Yale School of Medicine, New Haven, CT, USA.
National Center for PTSD, Evaluation Division, West Haven, CT, USA.
Curr Psychiatry Rep. 2018 Sep 7;20(10):93. doi: 10.1007/s11920-018-0943-6.
The aim of this paper is to present a succinct summary of the major scientific findings on trauma, posttraumatic stress disorder (PTSD), and aging over the past few years.
There have been several reports from longitudinal investigations using representative samples of veterans regarding traumatic exposure and subsequent effects on health and functioning. There has also been further documentation of the significant association between PTSD and dementia as well as accelerated aging in late life. Several studies indicate that older adults with PTSD are at risk of not receiving timely and appropriate mental health treatment, indicating that targeted outreach could be helpful in increasing service use and improving care. The current knowledge base would benefit from more research on traumatized older adults from non-industrialized countries, as well as those in North America from diverse backgrounds, including ethnic and racial minorities, women, and those with cognitive impairments. Studies limited to adults aged 65 and over as well as those addressing disparities in the availability of mental health-related services within this population are warranted.
本文旨在简要总结过去几年中关于创伤、创伤后应激障碍(PTSD)和衰老的主要科学发现。
已有几项使用退伍军人代表性样本进行的纵向研究报告了创伤暴露及其对健康和功能的后续影响。此外,还进一步证明了 PTSD 与痴呆症以及晚年加速衰老之间存在显著关联。多项研究表明,患有 PTSD 的老年人可能无法及时获得适当的心理健康治疗,这表明有针对性的外展服务可能有助于增加服务使用并改善护理。目前的知识库还需要更多来自非工业化国家以及来自北美不同背景(包括少数民族和种族、女性以及认知障碍者)的创伤老年人的研究。有必要对 65 岁及以上的成年人进行研究,并研究这一人群中精神健康相关服务供应方面的差异。