Review of assessment and treatment of PTSD among elderly American armed forces veterans.

Abstract:

BACKGROUND:The number of elderly combat veterans is steadily increasing in the US and estimates project that a notable percentage of these veterans experience symptoms of posttraumatic stress disorder (PTSD). Limited data exist specifically related to prevalence, assessment, and treatment of PTSD among the elderly veteran population. OBJECTIVE:This review summarizes the available research related to difficulties in assessment with the elderly American Armed Forces veteran population. In addition, both psychotherapeutic and pharmacological treatment interventions for PTSD are discussed. METHODS:A literature search was conducted using PsycINFO, Medline, and the National Center for PTSD's PILOTS database. RESULTS:Evidence suggests that elderly veterans generally present more somatic symptoms of PTSD. Medical and psychological comorbidities, such as depression, substance abuse, or cognitive deficits can further complicate the assessment process. Cut-scores for existing instruments need to be further established with elderly veterans. Use of exposure therapies with the elderly has not been adequately researched and mixed results have been obtained for supportive therapy for treatment of PTSD. Controlled research investigating pharmacological interventions for PTSD with the elderly is also limited. CONCLUSION:Evidence suggests that some psychotherapeutic and pharmacological interventions already utilized with younger individuals may be useful with the elderly veteran population. However, research indicates that modifications may be required for working with the elderly population and further research in the areas of assessment and treatment are necessary.

authors

Owens GP,Baker DG,Kasckow J,Ciesla JA,Mohamed S

doi

10.1002/gps.1408

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

1118-30

issue

12

eissn

0885-6230

issn

1099-1166

journal_volume

20

pub_type

杂志文章,评审
  • White matter lesions and temporal atrophy are associated with cognitive and neuropsychiatric symptoms in patients with hypertension and Alzheimer's disease.

    abstract:OBJECTIVES:An increasing evidence suggests hypertension (HTN) could be linked to cognitive impairment and incident Alzheimer's disease (AD). The precise mechanisms linking HTN and AD are not well-known. The aim of this study was to assess the putative association between HTN and AD. METHODS:We assessed in patients wit...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5366

    authors: García-Alberca JM,Mendoza S,Gris E,Royo JL,Cruz-Gamero JM,García-Casares N

    更新日期:2020-11-01 00:00:00

  • An examination of the attitudes and practice of general practitioners in the diagnosis and treatment of depression in older people.

    abstract:BACKGROUND:Most depression in older people is managed in primary care settings but can be difficult to diagnose and is often under-treated. This study examined the attitudes and practice of general practitioners in the treatment of late-life depression using antidepressant medication. METHOD:Three hundred and thirty g...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.603

    authors: Rothera I,Jones R,Gordon C

    更新日期:2002-04-01 00:00:00

  • Carotid intima-media thickness in late-onset major depressive disorder.

    abstract:BACKGROUND:This study explored whether patients with late-onset major depressive disorder showed higher carotid artery intima-medium thickness (IMT) and investigated the relationship between the IMT and white matter hyperintensities on magnetic resonance imaging (MRI) among patients. METHODS:Fourteen elderly patients ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1420

    authors: Chen CS,Chen CC,Kuo YT,Chiang IC,Ko CH,Lin HF

    更新日期:2006-01-01 00:00:00

  • Factors for predicting reversion from mild cognitive impairment to normal cognition: A meta-analysis.

    abstract:OBJECTIVE:Subjects with mild cognitive impairment (MCI) may revert to normal cognition (NC), but predictive factors are under study. We therefore sought to identify factors which could help in predicting reversion from MCI to NC. METHODS:Relevant studies were retrieved from PubMed, EMBASE, Cochrane Library, MEDLINE, W...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/gps.5159

    authors: Xue H,Hou P,Li Y,Mao X,Wu L,Liu Y

    更新日期:2019-10-01 00:00:00

  • Caregiver burden, health utilities, and institutional service use in Alzheimer's disease.

    abstract:OBJECTIVE:This study examined the moderating effect of caregiver burden on the relationship between the health status of Alzheimer's disease (AD) patients and their use of institutional services (i.e., hospitalization, nursing home, and residential care). METHODS:Data were obtained at baseline and at 3, 6, and 9 month...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2730

    authors: Miller EA,Rosenheck RA,Schneider LS

    更新日期:2012-04-01 00:00:00

  • Pilot study of a three-step diagnostic pathway for young and old patients with Parkinson's disease dementia: screen, test and then diagnose.

    abstract:OBJECTIVE:To pilot a three-step diagnostic model for young and old patients with Parkinson's disease dementia (PDD). METHODS:Prospective investigator-blinded study. We developed a screening questionnaire for patients with Parkinson's disease (PD) and their caregivers. Further, patients were subjected to three screenin...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2331

    authors: Robben SH,Sleegers MJ,Dautzenberg PL,van Bergen FS,ter Bruggen JP,Rikkert MG

    更新日期:2010-03-01 00:00:00

  • Mortality and causes of death in older patients with schizophrenia.

    abstract:OBJECTIVE:The aim of this study was to evaluate mortality and causes of death in older patients with schizophrenia in comparison with the general population. The mortality of patients experiencing relapse was also compared with those in remission. METHODS:The study sample consists of patients (n = 9461) over 65 years ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2833

    authors: Talaslahti T,Alanen HM,Hakko H,Isohanni M,Häkkinen U,Leinonen E

    更新日期:2012-11-01 00:00:00

  • Development and evaluation of a health-related quality of life questionnaire for the elderly with dementia in Japan.

    abstract:OBJECTIVES:The purpose of this study was the development of the quality of life (QOL) questionnaire for dementia (QOL-D) in Japan. METHODS:We performed a questionnaire survey of QOL assessment in elderly patients with dementia in Japan, and developed QOL-D. RESULTS:The final version consists of only 31 items grouped ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.711

    authors: Terada S,Ishizu H,Fujisawa Y,Fujita D,Yokota O,Nakashima H,Haraguchi T,Ishihara T,Yamamoto S,Sasaki K,Nakashima Y,Kuroda S

    更新日期:2002-09-01 00:00:00

  • Mutual effect of cerebral amyloid β and peripheral lymphocytes in cognitively normal older individuals.

    abstract:OBJECTIVE:We hypothesized that cerebral amyloid accumulation is reflected in the periphery in the pre-dementia stage and used flow cytometry to investigate the peripheral lymphocytes as an easily accessible biomarker to observe neuro-inflammation. We aimed to determine whether peripheral lymphocytes are related to the ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4660

    authors: Yasuno F,Kazui H,Kajimoto K,Ihara M,Morita N,Taguchi A,Yamamoto A,Matsuoka K,Takahashi M,Nakagawara J,Tsuji M,Iida H,Kishimoto T,Nagatsuka K

    更新日期:2017-12-01 00:00:00

  • Association of grip strength with dementia in a Korean older population.

    abstract:BACKGROUND:Several studies have found that low grip strength is associated with dementia in Western populations. However, there have been few studies in Asian populations. This cross-sectional study aimed to examine whether grip strength is independently associated with dementia after controlling for other related fact...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2742

    authors: Shin HY,Kim SW,Kim JM,Shin IS,Yoon JS

    更新日期:2012-05-01 00:00:00

  • Neuroticism predicts fear of falling after hip fracture.

    abstract:OBJECTIVES:Fear of falling (FoF) is common and associated with poorer functional outcomes after hip fracture. We sought to differentiate patterns of FoF at 4 and 12 weeks after surgical repair for hip fracture and examine predictors of FoF. METHODS/DESIGN:Secondary analysis of existing data from a 52-week prospective ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5261

    authors: Bower ES,Wetherell JL,Petkus AJ,Lenze EJ

    更新日期:2020-05-01 00:00:00

  • Structural correlates of apathy in Alzheimer's disease: a multimodal MRI study.

    abstract:OBJECTIVE:Apathy is one of the most frequent symptoms of dementia, whose underlying neurobiology is not well understood. The objective was to analyze the correlations of apathy and its dimensions with gray and white matter damage in the brain of patients with advanced Alzheimer's disease (AD). METHODS:The setting of t...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4548

    authors: Agüera-Ortiz L,Hernandez-Tamames JA,Martinez-Martin P,Cruz-Orduña I,Pajares G,López-Alvarez J,Osorio RS,Sanz M,Olazarán J

    更新日期:2017-08-01 00:00:00

  • The SAGES telephone neuropsychological battery: correlation with in-person measures.

    abstract:OBJECTIVE:Neuropsychological test batteries are administered in person to assess cognitive function in both clinical and research settings. However, in-person administration holds a number of logistical challenges that makes it difficult to use in large or remote populations or for multiple serial assessments over time...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4558

    authors: Bunker L,Hshieh TT,Wong B,Schmitt EM,Travison T,Yee J,Palihnich K,Metzger E,Fong TG,Inouye SK

    更新日期:2017-09-01 00:00:00

  • Is integrated care associated with service costs and admission rates to institutional settings? An observational study of community mental health teams for older people in England.

    abstract:OBJECTIVES:To evaluate the association between the degree of integration in community mental health teams (CMHTs) and: (i) the costs of service provision; (ii) rates of mental health inpatient and care home admission. METHODS:An observational study of service use and admissions to institutional care was undertaken for...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4424

    authors: Wilberforce M,Tucker S,Brand C,Abendstern M,Jasper R,Challis D

    更新日期:2016-11-01 00:00:00

  • Useful services for families: research findings and directions.

    abstract::A major tenet of gerontological practice and policy has been that community-based services relieve stress on family caregivers and delay or prevent institutionalization of frail elders. Evidence for benefits of community-based services is examined from four perspectives: (1) relief for family caregivers; (2) benefits ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:

    authors: Zarit SH,Gaugler JE,Jarrott SE

    更新日期:1999-03-01 00:00:00

  • Vascular disease and apathy in old age. The Leiden 85-Plus Study.

    abstract:BACKGROUND:Apathy is defined as an important loss of motivation in all domains of daily functioning. Especially in old age, apathy might be a specific neuropsychiatric syndrome separate from depression. There are indications that apathy in elderly subjects is related to vascular disease. OBJECTIVE:To assess the relati...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1872

    authors: van der Mast RC,Vinkers DJ,Stek ML,Bek MC,Westendorp RG,Gussekloo J,de Craen AJ

    更新日期:2008-03-01 00:00:00

  • Non-pharmacological approaches for dementia that informal carers might try or access: a systematic review.

    abstract:OBJECTIVE:To review non-drug treatments for dementia; to provide a source of evidence for informal carers who want ideas about non-drug approaches for dementia, that they might try or that they could try to access. The systematic review addresses: what non-drug treatments work and what do they work for? What non-drug t...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,评审

    doi:10.1002/gps.2429

    authors: Hulme C,Wright J,Crocker T,Oluboyede Y,House A

    更新日期:2010-07-01 00:00:00

  • A Bayesian model of psychosis symptom trajectory in Alzheimer's disease.

    abstract:OBJECTIVE:Psychosis, like other neuropsychiatric symptoms of dementia, has many features that make predictive modeling of its onset difficult. For example, psychosis onset is associated with both the absolute degree of cognitive impairment and the rate of cognitive decline. Moreover, psychotic symptoms, while more like...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4326

    authors: Seltman HJ,Mitchell S,Sweet RA

    更新日期:2016-02-01 00:00:00

  • Limited validity of the Hospital Anxiety and Depression Scale (HADS) in dementia: evidence from a confirmatory factor analysis.

    abstract:OBJECTIVES:The Hospital Anxiety and Depression Scale (HADS) is a well-validated, self-report measure of both anxiety and depression. It is frequently used with people with dementia. However, its structural validity has never been examined in this population. The current study used confirmatory factor analysis (CFA) to ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4530

    authors: Stott J,Spector A,Orrell M,Scior K,Sweeney J,Charlesworth G

    更新日期:2017-07-01 00:00:00

  • Atypical antipsychotic drug use and falls among nursing home residents in Winnipeg, Canada.

    abstract:OBJECTIVE:The purpose of this study is to assess whether atypical antipsychotic drug (AAD) use is associated with increased risk of falling among older (≥65 years) nursing home (NH) residents. METHODS:We conducted a nested case-control study using Resident Assessment Instrument Minimum Data Set 2.0 (RAI-MDS(©)) for NH...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4223

    authors: Bozat-Emre S,Doupe M,Kozyrskyj AL,Grymonpre R,Mahmud SM

    更新日期:2015-08-01 00:00:00

  • Unrecognised psychological problems impair quality of life and increase consultation rates in Chinese elderly patients.

    abstract:OBJECTIVE:Studies have shown that psychological problems in elderly patients are often unrecognised in primary care. The aim of this study was to investigate the quality of life and consultation rates of Chinese elderly patients with unrecognised psychological problems in primary care. The prevalence and risk factors o...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,多中心研究

    doi:10.1002/gps.2210

    authors: Lam CL,Chin WY,Lee PW,Lo YY,Fong DY,Lam TP

    更新日期:2009-09-01 00:00:00

  • Do changes in specific cognitive functions predict changes in health-related quality of life in people with Alzheimer's disease?

    abstract:OBJECTIVE:Currently available pharmacological treatments in Alzheimer's disease (AD) have been associated with modest benefits to cognition, but the impact on health-related quality of life (HRQoL) is less well established. Our aim was to determine if decline of specific cognitive functions commonly associated with AD ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4050

    authors: Bosboom PR,Almeida OP

    更新日期:2014-07-01 00:00:00

  • Resilience and social support as protective factors against abuse of patients with dementia: A study on family caregivers.

    abstract:OBJECTIVE:Scientific literature has identified different vulnerability factors associated to abuse in people with dementia (PWD), but little is known about the psychosocial protective variables against abuse. The main objective of this study is to investigate a set of caregiver and patient factors linked to abuse-relat...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4905

    authors: Serra L,Contador I,Fernández-Calvo B,Ruisoto P,Jenaro C,Flores N,Ramos F,Rivera-Navarro J

    更新日期:2018-08-01 00:00:00

  • Early parental death and psychosocial risk factors for dementia: A case-control study in Europe.

    abstract:OBJECTIVES:To assess the association between early parental death and the risk of dementia in adult life and to examine the risk factors associated with early parental death in people with and without dementia. METHODS/DESIGN:A population-based case-control study of a sample of 65 997 participants from the Survey of H...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5328

    authors: Conde-Sala JL,Garre-Olmo J

    更新日期:2020-09-01 00:00:00

  • Impairment of activities of daily living requiring memory or complex reasoning as part of the MCI syndrome.

    abstract:BACKGROUND:Mild Cognitive Impairment (MCI) is a borderline state between age-associated cognitive decline and mild dementia. MCI is separated from mild dementia by an absence of global intellectual deterioration and the preservation of activities of daily living (ADL). However, even mild degrees of cognitive deteriorat...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1444

    authors: Perneczky R,Pohl C,Sorg C,Hartmann J,Tosic N,Grimmer T,Heitele S,Kurz A

    更新日期:2006-02-01 00:00:00

  • Delirium in the non-demented oldest old in the general population: risk factors and prognosis.

    abstract:BACKGROUND:The oldest old are prone to develop delirium. Studies into risk factors for delirium have been carried out predominantly in younger age groups. The aim of this population-based follow-up study was to investigate the risk factors for delirium requiring medical attention and subsequent prognosis in the non-dem...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.356

    authors: Rahkonen T,Eloniemi-Sulkava U,Halonen P,Verkkoniemi A,Niinistö L,Notkola IL,Sulkava R

    更新日期:2001-04-01 00:00:00

  • Prevalence and patterns of executive impairment in community dwelling Mexican Americans: results from the Hispanic EPESE Study.

    abstract:INTRODUCTION:Little is known about the prevalence of impaired executive control function (ECF) in community dwelling elderly or minority populations. We have determined the prevalence of cognitive impairment and impaired ECF in a community dwelling Mexican American elderly population, and their associations with functi...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1185

    authors: Royall DR,Espino DV,Polk MJ,Palmer RF,Markides KS

    更新日期:2004-10-01 00:00:00

  • The relationship between perceived functional difficulties and the ability to live well with mild-to-moderate dementia: Findings from the IDEAL programme.

    abstract:OBJECTIVES:The objectives of the study are to investigate how different levels of functional ability relate to quality of life, well-being, and satisfaction with life, conceptualised as reflecting capability to "live well" in people with dementia. METHODS/DESIGN:Participants were 1496 people with mild-to-moderate deme...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5128

    authors: Martyr A,Nelis SM,Quinn C,Rusted JM,Morris RG,Clare L,IDEAL programme team.

    更新日期:2019-08-01 00:00:00

  • Instrumental activities of daily living in the screening of dementia in population studies: a systematic review and meta-analysis.

    abstract:BACKGROUND:Despite the fact that the current definitions of dementia in the DSM-IV and ICD-10 require functional deterioration for the diagnosis of dementia, it is not necessary a formal evaluation of functional capacity. OBJECTIVES:To examine the efficiency of functional assessment as a method of screening dementia i...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/gps.1747

    authors: Castilla-Rilo J,López-Arrieta J,Bermejo-Pareja F,Ruiz M,Sánchez-Sánchez F,Trincado R

    更新日期:2007-09-01 00:00:00

  • Everyday functioning in mild cognitive impairment and its relationship with executive cognition.

    abstract:OBJECTIVE:Elderly persons with mild cognitive impairment (MCI) are at increased risk of dementia and functional impairments. The present study investigated the contribution of three domains of executive cognition to everyday functioning among persons with MCI. METHODS:124 MCI patients and 68 cognitively normal elderly...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2325

    authors: Aretouli E,Brandt J

    更新日期:2010-03-01 00:00:00