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退伍军人痴呆和 PTSD 患者行为障碍的综合述评。

An Integrative Review of Behavioral Disturbances in Veterans With Dementia and PTSD.

机构信息

VA West Los Angeles Medical Center, Los Angeles, CA, USA.

Palo Alto University, CA, USA.

出版信息

J Geriatr Psychiatry Neurol. 2022 May;35(3):262-270. doi: 10.1177/0891988721993572. Epub 2021 Feb 19.

Abstract

OBJECTIVE

Both posttraumatic stress disorder (PTSD) and dementia have been associated with a variety of behavioral changes; however, little is known about the behavioral consequences of comorbid PTSD and dementia. An integrative review was conducted to identify and examine studies reporting on behavioral disturbances in Veterans with PTSD and dementia.

METHODS

PubMed and PsychINFO databases were searched for articles on behavioral disturbances in Veterans with comorbid PTSD and dementia.

RESULTS

Seven studies met inclusion for this review, sampling a total of 822 Veterans. Preliminary findings suggest that though Veterans with dementia and comorbid PTSD may present with more difficult behavioral symptoms, they do not typically display increased levels of aggression.

CONCLUSION

Given the limited study inventory, the key finding from this review highlights the lack of methodologically rigorous empirical studies on this topic. A research agenda is proposed to encourage future studies to address gaps in the literature.

摘要

目的

创伤后应激障碍(PTSD)和痴呆都与各种行为改变有关;然而,对于并发 PTSD 和痴呆的行为后果知之甚少。进行了综合审查,以确定和研究报告 PTSD 和痴呆退伍军人行为障碍的研究。

方法

在 PubMed 和 PsychINFO 数据库中搜索有关 PTSD 和痴呆共病退伍军人行为障碍的文章。

结果

这项综述共纳入了 7 项研究,共纳入了 822 名退伍军人。初步研究结果表明,虽然痴呆和并发 PTSD 的退伍军人可能表现出更困难的行为症状,但他们通常不会表现出更高水平的攻击性。

结论

鉴于研究存量有限,本综述的主要发现强调了在这一主题上缺乏严格的方法学实证研究。提出了一个研究议程,以鼓励未来的研究解决文献中的空白。

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