Ishikawa Rachel Zack, Ander Ilana, Popescu Dominique L, Vyas Chirag M, Okereke Olivia I
Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Department of Counseling Psychology, Fordham University at Lincoln Center, New York, New York, USA.
Clin Gerontol. 2025 Jan-Feb;48(1):22-36. doi: 10.1080/07317115.2023.2219671. Epub 2023 May 31.
The goals of this narrative review are to review the literature on psychotherapeutic interventions for older adults with histories of child maltreatment (CM) and to examine the unique considerations for assessing, diagnosing, and treating older adults with CM histories.
Online database searches were conducted to identify the extant research into the efficacy of psychotherapeutic interventions for older adults with CM-related trauma.
Eight studies met inclusion criteria. The primary target diagnoses were post-traumatic stress disorder and depression. Psychotherapeutic interventions included Narrative Exposure Therapy, exposure-based treatments, Life Review Therapy, integrated treatments, and a spiritually-focused group therapy.
While limited in number and generalizability due to study design and sample size and characteristics, the studies provide preliminary evidence of potentially effective psychotherapeutic treatments for older adults with CM histories. Further research is needed to determine the most effective psychotherapeutic interventions for this population.
Many older adults suffer for decades with the repercussions of CM. Due to knowledge gaps regarding best practices for treating older adults with CM histories, many clinicians are poorly equipped to treat this population. Therefore, awareness of CM-related pathology and familiarity with effective psychotherapeutic interventions are essential for clinicians to meet the needs of this population.
本叙述性综述的目的是回顾关于对有儿童期虐待（CM）病史的老年人进行心理治疗干预的文献，并探讨评估、诊断和治疗有CM病史的老年人时需要特别考虑的因素。
进行在线数据库搜索，以确定关于对有CM相关创伤的老年人进行心理治疗干预效果的现有研究。
八项研究符合纳入标准。主要的目标诊断是创伤后应激障碍和抑郁症。心理治疗干预包括叙事暴露疗法、基于暴露的治疗、生活回顾疗法、综合治疗以及一种以精神为重点的团体治疗。
尽管由于研究设计、样本量和特征，研究数量有限且普遍性不足，但这些研究为有CM病史的老年人提供了潜在有效心理治疗的初步证据。需要进一步研究以确定针对该人群最有效的心理治疗干预措施。
许多老年人因CM的影响而遭受数十年痛苦。由于在治疗有CM病史的老年人的最佳实践方面存在知识空白，许多临床医生没有足够的能力治疗这一人群。因此，了解与CM相关的病理学知识并熟悉有效的心理治疗干预措施对于临床医生满足这一人群的需求至关重要。
