Abstract
We live in a society that idealizes youth. Every day we are exposed to advertisements, social media, and TV programs casting the young and beautiful. In our careers, social arenas, and health systems, we are encouraged to be fit, healthy, strong, slim, beautiful, efficient, exciting, quick, etc. These are all qualities that are more pronounced in youth and decrease in old age. At the same time, fewer children are being born in the Western world, and people live longer. This leads to a growing proportion of older people in society, who lived long lives and who are likely to have experienced many losses or even traumas. Older people are not as fast, efficient, or healthy as the young ideal, and they are often seen as rigid and predictable: “When you know one old person, you know them all.” Following this line of thought, it is often presumed that older people are neither willing nor able to change their ways. But is that really so? This chapter investigates trauma reactions in older people, the efficacy of psychotherapy with older people in general, and the treatment of posttraumatic stress reactions in older people in particular.
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References
Alexopoulos, G. S., Raue, P. J., Kiosses, D. N., Mackin, R. S., Kanellopoulos, D., McCulloch, C., & Areán, P. A. (2011). Problem-solving therapy and supportive therapy in older adults with major depression and executive dysfunction. Archives of General Psychiatry, 68(1), 33–41.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5TM (5th ed.). Arlington: American Psychiatric Publishing, Inc.
Aspnes, A. K., & Lynch, T. R. (2007). Individual and group psychotherapy. In Essentials of geriatric psychiatry (pp. 337–356). Arlington: American Psychiatric Publishing, Inc.
Averill, P. M., & Beck, J. G. (2000). Posttraumatic stress disorder in older adults: A conceptual review. Journal of Anxiety Disorders, 14, 133–156.
Baltes, P. B., & Baltes, M. M. (1990). Psychological perspectives on successful aging: The model of selective optimization with compensation. In Successful aging: Perspectives from the behavioral sciences (pp. 1–34). New York: Cambridge University Press.
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. Oxford: International Universities Press.
Birren, J. E. (1996). Encyclopedia of gerontology: Age, aging, and the aged (Vol. 1 & 2). San Diego: Academic.
Breslau, N., Davis, E. C., Andreski, P. & Peterson, E. (1991). Traumatic events and posttraumatic stress disorder in an urban population of young adults Archives of General Psychiatry, 48(3), 216–222.
Bryant, R. A. (2014). Prolonged grief: Where to after diagnostic and statistical manual of mental disorders, 5th edition? Current Opinion in Psychiatry, 27(1), 21–26.
Carr, D. (2004). Gender, preloss marital dependence, and older adults’ adjustment to widowhood. Journal of Marriage and Family, 66, 220–235.
Chung, M. C., Preveza, E., Papandreou, K., & Prevezas, N. (2006). Spinal cord injury, posttraumatic stress, and locus of control among the elderly: A comparison with young and middle-aged patients. Psychiatry Interpersonal and Biological Processes, 69(1), 69–80.
Coleman, P. G., & O’Hanlon, A. (2008). Ageing and adaptation. New York: Wiley.
Creamer, M., & Parslow, R. (2008). Trauma exposure and posttraumatic stress disorder in the elderly: A community prevalence study. The American Journal of Geriatric Psychiatry, 16(10), 853–856.
Davenhill, R. (2008). Psychoanalysis and old age. New York: Wiley.
Ditlevsen, D. N., & Elklit, A. (2010). The combined effect of gender and age on post traumatic stress disorder: Do men and women show differences in the lifespan distribution of the disorder? Annals of General Psychiatry, 9.
Elklit, A., & O’Connor, M. (2005). Post-traumatic stress disorder in a Danish population of elderly bereaved. Scandinavian Journal of Psychology, 46(5), 439–445.
Fromholt, P., Bruhn, P., & Bruhn, P. (1998). Cognitive dysfunction and dementia. In Clinical geropsychology (pp. 183–188). Washington: American Psychological Association.
Gadermann, A. M., Alonso, J., Vilagut, G., Zaslavsky, A. M., & Kessler, R. C. (2012). Comorbidity and disease burden in the national comorbidity survey replication (NCS-R). Depression and Anxiety, 29(9), 797–806.
Gallagher-Thompson, D., & Thompson, L. W. (1996). Applying cognitive-behavioral therapy to the psychological problems of later life. In A guide to psychotherapy and aging: Effective clinical interventions in a life-stage context (pp. 61–82). Washington: American Psychological Association.
Glaesmer, H., Kaiser, M., Bräehler, E., Freyberger, H., & Kuwert, P. (2012). Posttraumatic stress disorder and its comorbidity with depression and somatisation in the elderly—A German community-based study. Aging & Mental Health, 16(4), 403–412.
Hajjar, E. R., Cafiero, A. C., & Hanlon, J. T. (2007). Polypharmacy in elderly patients. American Journal of Geriatric Pharmacotherapy, 5(4), 345–351.
Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183.
James, I. A. (2010a). Cognitive behavioural therapy with older people. Interventions for those with and without dementia (1st ed.). London: Jessica Kingsley Publishers.
Johansson, B. (2008). Memory and cognition in ageing. New York: Wiley.
Kabat-Zinn, J. (2005). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness (15 anniversaryth ed.). New York: Delta Trade Paperback/Bantam Dell.
Kessler, R. C., & Wang, P. S. (2008). The descriptive epidemiology of commonly occurring mental disorders in the United States. Annual Review of Public Health, 29, 115–129.
Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H. (2012). Twelve‐month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21(3), 169–184.
Kiosses, D. N., Teri, L., Velligan, D. I., & Alexopoulos, G. S. (2011). A home-delivered intervention for depressed, cognitively impaired, disabled elders. International Journal of Geriatric Psychiatry, 26(3), 256–262.
Kubzansky, L. D., Koenen, K. C., Spiro, A., III, Vokonas, P. S., & Sparrow, D. (2007). Perspective study of posttraumatic stress disorder symptoms and coronary heart disease in the normative aging study. Archives of General Psychiatry, 64(1), 109–116.
Kuwert, P., Braehler, E., Freyberger, H. J., & Glaesmer, H. (2012). More than 60 years later: The mediating role of trauma and posttraumatic stress disorder for the association of forced displacement in world war II with somatization in old age. Journal of Nervous and Mental Disease, 200(10), 911–914.
Laidlaw, K. (2008). Cognitive behaviour therapy with older people. New York: Wiley.
Laidlaw, K., Thompson, L. W., Dick-Siskin, L., & Gallagher-Thompson, D. (2003). Cognitive behaviour therapy with older people. New York: Wiley.
Lapp, L. K., Agbokou, C., & Ferreri, F. (2011). PTSD in the elderly: The interaction between trauma and aging. International Psychogeriatrics, 23(6), 858–868.
Lupien, S. J., Wan, N., Huppert, F. A., Baylis, N., & Keverne, B. (2005). Successful ageing: From cell to self. In The science of well-being (pp. 75–103). New York: Oxford University Press.
Maercker, A., Forstmeier, S., Enzler, A., Krüsi, G., Hörler, E., Maier, C., & Ehlert, U. (2008). Adjustment disorders, posttraumatic stress disorder, and depressive disorders in old age: Findings from a community survey. Comprehensive Psychiatry, 49(2), 113–120.
Maercker, A., Brewin, C. R., Bryant, R. A., Cloitre, M., Reed, G. M., van Ommeren, M., Humayun, A., Jones, L. M., Kagee, A., Llosa, A. E., Rousseau, C., Somasundaram, D. J., Souza, R., Suzuki, Y., Weissbecker, I., Wessely, S. C., First, M. B., & Saxena, S. (2013). Proposals for mental disorders specifically associated with stress in the international classification of diseases-11. The Lancet, 381(9878), 1683–1685.
Mehlsen, M. Y. (2005). Den paradoksale livstilfredshed i alderdommen. Psyke and Logos, 26(2), 609–628.
Morrison, V. (2008). Ageing and physical health. New York: Wiley.
Nordhus, I. H. (2008). Manifestations of depression and anxiety in older adults. New York: Wiley.
O’Connor, M. (2010a). “A longitudinal study of PTSD in the elderly bereaved: Prevalence and predictors”: Erratum. Aging & Mental Health, 14(5), 3.
O’Connor, M. (2010b). PTSD in older bereaved people. Aging & Mental Health, 14(6), 670–678.
O’Connor, M., Piet, J., & Hougaard, E. (2014). The effects of mindfulness-based cognitive therapy on depressive symptoms in elderly bereaved people with loss-related distress: A controlled pilot study. Mindfulness 5, 400–409. http://dx.doi.org.ez.statsbiblioteket.dk:2048/10.1007/s12671-013-0194-x
Oliver, C., Adams, D., & Kalsy, S. (2008). Ageing, dementia and people with intellectual disability. New York: Wiley.
Roper-Hall, A. (2008). Systemic interventions and older people. New York: Wiley.
Ruskin, P. E., & Talbott, J. A. (1996). Aging and posttraumatic stress disorder (1st ed.). Washington: American Psychiatric Association.
Schaie, K. W. (1994). The course of adult intellectual development. American Psychologist, 49(4), 304–313.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression (2nd ed.). New York: Guilford Press.
Shear, M. K., Simon, N., Wall, M., Zisook, S., Neimeyer, R., Duan, N., Reynolds, C., Lebowitz, B., Sung, S., Ghesquiere, A., Gorscak, B., Clayton, P., Ito, M., Nakajima, S., Konishi, T., Melhem, N., Meert, K., Schiff, M., O'Connor, M. F., First, M., Sareen, J., Bolton, J., Skritskaya, N., Mancini, A. D., & Keshaviah, A. (2011). Complicated grief and related bereavement issues for DSM-5. Depression and Anxiety, 28(2), 103–117.
Silverman, G. K., Jacobs, S. C., Kasl, S. V., Shear, M. K., Maciejewski, P. K., Noaghiul, F. S., & Prigerson, H. G. (2000). Quality of life impairments associated with diagnostic criteria for traumatic grief. Psychological Medicine, 30, 857–862.
Smith, A., Graham, L., & Senthinathan, S. (2007). Mindfulness-based cognitive therapy for recurring depression in older people: A qualitative study. Aging & Mental Health, 11(3), 346–357.
Spirduso, W. W., & MacRae, P. G. (1990). Motor performance and aging. San Diego: Academic Press.
Spitzer, C., Barnow, S., Völzke, H., John, U., Freyberger, H. J., & Grabe, H. J. (2008). Trauma and posttraumatic stress disorder in the elderly: Findings from a German community study. Journal of Clinical Psychiatry, 69(5), 693–700.
Splevins, K., Smith, A., & Simpson, J. (2009). Do improvements in emotional distress correlate with becoming more mindful? A study of older adults. Aging & Mental Health, 13(3), 328–335.
Stroebe, M., Schut, H., & van den Bout, J. (2013). Complicated grief: Assessment of scientific knowledge and implications for research and practice (pp. 295–311). New York: Routledge/Taylor & Francis Group.
Van Zelst, W. H., De Beurs, E., Beekman, A. T. F., Van Dyck, R., & Deeg, D. D. H. (2006). Well-being, physical functioning, and use of health services in the elderly with PTSD and subthreshold PTSD. International Journal of Geriatric Psychiatry, 21(2), 180–188.
Yaffe, K., Vittinghoff, E., Lindquist, K., Barnes, D., Covinsky, K. E., Neylan, T., Kluse, M., & Marmar, C. (2010). Posttraumatic stress disorder and risk of dementia among US veterans. Archives of General Psychiatry, 67(6), 608–613.
Yang, Y. K., Yeh, T. L., Chen, C. C., Lee, C. K., Lee, I. H., Lee, L., & Jeffries, K. J. (2003). Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics. General Hospital Psychiatry, 25(4), 253–261.
Young, L. A., & Baime, M. J. (2010). Mindfulness-based stress reduction: Effect on emotional distress in older adults. Complementary Health Practice Review, 15(2), 59–64.
Selected References
Baltes, P. B., & Baltes, M. M. (1990). Psychological perspectives on successful aging: The model of selective optimization with compensation. In Successful aging: Perspectives from the behavioral sciences. New York: Cambridge University Press.
James, I. A. (2010). Cognitive behavioural therapy with older people. Intervnentions for those with and without dementia (1st ed.). London: Jessica Kingsley Publishers.
Woods, B., & Clare, L. (2008). Psychological interventions with people with dementia. New York: Wiley.
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O’Connor, M., Elklit, A. (2015). Treating PTSD Symptoms in Older Adults. In: Schnyder, U., Cloitre, M. (eds) Evidence Based Treatments for Trauma-Related Psychological Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-07109-1_20
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