Mørkved Nina, Thorp Steven R
Mosjøen District Psychiatric Centre, Helgeland Hospital, Mosjøen, Norway.
Department of Psychology, University of Tromsø, Tromsø, Norway.
Eur J Psychotraumatol. 2018 Jan 16;9(1):1414561. doi: 10.1080/20008198.2017.1414561. eCollection 2018.
The bulk of the literature on effective treatments for posttraumatic stress disorder (PTSD) has focused on children, adolescents, and young adults. The evidence on treatments for older adults is sparse. This case report presents the application of narrative exposure therapy (NET) for a 70-year-old Norwegian woman suffering from PTSD as a result of multiple childhood and late life traumatic events. NET is a manualized, short-term, cognitive-behavioural therapy for PTSD, originally developed to meet the needs of survivors of war and organized violence. Some aspects of NET may be a good fit for older adults, including its brevity, simplicity, and concrete nature. The course of therapy included psychoeducation, a lifeline exercise, imaginal exposure, and the creation of a coherent narrative. Symptoms of depression and posttraumatic stress showed improvement over the course of therapy and at follow-up. This suggests that NET may have potential as a trauma treatment for older adults.
关于创伤后应激障碍（PTSD）有效治疗方法的大部分文献都集中在儿童、青少年和年轻人身上。针对老年人治疗方法的证据很少。本病例报告介绍了叙事暴露疗法（NET）在一名70岁挪威女性身上的应用，该女性因童年和晚年的多次创伤性事件而患有创伤后应激障碍。叙事暴露疗法是一种针对创伤后应激障碍的标准化、短期认知行为疗法，最初是为满足战争和有组织暴力幸存者的需求而开发的。叙事暴露疗法的某些方面可能很适合老年人，包括其简短性、简单性和具体性。治疗过程包括心理教育、生命线练习、想象暴露和构建连贯的叙事。抑郁症状和创伤后应激症状在治疗过程中和随访时都有所改善。这表明叙事暴露疗法可能具有作为老年人创伤治疗方法的潜力。
