Feasibility of EMDR in Older Adults with PTSD to Reduce Frailty and Improve Quality of Life.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2025-01-01 Epub Date: 2022-09-04 DOI:10.1080/07317115.2022.2114397

Ellen M J Gielkens, Kim Turksma, Leonieke W Kranenburg, Lara Stas, Sjacko Sobczak, Sebastiaan P J van Alphen, Gina Rossi

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Abstract

Objectives: Posttraumatic stress disorder (PTSD) after exposure to multiple (childhood) trauma's is strongly associated with accelerated aging and high psychiatric and somatic comorbidity, influencing frailty and Quality of Life (QoL) in older adults. Eye Movement Desensitization therapy (EMDR) addresses psychological and physiologic symptoms stemming from adverse life events and therefore could influence frailty and QoL in older adults.

Methods: We conducted a multi-center feasibility study (two psychiatric hospitals) in Dutch older outpatients (N = 24; ≥60 years) with PTSD. Participants received weekly EMDR-treatment during the course of the trial (3 months to a maximum of 9 months). Frailty (Groninger Frailty Indicator) and QoL (EuroQol 5D-3L), were assessed pre- and posttreatment.

Results: A linear mixed-model approach showed significant reduction of frailty (F(1,23) = 9.019, p = .006) and improvement of QoL (F(1,23) = 13.787, p = .001). For both frailty and QoL, there was no significant influence of Clinician-Administered PTSD Scale (CAPS-5) pre-treatment score, therapy duration, and neither an interaction effect of therapy duration x CAPS-5 pre-treatment score.

Conclusions: EMDR with older adults with PTSD showed a significant reduction of frailty and improvement of QoL. Randomized controlled studies are needed to more precisely study the impact of trauma-focused treatment in older adults on frailty and QoL and the implications this might have for lessening disease burden.

Clinical implications: Screening for PTSD in older frail adults is important to treat PTSD as a possible way to reduce frailty and improve QoL.

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EMDR 在患有创伤后应激障碍的老年人中的可行性，以减轻虚弱并提高生活质量。

研究目的遭受多重（童年）创伤后出现的创伤后应激障碍（PTSD）与加速衰老、高精神和躯体合并症密切相关，影响着老年人的虚弱程度和生活质量（QoL）。眼动脱敏疗法（EMDR）可解决不良生活事件引起的心理和生理症状，因此可影响老年人的虚弱程度和生活质量：我们对患有创伤后应激障碍的荷兰老年门诊患者（N = 24；≥60 岁）进行了一项多中心可行性研究（两家精神病医院）。在试验期间（3 个月至最长 9 个月），参与者每周接受一次 EMDR 治疗。对治疗前后的虚弱程度（格罗宁格虚弱指标）和QoL（EuroQol 5D-3L）进行了评估：线性混合模型法显示，虚弱程度明显减轻（F(1,23) = 9.019，p = .006），QoL 明显改善（F(1,23) = 13.787，p = .001）。对于虚弱程度和 QoL，临床医师注册创伤后应激障碍量表（CAPS-5）治疗前评分、治疗持续时间均无显著影响，治疗持续时间 x CAPS-5 治疗前评分也无交互效应：患有创伤后应激障碍的老年人接受 EMDR 治疗后，体弱程度明显减轻，QoL 明显改善。需要进行随机对照研究，以更准确地研究创伤焦点治疗对老年人体弱和 QoL 的影响，以及这对减轻疾病负担的意义：临床意义：对老年体弱者进行创伤后应激障碍筛查对于治疗创伤后应激障碍非常重要，这是减轻体弱和改善 QoL 的一种可能方法。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.