Practical Geriatrics: Possible Association of Posttraumatic Stress Disorder With Cognitive Impairment Among Older Adults

Cook, Joan M.; Ruzek, Josef I.; Cassidy, Erin L.

doi:10.1176/appi.ps.54.9.1223

Cited by 40 publications

(83 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many question the safety of exposure-based interventions given concerns that any associated physiological and emotional reactivity may exacerbate age-related health conditions (e.g., Hankin, 1997; Hyer & Woods, 1998; Shapiro, 1995). Some caution that older adults may be less amenable to cognitive interventions due to age-related declines in cognitive capacity (e.g., Cook, Ruzek, & Cassidy, 2003; Flint, 2004). Others suggest that older adults are less “psychologically minded” and less responsive to psychosocial treatment in general (e.g., Burgmer & Heuft, 2004).…”

Section: Treatment Of Ptsd: Controversy In Older Adultsmentioning

confidence: 99%

Treatment of PTSD in Older Adults: Do Cognitive-Behavioral Interventions Remain Viable?

Clapp

Beck

2012

Cognitive and Behavioral Practice

View full text Add to dashboard Cite

The literature examining trauma among older adults is growing, but little is known about the efficacy of empirically supported interventions for PTSD within this population. Clinical writing on this topic often implies that cognitive-behavioral treatments may be ineffective or inappropriate for older adults with PTSD given physical and/or cognitive vulnerabilities. Review of the limited research in this area, however, provides little support for the claim that cognitive-behavioral interventions are ineffective in treating PTSD among the elderly. In an effort to explicate specific issues related to treatment process and outcome among older survivors of trauma, a case series is presented outlining the treatment of three older adults within the context of a structured, cognitivebehavioral group intervention. Observations from this case series suggests that cognitivebehavioral interventions continue to be useful in treating PTSD with this population. Specific treatment issues unique to older adults are explored and recommendations for future research are discussed. Keywords PTSD; older adults; cognitive behavior therapyResearch over the past decade has advanced our understanding of posttraumatic stress disorder (PTSD) considerably, and treatment development efforts have resulted in a number of therapeutic approaches with robust support for their efficacy (Keane, Marshall, & Taft, 2006). Review of this literature, however, indicates that treatment efforts primarily have targeted young to middle-aged adults. As such, our understanding of how to treat PTSD among older adults -generally conceptualized as those individuals age 65 and olderremains in its nascent stages. In this review, we examine literature pertaining to the treatment of PTSD in older adults and highlight the potential strengths of this population. We then present a case series detailing treatment process and outcome in three older individuals within a cognitive-behavioral group intervention. We conclude with a discussion of possible next steps in developing the literature on the treatment of PTSD in older trauma survivors.

show abstract

Section: Treatment Of Ptsd: Controversy In Older Adultsmentioning

confidence: 99%

Treatment of PTSD in Older Adults: Do Cognitive-Behavioral Interventions Remain Viable?

Clapp

Beck

2012

Cognitive and Behavioral Practice

View full text Add to dashboard Cite

show abstract

“…However, historical trauma is far from unusual in people who grew up in the first half of the twentieth century. Several participants in this study had experienced such trauma, and at least one reported an 23 experience consistent with the 'captivity and abuse' discussed by Cook et al (2003). Within the broader literature on trauma and abuse we find many references to responses such as withdrawal, repetition compulsion, and 'acting out', yet these approaches to understanding the words and actions of people who have dementia are severely under-used.…”

Section: Resultsmentioning

confidence: 56%

“…Rusby and Tasker (2009) found that wartime evacuation could have lifelong effects on mental health and well-being, with age at the time and quality of care being significant 8 factors. Cook et al (2003) note that many aspects of a care environment may act as reminders of traumatic experiences, including television news coverage, the sound of other people in distress, and loud noises. They note, for example, that 'for women who have experienced captivity or violent assault, the presence of unfamiliar men or physical contact by male health professional may bring up unresolved trauma-related distress' (Cook et al 2003(Cook et al : 1223.…”

Section: Psychogeography and Dementiamentioning

confidence: 99%

“…Cook et al (2003) note that many aspects of a care environment may act as reminders of traumatic experiences, including television news coverage, the sound of other people in distress, and loud noises. They note, for example, that 'for women who have experienced captivity or violent assault, the presence of unfamiliar men or physical contact by male health professional may bring up unresolved trauma-related distress' (Cook et al 2003(Cook et al : 1223. As the findings discussed below demonstrate this seemed to be the case for at least one of the participants in our study.…”

Section: Psychogeography and Dementiamentioning

confidence: 99%

See 1 more Smart Citation

Place memory and dementia: Findings from participatory film-making in long-term social care

Capstick¹,

Ludwin²

2015

Health & Place

View full text Add to dashboard Cite

A participatory film-making study carried out in long-term social care with 10 people with Alzheimer-type dementia found that places the participants had known early in life were spontaneously foregrounded. Participants' memories of such places were well-preserved, particularly when photo-elicitation techniques, using visual images as prompts, were employed. Consistent with previous work on the 'reminiscence bump' in dementia, the foregrounded memories belonged in all cases to the period of life between approximately 5 and 30 years. Frequently the remembered places were connected with major life events which continued to have a strong emotional component. The continuing significance of place in the context of long-term dementia care is considered from a psychogeographical perspective.

show abstract

“…Some studies report poorer overall health with aging among veterans compared with nonveterans, 1,2 particularly for those who experienced combat. 3,4 However, other studies seem to support what has been called the “healthy soldier effect,” 5 suggesting that service members continue to be healthier than their nonveteran peers for decades after military service. 5,6 Research on blast mTBI has been growing since mTBI was labeled one of the signature injuries of the recent wars.…”

mentioning

confidence: 99%

Functional Decline 5 Years After Blast Traumatic Brain Injury

Dams-O’Connor

Tsao

2017

JAMA Neurol

View full text Add to dashboard Cite

Practical Geriatrics: Possible Association of Posttraumatic Stress Disorder With Cognitive Impairment Among Older Adults

Cited by 40 publications

References 21 publications

Treatment of PTSD in Older Adults: Do Cognitive-Behavioral Interventions Remain Viable?

Treatment of PTSD in Older Adults: Do Cognitive-Behavioral Interventions Remain Viable?

Place memory and dementia: Findings from participatory film-making in long-term social care

Functional Decline 5 Years After Blast Traumatic Brain Injury

Contact Info

Product

Resources

About