Hiskey Syd, Luckie Michael, Davies Stephen, Brewin Chris R
University College London, London, United Kingdom.
J Geriatr Psychiatry Neurol. 2008 Dec;21(4):232-41. doi: 10.1177/0891988708324937.
We review the literature for evidence of posttraumatic stress disorder that emerges in older adulthood yet is related to earlier life events. Minimum standards necessary to establish the phenomenon are proposed and applied to existing group and case studies. Our findings suggest that the best evidence for this rests with a handful of group studies featuring male war veterans (n = 4) and a variety of case studies (n = 12) that have appeared over the last two decades. We summarize what is known regarding prevalence, symptoms, course, and triggers, and conclude that the phenomenon does exist but has rarely been investigated systematically. There are therefore no grounds at present for thinking of reemergent posttraumatic stress disorder as a unique subtype of the disorder among elderly people. We suggest that future research focuses in more detail on participants' history of posttraumatic difficulties and considers the phenomenon across groups other than male veterans.
我们查阅文献，以寻找在成年后期出现但与早年生活事件相关的创伤后应激障碍的证据。我们提出了确立该现象所需的最低标准，并将其应用于现有的群体研究和案例研究。我们的研究结果表明，对此的最佳证据来自少数以男性退伍军人为主的群体研究（n = 4）以及过去二十年来出现的各种案例研究（n = 12）。我们总结了关于患病率、症状、病程和触发因素的已知情况，并得出结论，该现象确实存在，但很少得到系统研究。因此，目前没有理由将再发性创伤后应激障碍视为老年人中该障碍的一种独特亚型。我们建议未来的研究更详细地关注参与者的创伤后困难史，并考虑男性退伍军人以外其他群体中的该现象。
