Reuman Lillian, Davison Eve H
Boston University School of Medicine and National Center for PTSD at VA Boston Healthcare System.
Cogn Behav Pract. 2022 Nov;29(4):914-923. doi: 10.1016/j.cbpra.2021.06.004. Epub 2021 Jul 27.
Cognitive processing therapy (CPT) is a first-line, evidence-based treatment for posttraumatic stress disorder (PTSD). Little is known, however, about the use of CPT for older adults. As the United States population continues to grow and age, an understanding of the utility of CPT for older adults is vital. We present a case study describing the assessment and cognitive treatment of a 74-year-old woman veteran with PTSD secondary to military sexual trauma. CPT was associated with decreased PTSD symptoms as measured before and after treatment. Factors contributing to the veteran's response, as well as contextual and environmental factors, are discussed. The case demonstrates that CPT may be effective for older adults without major modification.
认知加工疗法(CPT)是创伤后应激障碍(PTSD)的一线循证治疗方法。然而,关于CPT在老年人中的应用知之甚少。随着美国人口持续增长和老龄化,了解CPT对老年人的效用至关重要。我们呈现一个案例研究,描述了一名74岁退伍女性因军事性创伤继发PTSD的评估和认知治疗。治疗前后测量结果显示,CPT与PTSD症状减轻相关。文中讨论了促成该退伍军人产生疗效的因素以及背景和环境因素。该案例表明,CPT在无需重大调整的情况下可能对老年人有效。