老年人的创伤后应激障碍:全球合作制定未来的研究议程
Sjacko Sobczak1, Vasiliki Orgeta2, Margreet Beenakker3
1Rotterdam University of Applied Sciences, Research Center Innovations in Care, Rotterdam, Netherlands; Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands; Mondriaan Mental Health Center, Heerlen-Maastricht, Netherlands.
对老年人的创伤后应激障碍 (PTSD) 的研究是有限的. 迫切需要高质量的研究,重点关注多样化的人口和标准化的结果,以改善创伤衰老.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 老年人的创伤后应激障碍 (PTSD) 给公共卫生和社会护理带来了重大挑战.
- 特别针对老龄人口中PTSD的研究非常稀缺.
研究的目的:
- 审查关于PTSD和衰老的研究现状.
- 综合跨临床领域的证据:衰老机制,评估,治疗和护理.
- 为老年创伤幸存者建立基于共识的研究优先事项.
主要方法:
- 创伤性压力和衰老:全球网络工作组对142篇出版物进行了系统审查.
- 综合了四个关键临床领域的证据,这些领域与老年人相关.
- 确定了基于共识的研究优先事项.
主要成果:
- 审查发现,在所有审查的领域中,急需在老年创伤幸存者中进行高质量的PTSD研究.
- 建议特别关注代表性不足的群体,包括妇女,患有并发症 (例如神经认知障碍) 的个人,以及低收入和中等收入国家的人口.
- 优先考虑标准诊断仪器,临床上有意义的功能结果和实践经验的参与是至关重要的.
结论:
- 关于老年人PTSD的基于证据的知识存在关键差距.
- 未来的研究必须解决多样化的老年创伤幸存者群体的独特需求.
- 标准化的方法和患者参与对于推动该领域的研究和护理至关重要.
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