced
by
Vietnamese
civilians.
This
study
aimed
construct
a
scale
quantify
that
is
relevant
for
civilians
who
survived
American
War
in
Vietnam.
Methods
The
analyzed
data
from
novel
source,
Vietnam
Health
Aging
Study,
which
surveyed
older
men
women
residing
central
northern
We
used
combination
of
exploratory
confirmatory
factor
analysis
with
posthoc
tests
reliability
validity
derive
measures
assessing
traumatic
events.
Results
found
mix
death,
combat,
inhospitable
living
conditions,
forced
displacement
comprises
events
potentially
contribute
posttraumatic
disorder
other
mental
health
problems.
However,
particular
stressful
experiences
constituting
war
differs
civilians,
formal
military,
former
members
paramilitary
organizations.
Conclusions
These
findings
suggest
need
distinct
but
parallel
approaches
populations
exposed
their
home
countries
greater
public
attention
potential
lingering
noncombatants.
International Journal of Geriatric Psychiatry,
Год журнала:
2023,
Номер
38(6)
Опубликована: Июнь 1, 2023
Abstract
Background
Psychiatric
comorbidity
is
high
in
adults
with
posttraumatic
stress
disorder
(PTSD),
up
to
90%
having
at
least
one
additional
condition,
and
two‐thirds
two
or
more
other
diagnoses.
With
an
increasing
aging
population
industrialized
counties,
knowing
which
psychiatric
disorders
frequently
co‐occur
older
PTSD
can
have
implications
improve
diagnosis
treatment.
This
systematic
literature
review
explores
the
current
empirical
on
PTSD.
Method
Literature
databases
PubMed,
Embase,
PsycINFO,
CINAHL
were
searched.
The
following
inclusion
criteria
applied:
research
done
since
2013,
based
diagnostic
according
Diagnostic
Statistics
Manual‐Fifth
Edition,
International
Classification
of
Diseases—10th
Revision
(ICD‐10),
ICD‐11,
studies
include
individuals
aged
60
years
older.
Results
Of
2068
potentially
relevant
papers
identified,
246
articles
examined
titles
abstracts.
Five
met
included.
Major
depressive
alcohol
use
most
studied
diagnosed
comorbidities
Conclusions
Screening
for
depression
substance
should
assessment
trauma
Additional
general
adult
a
broader
range
comorbid
are
needed.
International Journal of Geriatric Psychiatry,
Год журнала:
2021,
Номер
36(8), С. 1216 - 1222
Опубликована: Фев. 12, 2021
Failure
to
diagnose
and
treat
post-traumatic
stress
disorder
(PTSD)
may
help
explain
the
substantial
disability,
increased
cognitive
decline,
adverse
health
outcomes
suffered
by
older
adults
with
this
disorder.
To
evaluate
possibility,
we
examined
symptom
differences
among
younger
individuals
PTSD
measured
frequency
which
receive
standard
of
care
treatment.Clinician-Administered
Scale
for
DSM
(CAPS)
scores
were
compared
between
PTSD.
Profiles
calculated
most
dominant
CAPS
cluster
reported
each
participant,
age
cutoff
best
differentiating
clusters
was
determined.
Clinical
interview
data
(older
adult
sample
only)
evaluated
trained
raters
determine
rates
at
participants
accessed
treatment.Among
108
PTSD,
69%
<67
years
old
had
Criterion
C
(avoidance)
symptoms
as
39%
≥67
(p
=
0.016).
Eight
percent
E
(hyperarousal)
30%
Less
than
25%
(N
53
subsample)
receiving
a
first-line
pharmacotherapy
option
0%
currently
participating
in
an
evidence-based
psychotherapy
PTSD.Clinicians
evaluating
patients
should
be
aware
that
different
profiles
present
Despite
their
high
risk
neuropsychiatric
other
consequences,
appear
infrequently
clinical
treatment.
International Psychogeriatrics,
Год журнала:
2014,
Номер
27(2), С. 297 - 304
Опубликована: Сен. 9, 2014
ABSTRACT
Background:
To
date,
few
studies
have
investigated
age
differences
in
posttraumatic
stress
disorder
(PTSD)
symptoms
and
none
has
examined
across
symptom
clusters:
avoidance,
re-experiencing,
hyperarousal.
The
first
objective
of
this
study
was
to
investigate
PTSD
its
three
clusters.
second
examine
indices
health
as
predictors
severity.
Methods:
Participants
were
104
male
veterans,
aged
22
87
years,
receiving
specialized
mental
outpatient
services.
Assessments
included
measures
health-related
quality
life,
pain
severity,
number
chronic
conditions,
PTSD,
both
total
on
the
Results:
There
significant
groups,
with
older
veterans
consistently
reporting
lower
each
Hierarchical
regression
analyses
indicated
that
inclusion
accounted
for
significantly
more
variance
over
above
by
alone.
Pain
severity
a
predictor
Conclusions
:
This
is
report
levels
among
These
findings
are
discussed
relation
experiencing
processing
emotion,
autobiographical
memory,
combat
experiences.
also
emphasizes
importance
assessing
those
particularly
who
less
likely
receive
healthcare.
