Koer Mary L, Diesfeldt Han
GGZ Noord-Holland Noord, Heiloo, Nederland.
Psychologenpraktijk Koer, Amsterdam, Netherlands.
Tijdschr Gerontol Geriatr. 2019 Dec 30;50(4). doi: 10.36613/tgg.1875-6832/2019.04.02. eCollection 2019 Dec 31.
This study concerns post-traumatic stress symptoms and post-traumatic stress disorder (PTSD) in psychiatric elderly living in a nursing home. PTSD in the elderly is underexposed and this group of elderly patients has not been investigated before. PTSD often comes with severe psychiatric problems, can affect, or even explain misunderstood problematic behaviour. The current trend is that psychiatric problems are more and more reason for admission to a nursing home. We examine the extent to which traumatic experiences and PTSD are present in this population, and to what extent elderly care physicians recognize traumatic experiences and PTSD.
To screen for psychotrauma and PTSD, the Trauma Screening Questionnaire (TSQ) was completed by participants. The assessment of elderly care physicians regarding psychotrauma and PTSD was objectified by means of two questions.
All 52 gerontopsychiatric patients could be included. Sixteen of them did not participate in the TSQ.
The prevalence of traumatic experiences in this group is very high. They are partly missed by the elderly care physicians. Utilization of the TSQ and questions exploring possible avoidance of traumatic memories could reduce the risk of underdiagnosis of psychotrauma and PTSD.
本研究关注居住在养老院的老年精神科患者的创伤后应激症状和创伤后应激障碍（PTSD）。老年人中的创伤后应激障碍未得到充分关注，且此前尚未对这组老年患者进行过调查。创伤后应激障碍常伴有严重的精神问题，可能影响甚至解释那些被误解的问题行为。当前的趋势是，精神问题越来越成为入住养老院的原因。我们研究了这一人群中创伤经历和创伤后应激障碍的存在程度，以及老年护理医生对创伤经历和创伤后应激障碍的认知程度。
为筛查精神创伤和创伤后应激障碍，参与者完成了创伤筛查问卷（TSQ）。通过两个问题使老年护理医生对精神创伤和创伤后应激障碍的评估客观化。
所有52名老年精神科患者均可纳入。其中16人未参与创伤筛查问卷。
该组中创伤经历的患病率非常高。老年护理医生部分有所遗漏。使用创伤筛查问卷以及探索可能回避创伤记忆的问题，可降低精神创伤和创伤后应激障碍漏诊的风险。
