老年人的PTSD和认知:一个系统的文献综述
Jasmijn E van Rossum1, Semmy Op den Camp2, Renske Uiterwijk3
1Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience; Maastricht University, the Netherlands.
Journal of anxiety disorders
|June 15, 2025
概括
老年人的创伤后应激障碍 (PTSD) 与更快的认知衰退有关,特别是在记忆和注意力方面. 建议在PTSD治疗中进行早期查和认知重点.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 创伤后应激障碍 (PTSD) 显著影响心理社会功能和生活质量.
- 老年人的认知功能对于保持独立和福祉至关重要.
- 现有的文献缺乏对PTSD对老年人认知领域的影响的全面全球总结.
研究的目的:
- 系统地审查和综合全球关于PTSD与60岁及以上成年人特定认知功能的关系的研究.
- 在老年人群中识别与PTSD相关的认知衰退模式.
主要方法:
- 在PsycINFO,Medline和CINAHL的系统文献搜索,截至2024年11月1日.
- 包括60岁以上患有PTSD或下值症状的成年人的纵向队列和横截面研究.
- 对各种认知领域的标准化措施的分析.
主要成果:
- 创伤后应激障碍与加速的一般认知衰退以及随着时间的推移注意力和记忆力的潜在下降有关.
- 患有PTSD的老年人在全球认知功能和记忆力测量上表现较差.
- 关于执行功能的发现是混合的,一些研究显示负面关联,而其他研究显示没有显著差异.
结论:
- 患有PTSD的老年人面临着加速的认知衰退,需要主动查.
- 将认知功能评估和干预措施纳入老年人的PTSD治疗计划至关重要.
- 需要进一步的研究来澄清PTSD对这一人口群的执行功能的影响.
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