患有创伤后应激障碍的老年人的精神病并发症:系统性审查
Froukje Baltjes1, Joan M Cook2, Maaike van Kordenoordt3,4
1Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.
在患有创伤后应激障碍 (PTSD) 的老年人中,精神病并发症很常见. 大型抑郁症和酒精使用障碍是该人口中发现的最常见的并发症.
科学领域:
- 老年精神病学是一门精神病学专业.
- 创伤和心理健康问题
- 精神疾病的流行病学 精神疾病的流行病学
背景情况:
- 在患有创伤后应激障碍 (PTSD) 的成年人中存在较高的精神病并发症率,影响高达90%的个人.
- 了解患有PTSD的老年人群的并发症对于改善诊断和治疗策略至关重要.
- 本综述侧重于精神病相关疾病,特别是在患有PTSD的老年人 (60岁以上) 中.
研究的目的:
- 系统地审查有关PTSD老年人的精神病并发症的经验文献.
- 在这个人口群体中识别经常同时发生的精神疾病.
主要方法:
- 在PubMed,Embase,PsycINFO和CINAHL的系统文献搜索.
- 纳入标准:自2013年以来的研究,DSM-5/ICD-10/ICD-11的PTSD诊断,60岁以上的参与者.
- 选了2068篇论文,其中5篇符合纳入标准.
主要成果:
- 重度抑郁症是患有PTSD的老年人经常研究的并发症.
- 酒精使用障碍是这个人群中另一个常被诊断的精神病并发症.
- 五项研究符合审查的纳入标准.
结论:
- 对于老年人的抑郁症和物质使用的查应该包括创伤和PTSD评估.
- 在患有PTSD的一般老年人群中,需要对更广泛的精神病并发症进行进一步的研究.
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