School of Rehabilitation Therapy, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada.
Research & Innovation, Dalhousie University, Halifax, Nova Scotia, Canada.
Int J Ment Health Nurs. 2019 Oct;28(5):1017-1031. doi: 10.1111/inm.12601. Epub 2019 May 20.
Emerging research has found an association between post-traumatic stress disorder (PTSD) and dementia in veterans, yet little is known about the nature of this association and how it is conceptualized in the literature. The purpose of this scoping review is to understand how the relationship between PTSD and dementia in veterans is recognized and described in the peer-reviewed literature. A scoping review was conducted using Arksey and O'Malley's (International Journal of Social Research Methodology, 8, 19, 2005) framework. Articles are included if participants were veterans with a focus on PTSD and dementia. A total of six databases (CINAHL, MEDLINE, EMBASE, PsycINFO, HealthSTAR, and PubMed) were searched along with the reference lists of eligible sources in September 2018. Thematic analysis was used to summarize the data. Thirty-six studies were included in this review. Three main themes emerged from the literature: (i) symptomatic expression of PTSD and dementia; (ii) aetiology underlying the relationship between PTSD and dementia; and (iii) implications of PTSD and dementia on healthcare providers, treatment, and resources. This study highlights the ongoing need to understand mechanisms underlying the association between PTSD and dementia, the need for definition of PTSD symptoms, and to sensitize healthcare providers to the presence of PTSD when caring for veterans with dementia.
新兴研究发现，创伤后应激障碍（PTSD）与退伍军人痴呆之间存在关联，但人们对此关联的性质及其在文献中的概念化方式知之甚少。本范围综述的目的是了解 PTSD 与退伍军人痴呆之间的关系在同行评议文献中是如何被认识和描述的。使用 Arksey 和 O'Malley（国际社会研究方法杂志，8,19,2005）的框架进行了范围综述。如果参与者是专注于 PTSD 和痴呆的退伍军人，则将包括这些文章。2018 年 9 月，共在六个数据库（CINAHL、MEDLINE、EMBASE、PsycINFO、HealthSTAR 和 PubMed）中搜索了文章，并搜索了合格来源的参考文献列表。使用主题分析对数据进行了总结。本综述纳入了 36 项研究。文献中有三个主要主题：（i）PTSD 和痴呆的症状表现；（ii）PTSD 和痴呆之间关系的病因；以及（iii）PTSD 和痴呆对医疗保健提供者、治疗和资源的影响。本研究强调了人们对理解 PTSD 和痴呆之间关联的机制、对 PTSD 症状定义的需求以及提高医疗保健提供者在照顾痴呆退伍军人时对 PTSD 存在的认识的持续需求。
