治疗痴呆症患者的创伤后应激症状：使用德尔菲法达成专家共识。

IF 2.6 3区医学 Q3 GERIATRICS & GERONTOLOGY Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-02-02 DOI:10.1080/07317115.2023.2170842

S Driessen, R Ponds, S P J van Alphen, A Nederstigt, K Deckers, S Sobczak

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引用次数: 0

摘要

目的：创伤后应激障碍经常出现在痴呆症患者身上，但其症状难以识别，也缺乏合适的治疗方法。本研究旨在调查哪些以创伤为重点的治疗方法适用于这些患者：德尔菲法是一种由专家小组达成共识的方法。研究在网上进行，包括三轮，分别就支持治疗、治疗和实施进行陈述：有几种治疗方法可供选择，但哪种治疗方法最适合取决于创伤后应激障碍和痴呆症的症状和严重程度：研究结果为医护人员提供了一些实用建议，也为今后的研究提供了基本依据：临床意义：临床医生应重视对痴呆症患者创伤后应激障碍症状的治疗，有必要研究创伤后应激障碍症状和痴呆症的类型和严重程度。考虑到这些因素，临床医生就能专注于最佳治疗方案，以改善这类特殊患者的生活质量。

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Treating Symptoms of Posttraumatic Stress in People with Dementia: Expert Consensus Using the Delphi Method.

Objectives: Posttraumatic stress disorder is frequently present in people with dementia, but the symptoms are difficult to recognize and suitable treatments are lacking. The aim of the present study was to investigate which trauma-focused treatments are applicable to these patients.

Methods: The Delphi method is a process which is used to reach consensus from a panel of experts. The study was conducted online and consisted of three rounds with statements about support for treatment, treatment, and implementation.

Results: There are several treatment options available, but it depends on the symptoms, and the severity of PTSD and dementia which treatment is most suitable.

Conclusions: The outcomes offer some practical tips for health care workers, and they provide a fundamental base for future research.

Clinical implications: Clinicians should pay attention to the treatment of PTSD symptoms in people with dementia and it is necessary to examine the type and severity of both PTSD symptoms and dementia. Taking these factors into account, clinicians are able to focus on the best treatment option in order to improve the quality of life of these specific type of patients.

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.