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8 - Posttraumatic Stress Disorder and Its Treatment at Late Life

Published online by Cambridge University Press:  05 August 2012

By
Lee Hyer  and
Catherine A. Yeager
Edited by
Leonard W. Poon  and
Jiska Cohen-Mansfield
Lee Hyer
Affiliation:
Mercer University School of Medicine
Catherine A. Yeager
Affiliation:
Mercer University School of Medicine
Leonard W. Poon
Affiliation:
University of Georgia
Jiska Cohen-Mansfield
Affiliation:
Tel-Aviv University
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Summary

ABSTRACT

We discuss psychological trauma, notably Posttraumatic Stress Disorder (PTSD), at late life, paying special attention to what is distinctive at advanced ages. PTSD is fundamentally a diathesis-stress disorder. The role of aging as a mediating or moderating influence in the expression of psychological trauma is highlighted, especially as it applies to the oldest old. As a general position, older victims tend to be no more or less vulnerable or reactive to trauma than younger victims despite increasing stress rates at older ages. That said, older age presents differences in both the experience of life and in the integration of trauma into one's life narrative. In examining aging as it relates to trauma, we first discuss the biological sequelae of trauma in PTSD, as well as the effects of a biological core feature of aging: memory impairment and overall cognitive decline. PTSD is then considered as it relates to the understanding of the self in aging. Later, we elaborate on relevant PTSD models, especially the Developmental Adaptation and Changes of Adaptation models. We end with an examination of PTSD interventions originally developed for younger age groups and review the empirical support for older adults.

Type
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Information
Understanding Well-Being in the Oldest Old , pp. 111 - 148
Publisher: Cambridge University Press
Print publication year: 2011

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