Posttraumatic stress disorder in older adults: an overview of characteristics and treatment approaches
- 28 April 2011
- journal article
- review article
- Published by Wiley in International Journal of Geriatric Psychiatry
- Vol. 27 (3), 230-239
- https://doi.org/10.1002/gps.2725
Abstract
Posttraumatic stress disorder (PTSD) is a common and disabling condition following a traumatic event. Despite its high prevalence rates, relatively little is known about the manifestation and course of the disorder in older adults. Moreover, there has been little evaluation of the efficacy of psychotherapeutic treatment approaches for older patients. This overview aims to summarize available data on the prevalence and symptoms of late‐life PTSD and to review the current treatment approaches for older adults. The course and severity of PTSD symptoms in older adults depend on the time the trauma occurred (early versus late life). In the case of acute traumatization, lower prevalence rates and symptom severities are generally observed in older than in younger populations. In the case of early‐life traumatization, a decline in PTSD symptom severity can be observed over the life course. Research on treatment approaches has produced promising results, indicating that disorder‐specific interventions (i.e., trauma confrontation and cognitive restructuring) can be effectively combined with an age‐specific narrative life‐review approach. Given the limited empirical evidence, caution is warranted in generalizing the reported findings. Nevertheless, it is possible to draw a number of conclusions concerning the characteristics and treatment of PTSD in older adults. Further research is needed to better understand the various presentations of PTSD in late life and to validate and improve the effectiveness of available treatment approaches. Copyright © 2011 John Wiley & Sons, Ltd.This publication has 48 references indexed in Scilit:
- Are the elderly more vulnerable to psychological impact of natural disaster? A population-based survey of adult survivors of the 2008 Sichuan earthquakeBMC Public Health, 2010
- Anxiety disorders in older adults: a comprehensive reviewDepression and Anxiety, 2010
- PTSD Elderly War Veterans: A Clinical Controlled Pilot StudyCyberpsychology, Behavior, and Social Networking, 2010
- Ten‐year follow‐up study of PTSD diagnosis, symptom severity and psychosocial indices in aging holocaust survivorsActa Psychiatrica Scandinavica, 2008
- Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey ReplicationArchives of General Psychiatry, 2005
- A Comparison of Narrative Exposure Therapy, Supportive Counseling, and Psychoeducation for Treating Posttraumatic Stress Disorder in an African Refugee Settlement.Journal of Consulting and Clinical Psychology, 2004
- Guidelines for Psychological Practice With Older Adults.American Psychologist, 2004
- Treatment of Reactivated Post-Traumatic Stress DisorderBehavior Modification, 2001
- The effects of extreme early stress in very old ageJournal of Traumatic Stress, 2000
- Validation of PTSD measures for older combat veteransJournal of Clinical Psychology, 1992