在老年人中使用的PTSD评估仪器的诊断准确性:系统性审查
Demi C D Havermans1,2, Estelle M N Coeur3, O Jiaqing4,5
1Department of Neuropsychology and Psychopharmacology, Maastricht University, Maastricht, the Netherlands.
European journal of psychotraumatology
|May 14, 2025
概括
老年人中创伤后应激障碍 (PTSD) 的验证查工具很少. 推使用临床医生管理的DSM-5PTSD尺度,但需要对不同人群进行更多的研究.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 心理健康研究 心理健康研究
背景情况:
- 全球老年人数的增加需要了解他们的心理健康.
- 创伤经历可以导致创伤后应激障碍 (PTSD) 在这个人口.
- 在老年人中,PTSD查和诊断的验证仪器的可用性有限.
研究的目的:
- 系统地总结PTSD查和60岁及以上成年人诊断仪器的诊断准确性.
- 识别现有研究中关于老年人群PTSD评估工具的缺口.
主要方法:
- 在 MEDLINE,EMBASE,PsycINFO 和 Web of Science (1980-2025) 的系统文献搜索.
- 包括专注于老年人中PTSD仪器心理特性的研究.
- 分析了40项研究,包括24种不同的仪器.
主要成果:
- 在21197篇选的出版物中,只有40篇研究符合资格标准.
- 很少有研究 (7) 涉及一般或初级保健人口;只有6个使用DSM-5标准.
- 在非西方和/或非说英语的老年人样本中缺乏验证研究.
结论:
- 在一般老年人群中,PTSD查和诊断工具的验证研究显著缺乏.
- 建议临床医生管理的DSM-5PTSD尺度作为临床实践的黄金标准.
- 强调需要进一步研究基于证据的切线分数,跨文化有效性以及解决老年人多病症的措施.
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