老年虐待幸存者的PTSD:创伤症状呈现和治疗结果与PROTECT干预的治疗结果
Clare Culver1, Emily Carter2, Olivia Fiallo3
1Institute of Geriatric Psychiatry, Department of Psychiatry (CC, NW, TW, IR, JS), Weill Cornell Medicine, White Plains, NY.
概括
创伤后应激障碍 (PTSD) 症状在患有抑郁症的老年虐待 (EA) 受害者中很常见. 在这个脆弱人群中,PROTECT干预显著减少了PTSD症状.
科学领域:
- 老年学是指老年学的学科.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 虐待老年人 (EA) 与高抑郁率和自杀念头有关.
- 在患有抑郁症的老年虐待受害者中,创伤后应激障碍 (PTSD) 症状尚未得到充分研究.
研究的目的:
- 评估患有抑郁症的老年虐待受害者中PTSD症状的发生率和表现.
- 在PROTECT干预期间评估PTSD症状轨迹.
主要方法:
- 参与了40名患有抑郁症且没有认知障碍的老年虐待受害者.
- 参与者接受了为期9周的远程简短行为心理治疗 (PROTECT).
- 在基线,第6周和第9周使用PCL-5评估PTSD症状.
主要成果:
- 60%的参与者在基线达到可能的PTSD标准.
- 较高的基线抑郁症得分与可能的PTSD有关.
- 在9周的干预期间,PTSD症状显著下降.
结论:
- 在患有抑郁症的老年虐待受害者中,PTSD非常普遍.
- 在PROTECT干预有效地减少了创伤后应激障碍症状.
- 简短的,远程心理治疗可能有利于老年虐待受害者的创伤相关的痛苦.
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