Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNs), 199236Maastricht University Medical Centre+, Maastricht, The Netherlands.
Department of Old Age Psychiatry, 26134Mondriaan Mental Health Center, Heerlen, The Netherlands.
J Geriatr Psychiatry Neurol. 2023 Mar;36(2):129-142. doi: 10.1177/08919887221103583. Epub 2022 Jun 17.
Cognitive and behavioral aspects may mask posttraumatic stress disorder (PTSD) in people with dementia. PTSD severely lowers quality of life in people with dementia. Proper recognition of PTSD is essential to ensure adequate treatment. However, a valid diagnostic tool for PTSD in dementia is lacking. A Delphi study was conducted among 20 Dutch and 6 international experts in the field of PTSD and dementia care or research. The aim was to reach consensus in 3 rounds on the added value, form, content, and application for developing such an instrument. The first round confirmed the need for a new diagnostic tool for research and clinical practice. Consensus was reached on 23 statements regarding the support base and 19 related to content of the instrument. In the third round, opinions on several conceptual problems were gathered. Based on the experts' opinions, a draft version of an instrument, the TRAuma and DEmentia-interview (TRADE-interview), was developed. Clinical and research implications of this new measure are discussed.
认知和行为方面可能会掩盖痴呆患者的创伤后应激障碍（PTSD）。 PTSD 会严重降低痴呆患者的生活质量。正确识别 PTSD 对于确保进行充分治疗至关重要。但是，目前缺乏用于痴呆患者 PTSD 的有效诊断工具。在 PTSD 和痴呆症护理或研究领域的 20 名荷兰专家和 6 名国际专家中进行了一项 Delphi 研究。目的是在 3 轮中就开发此类工具的附加值、形式、内容和应用达成共识。第一轮确认了研究和临床实践需要一种新的诊断工具。就支持基础达成了 23 项声明，就工具内容达成了 19 项声明。在第三轮中，收集了有关几个概念问题的意见。根据专家的意见，制定了 TRAuma 和 DEmentia-interview（TRADE-interview）的仪器草案。讨论了这种新方法的临床和研究意义。
