Prevention and Early Intervention Programs for Older Adults

M. Strachan, Lisa S. Elwood, Amstadter Ab, R. Acierno
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Abstract

Age appears to be a consistent protective factor against developing posttraumatic stress disorder (PTSD) subsequent to trauma exposure, followed by social support and proper screening and intervention. However, factors associated with the aging process may complicate identification and treatment of PTSD in older persons, although interventions have been developed in recent years that may help mediate the impact of trauma and stress. This chapter reviews the current risk and protective factors associated with development and treatment of PTSD and comorbidities in older adults, describes research on secondary prevention and early intervention programs for older adults exposed to potentially traumatic events, provides an introduction to a screening/prevention instrument, and presents recommendations for adaptation of extant early traumatic stress treatment programs to meet the needs of older adults.
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老年人预防和早期干预方案
年龄似乎是防止创伤暴露后发生创伤后应激障碍(PTSD)的一个一致的保护因素,其次是社会支持和适当的筛查和干预。然而,与衰老过程相关的因素可能使老年人创伤后应激障碍的识别和治疗复杂化,尽管近年来已经开发出干预措施,可能有助于调解创伤和压力的影响。本章回顾了当前与老年人创伤后应激障碍和合并症的发展和治疗相关的风险和保护因素,描述了对暴露于潜在创伤事件的老年人的二级预防和早期干预计划的研究,介绍了一种筛查/预防工具,并提出了适应现有早期创伤应激治疗计划的建议,以满足老年人的需求。
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