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Posttraumatic stress disorder in people with dementia: study protocol.

J E Ruisch^1,2,3, D C D Havermans^4,5,6, E M J Gielkens^4,7

¹School for Mental Health and Neuroscience, Department of Psychiatry and Neuropsychology, Maastricht, the Netherlands.

European Journal of Psychotraumatology

|March 15, 2024

Summary

This study validates a new interview for diagnosing posttraumatic stress disorder (PTSD) in dementia patients and assesses EMDR therapy's feasibility for this population.

Keywords:

Demencia Dementia EMDR PTSD TEPT acontecimientos vitales traumáticos care home clinical practice práctica clínica residencia de ancianos trauma traumatic life-events

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Published on: July 1, 2014

Area of Science:

Neuroscience
Psychiatry
Gerontology

Background:

Posttraumatic stress disorder (PTSD) is an independent risk factor for dementia.
Limited research exists on PTSD prevalence and clinical presentation in individuals with dementia.
A lack of structured diagnostic tools hinders accurate PTSD assessment in this population.

Purpose of the Study:

Validate the 'TRAuma and DEmentia' interview for diagnosing PTSD in people with dementia.
Assess the feasibility of Eye Movement Desensitisation and Reprocessing (EMDR) therapy for individuals with dementia and PTSD.
Improve diagnostic accuracy and treatment options for PTSD in dementia patients.

Main Methods:

Prospective, multi-centre study divided into two parts.
Study A: Validating the 'TRAuma and DEmentia' interview with 90 dementia participants.
Study B: Assessing EMDR therapy feasibility in 58 dementia and PTSD participants (29 treatment, 29 waitlist control).

Main Results:

Criterion validity, inter-rater reliability, and feasibility of the 'TRAuma and DEmentia' interview will be assessed.
Feasibility and potential effects of EMDR treatment on individuals with dementia and PTSD will be evaluated.
Comparative analysis between the EMDR treatment group and the waitlist control group.

Conclusions:

The study aims to enhance the diagnostic process for PTSD in individuals with dementia.
It seeks to determine the effectiveness of EMDR therapy as a treatment for PTSD in this population.
Findings are expected to benefit patients in Dutch care facilities by improving care and treatment strategies.