首次探索:眼动脱敏和再处理能否改善患有创伤后应激障碍的老年人的认知能力?
Ellen M J Gielkens1,2, Gina Rossi2, Sebastiaan P J van Alphen1,2,3
1Department Clinical Center of Excellence for Older Adults with Personality Disorders, Mondriaan Mental Health Center, Heerlen-Maastricht, the Netherlands.
Journal of geriatric psychiatry and neurology
|October 23, 2023
概括
眼动脱敏和再处理 (EMDR) 疗法可以改善患有创伤后应激障碍 (PTSD) 的老年人的记忆和注意力. 需要进一步的研究来证实这些认知益处.
科学领域:
- 老年精神病学是一门精神病学专业.
- 神经科学是一个神经科学.
- 认知心理学 认知心理学
背景情况:
- 老年人的创伤后应激障碍 (PTSD) 与认知缺陷有关,包括语言学习和执行功能受损.
- 了解PTSD对老年人群认知的影响对于开发有效干预措施至关重要.
研究的目的:
- 评估EMDR治疗对诊断为PTSD的老年人提高认知表现的可行性.
- 探索治疗前认知衰退 (如睡眠问题,抑郁症) 和PTSD症状严重程度的风险因素之间的关系.
主要方法:
- 一项多中心前后研究,涉及22名患有PTSD的老年人 (60-84岁).
- 参与者每周接受3,6或9个月的EMDR疗程.
- 认知功能使用标准化测试进行评估,包括RAVLT,SCWT和WAIS-IV-DS.
主要成果:
- 在口头学习 (RAVLT即时和延迟回忆,识别) 和注意力/干扰 (SCWT) 中观察到显著的改善.
- 工作记忆没有显著改善 (WAIS-IV-DS).
- 治疗持续时间和基线PTSD严重程度没有显著影响结果;与危险因素的相关性是无关紧要的.
结论:
- 在患有PTSD的老年人中,EMDR治疗显示出提高记忆力和注意力的潜力.
- 建议进行更大规模的受控研究来验证这些发现,并调查可修改的风险因素的作用.
相关概念视频
Post-traumatic Stress Disorder
39
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
39
Cognitive Development During Adulthood
125
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
125


