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

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

doi:10.1080/07317115.2022.2114397

Cited by 5 publications

(9 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Treating both PTSD and the comorbid disorder at the same time may also increase quality of life. [63][64][65][66] Understanding psychiatric comorbidity can be used to guide targeted interventions for older adults as well as guide treatment development.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, it seems that older survivors with comorbid PTSD and depression may need more intense treatment or longer follow‐ups. Treating both PTSD and the comorbid disorder at the same time may also increase quality of life 63–66 . Understanding psychiatric comorbidity can be used to guide targeted interventions for older adults as well as guide treatment development.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Psychiatric comorbidities in older adults with posttraumatic stress disorder: A systematic review

Baltjes,

Cook,

van Kordenoordt

et al. 2023

Int J Geriat Psychiatry

Self Cite

View full text Add to dashboard Cite

Background: Psychiatric comorbidity is high in adults with posttraumatic stress disorder (PTSD), with up to 90% having at least one additional condition, and twothirds having two or more other diagnoses. With an increasing aging population in industrialized counties, knowing which psychiatric disorders frequently co-occur in older adults with PTSD can have implications to improve diagnosis and treatment. This systematic literature review explores the current empirical literature on psychiatric comorbidity in older adults with PTSD. Method: Literature databases PubMed, Embase, PsycINFO, and CINAHL were searched. The following inclusion criteria were applied: research done since 2013, PTSD diagnosis based on diagnostic criteria according to Diagnostic and Statistics Manual-Fifth Edition, International Classification of Diseases-10th Revision (ICD-10), or ICD-11, and studies include individuals aged 60 years or older. Results: Of 2068 potentially relevant papers identified, 246 articles were examined based on titles and abstracts. Five papers met the inclusion criteria and were included. Major depressive disorder and alcohol use disorder were the most frequently studied and diagnosed psychiatric comorbidities in older adults with PTSD. Conclusions and implications: Screening for depression and substance use in older adults should include an assessment of trauma and PTSD. Additional studies in the general older adult population with PTSD and a broader range of comorbid psychiatric disorders are needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Psychiatric comorbidities in older adults with posttraumatic stress disorder: A systematic review

Baltjes,

Cook,

van Kordenoordt

et al. 2023

Int J Geriat Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…Disclosing SV may help older victims to reconcile themselves with what happened and the choices they made as a result (Hargrave & Anderson, 1997). Recent Dutch research also indicated that trauma therapy decreases symptoms of depression and PTSD in older SV victims (Gielkens et al, 2022). Hence, it is never too late to disclose or seek professional help upon SV.…”

Section: Implications For Clinical Practicementioning

confidence: 99%

“…As a result, older adults do not comply with the “real rape” stereotype, which may make it even more difficult for older victims to label their experience as SV (Bodner et al, 2018). Furthermore, although research has shown that Eye Movement Desensitization and Reprocessing (EMDR) therapy in older victims of SV leads to a significant decrease in symptoms of depression and posttraumatic stress disorder (PTSD) (Gielkens et al, 2022), it has been believed that treating traumatic experiences, such as SV, in older adults is not useful (Bodner et al, 2018). This ageist idea of “therapeutic nihilism” is still present today in many healthcare workers and older adults, subsequently affecting help-seeking behavior (Bodner et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“In the End You Keep Silent”: Help-Seeking Behavior Upon Sexual Victimization in Older Adults

Nobels,

De Schrijver,

Van Landuyt

et al. 2023

J Interpers Violence

View full text Add to dashboard Cite

Sexual violence is considered a prominent mental health problem. Exposure to sexual victimization during lifetime has been linked to mental health problems in old age. Research in adult victims has shown that they experience many barriers for disclosure and seeking professional help upon sexual victimization. However, information on help-seeking behavior in older victims of sexual violence is non-existent. With this study we aim for a better understanding of help-seeking behavior upon sexual violence in older adults. We used a mixed methods approach with an explanatory sequential design. Data were collected through structured face-to-face interviews with a random sample of 227 sexual violence victims of 70 years and older living in Belgium. Quantitative data were triangulated with qualitative data from 15 in-depth interviews with older victims. We found that up to 60% of older sexual violence victims never disclosed their experiences and 94% never sought professional help. Help-seeking is a complex process comprising several phases, which are affected by strong feelings of shame and self-blame, ageist premises and taboos about sexuality. In the end, most victims choose to cope on their own. Occasional disclosure only happens decades after the sexual violence took place. Older victims do not spontaneously disclose to healthcare workers but expect professionals to initiate the conversation. In conclusion, few older victims disclose or seek professional help upon sexual victimization. Healthcare professionals working with older adults need capacity building through training, screening tools, and care procedures to initiate conversation on sexual violence, and to detect signs, prevent, mitigate and respond to sexual victimization in older adults.

show abstract

“…It is a protocolised psychological treatment method to reduce the distress related to an experienced traumatic life event. Recent studies have shown that it is also effective in the older population without dementia (Gielkens et al, 2022 ). Moreover, treatment of PTSD reduces the level of frailty in older people without dementia (Gielkens et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Posttraumatic stress disorder in people with dementia: study protocol

Ruisch,

Havermans,

Gielkens

et al. 2024

European Journal of Psychotraumatology

View full text Add to dashboard Cite

Background: Posttraumatic stress disorder (PTSD) is considered an independent risk factor for dementia. Despite the (clinical) evidence that PTSD is associated with neuropsychiatric symptoms in people with dementia, studies on its prevalence and clinical manifestation are limited, and their quality is affected by the lack of a structured method to diagnose PTSD in this population. The primary aim of the current study is to validate the ‘TRAuma and DEmentia’ interview as a diagnostic tool for PTSD in people with dementia and to test feasibility of EMDR treatment for people with PTSD and dementia. Methods: This prospective multi-centre study is divided into two parts. In study A, 90 participants with dementia will be included to test the criterion validity, inter-rater reliability and feasibility of the ‘TRAuma and DEmentia’ interview. In study B, 29 participants with dementia and PTSD will receive eye movement desensitisation and reprocessing therapy by a trained psychologist, and 29 participants with dementia and PTSD will be placed on the waiting list control group. Conclusion: This study aims to improve the diagnostic process of PTSD and to assess the effects of eye movement desensitisation and reprocessing treatment in people with dementia living in Dutch care facilities. Trial registration: NL70479.068.20 / METC 20-063 / OSF registration: https://doi.org/10.17605/OSF.IO/AKW4F

show abstract

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

Abstract: with details of the nature of the infringement. We will investigate the claim and if justified, we will take the appropriate steps.

Cited by 5 publications

References 46 publications

Psychiatric comorbidities in older adults with posttraumatic stress disorder: A systematic review

Psychiatric comorbidities in older adults with posttraumatic stress disorder: A systematic review

“In the End You Keep Silent”: Help-Seeking Behavior Upon Sexual Victimization in Older Adults

Posttraumatic stress disorder in people with dementia: study protocol

Contact Info

Product

Resources

About