Hucklenbroich K, Burgmer M, Heuft G
Klinik für Psychosomatik und Psychotherapie, Universitätsklinikum Münster, Domagkstr. 22, 48149, Münster, Deutschland,
Z Gerontol Geriatr. 2014 Apr;47(3):202-8. doi: 10.1007/s00391-014-0625-x.
The general scientific literature of psychotraumatology does not pay regard to people older than 60 years, although the generation of children who experienced World War II in Europe was severely affected. In addition, there is the possibility of acute traumatic experiences in old age.
Based on a literature search, we provide a survey of the symptomatology of acute and earlier trauma in older people and of the psychotherapeutic and pharmacological treatment options.
It is essential to establish a careful differential diagnosis to distinguish somatization from trauma reactivation in the elderly. The prognosis regarding relief of post-traumatic stress symptoms by trauma-exposing methods appears to be as good as in middle-aged adults; however, limitations on the patient's side should be taken into consideration.
心理创伤学的一般科学文献并未关注60岁以上的人群，尽管经历过欧洲第二次世界大战的那代儿童受到了严重影响。此外，老年人也有可能经历急性创伤事件。
基于文献检索，我们对老年人急性和早期创伤的症状学以及心理治疗和药物治疗选择进行了综述。
必须进行仔细的鉴别诊断，以区分老年人的躯体化症状和创伤再激活。通过暴露创伤的方法缓解创伤后应激症状的预后似乎与中年成年人一样好；然而，应考虑患者自身的局限性。
