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Abstract

We live in a society that idealizes youth. Every day we are exposed to advertisements, social media, and TV programs casting the young. 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 pronounced in youth and decrease in old age. At the same time, fewer children are being born, and people live longer. This leads to a growing proportion of older people in society. People who lived long lives are likely to have experienced numerous losses and potential traumatic experiences. Older people are not as fast, efficient, or healthy as the young ideal, and they are often seen as rigid and predictable: 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 traumatic 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 GS, Raue PJ, Kiosses DN, Mackin RS, Kanellopoulos D, McCulloch C, Areán PA (2011) Problem-solving therapy and supportive therapy in older adults with major depression and executive dysfunction. Arch Gen Psychiatry 68(1):33–41

    Article  PubMed  PubMed Central  Google Scholar 

  • American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders: DSM-5TM, 5th edn. American Psychiatric Publishing, Arlington

    Book  Google Scholar 

  • Aspnes AK, Lynch TR (2007) Individual and group psychotherapy. In: Essentials of geriatric psychiatry. American Psychiatric Publishing, Arlington, pp 337–356

    Google Scholar 

  • Averill PM, Beck JG (2000) Posttraumatic stress disorder in older adults: a conceptual review. J Anxiety Disord 14:133–156

    Article  CAS  PubMed  Google Scholar 

  • Baltes PB, Baltes MM (1990) Psychological perspectives on successful aging: the model of selective optimization with compensation. In: Successful aging: perspectives from the behavioral sciences. Cambridge University Press, New York, pp 1–34

    Chapter  Google Scholar 

  • Beck AT (1976) Cognitive therapy and the emotional disorders. International Universities Press, Oxford

    Google Scholar 

  • Birren JE (1996) Encyclopedia of gerontology: age, aging, and the aged, vol 1 and 2. Academic Press, San Diego

    Google Scholar 

  • Bryant RA (2014) Prolonged grief: where to after diagnostic and statistical manual of mental disorders, 5th edition? Curr Opin Psychiatry 27(1):21–26

    Article  PubMed  Google Scholar 

  • Carr D (2004) Gender, preloss marital dependence, and older adults’ adjustment to widowhood. J Marriage Fam 66:220–235

    Article  Google Scholar 

  • Chung MC, 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 Interpers Biol Process 69(1):69–80

    Article  Google Scholar 

  • Coleman PG, O’Hanlon A (2008) Ageing and adaptation. Wiley, New York

    Book  Google Scholar 

  • Cook JM, Simiola V (2017) Trauma and PTSD in older adults: prevalence, course, concomitants and clinical considerations. Curr Opin Psychol 14:1–4

    Article  PubMed  Google Scholar 

  • Creamer M, Parslow R (2008) Trauma exposure and posttraumatic stress disorder in the elderly: a community prevalence study. Am J Geriatr Psychiatry 16(10):853–856

    Article  PubMed  Google Scholar 

  • Davenhill R (2008) Psychoanalysis and old age. Wiley, New York

    Book  Google Scholar 

  • Dinnen S, Simiola V, Cook J, M.C. (2015) Post-traumatic stress disorder in older adults: a systematic review of the psychotherapy treatment literature. Aging Ment Health 19(2):144–150. https://doi.org/10.1080/13607863.2014.920299

    Article  PubMed  Google Scholar 

  • Ditlevsen DN, 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? Ann General Psychiatry 9:32

    Article  Google Scholar 

  • Elklit A, O’Connor M (2005) Post-traumatic stress disorder in a Danish population of elderly bereaved. Scand J Psychol 46(5):439–445

    Article  PubMed  Google Scholar 

  • Fromholt P, Bruhn P (1998) Cognitive dysfunction and dementia. In: Clinical geropsychology. American Psychological Association, Washington, DC, pp 183–188

    Chapter  Google Scholar 

  • Gadermann AM, Alonso J, Vilagut G, Zaslavsky AM, Kessler RC (2012) Comorbidity and disease burden in the national comorbidity survey replication (NCS-R). Depress Anxiety 29(9):797–806

    Article  PubMed  PubMed Central  Google Scholar 

  • Gallagher-Thompson D, Thompson LW (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. American Psychological Association, Washington, DC, pp 61–82

    Google Scholar 

  • 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 Ment Health 16(4):403–412

    Article  PubMed  Google Scholar 

  • Hajjar ER, Cafiero AC, Hanlon JT (2007) Polypharmacy in elderly patients. Am J Geriatr Pharmacother 5(4):345–351

    Article  PubMed  Google Scholar 

  • Hofmann SG, Sawyer AT, Witt AA, Oh D (2010) The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. J Consult Clin Psychol 78(2):169–183

    Article  PubMed  PubMed Central  Google Scholar 

  • James IA (2010) Cognitive behavioural therapy with older people. Interventions for those with and without dementia, 1st edn. Jessica Kingsley, London

    Google Scholar 

  • Johannsen M, O’Toole MS, O’Connor M, Jensen AB, Zachariae R (2017) Clinical and psychological moderators of the effect of mindfulness-based cognitive therapy on persistent pain in women treated for primary breast cancer—explorative analyses from a randomized controlled trial. Acta Oncol 56:321–328. https://doi.org/10.1080/0284186X.2016.1268713

    Article  CAS  PubMed  Google Scholar 

  • Johansson B (2008) Memory and cognition in ageing. Wiley, New York

    Book  Google Scholar 

  • Kabat-Zinn J (2005) Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness, 15th edn. Delta Trade Paperback/Bantam Dell, New York

    Google Scholar 

  • Kessler RC, Wang PS (2008) The descriptive epidemiology of commonly occurring mental disorders in the United States. Annu Rev Public Health 29:115–129

    Article  PubMed  Google Scholar 

  • Kessler RC, Petukhova M, Sampson NA, Zaslavsky AM, Wittchen H (2012) Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. Int J Methods Psychiatr Res 21(3):169–184

    Article  PubMed  PubMed Central  Google Scholar 

  • Kessler RC, Aguilar-Gaxiola S, Alonso J, Benjet C, Bromet EJ, Cardoso G, Degenhardt L, de Girolamo G, Dinolova RV, Ferry F, Florescu S, Gureje O, Haro JM, Huang Y, Karam EG, Kawakami N, Lee S, Lepine J, Levinson D, Navarro-Mateu F, Pennell B, Piazza M, Posada-Villa J, Scott KM, Stein DJ, Have MT, Torres Y, Viana MC, Petukhova MV, Sampson NA, Zaslavsky AM, Koenen KC (2017) Trauma and PTSD in the WHO world mental health surveys. Eur J Psychotraumatol 8(5):1–16. https://doi.org/10.1080/20008198.2017.1353383

    Article  Google Scholar 

  • Kiosses DN, Teri L, Velligan DI, Alexopoulos GS (2011) A home-delivered intervention for depressed, cognitively impaired, disabled elders. Int J Geriatr Psychiatry 26(3):256–262

    Article  PubMed  PubMed Central  Google Scholar 

  • Kubzansky LD, Koenen KC, Spiro A III, Vokonas PS, Sparrow D (2007) Perspective study of posttraumatic stress disorder symptoms and coronary heart disease in the normative aging study. Arch Gen Psychiatry 64(1):109–116

    Article  PubMed  Google Scholar 

  • Kuwert P, Braehler E, Freyberger HJ, 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. J Nerv Ment Dis 200(10):911–914

    Article  PubMed  Google Scholar 

  • Laidlaw K (2008) Cognitive behaviour therapy with older people. Wiley, New York

    Google Scholar 

  • Laidlaw K, Thompson LW, Dick-Siskin L, Gallagher-Thompson D (2003) Cognitive behaviour therapy with older people. Wiley, New York

    Book  Google Scholar 

  • Lapp LK, Agbokou C, Ferreri F (2011) PTSD in the elderly: the interaction between trauma and aging. Int Psychogeriatr 23(6):858–868

    Article  PubMed  Google Scholar 

  • Lohr JB, Palmer BW, Eidt CA, Aailaboyina S, Mausbach BT, Wolkowitz OM, Thorp SR, Jeste DV (2015) Is post-traumatic stress disorder associated with premature senescence? A review of the literature. Am J Geriatr Psychiatry 23(7):709–725. https://doi.org/10.1016/j.jagp.2015.04.001

    Article  PubMed  PubMed Central  Google Scholar 

  • Lupien SJ, Wan N, Huppert FA, Baylis N, Keverne B (2005) Successful ageing: from cell to self. In: The science of well-being. Oxford University Press, New York, pp 75–103

    Google Scholar 

  • Maercker A, Forstmeier S, Enzler A, KrĂĽsi G, Hörler E, Maier C, Ehlert U (2008) Adjustment disorders, posttraumatic stress disorder, and depressive disorders in old age: findings from a community survey. Compr Psychiatry 49(2):113–120

    Article  PubMed  Google Scholar 

  • Maercker A, Brewin CR, Bryant RA, Cloitre M, Reed GM, van Ommeren M, Humayun A, Jones LM, Kagee A, Llosa AE, Rousseau C, Somasundaram DJ, Souza R, Suzuki Y, Weissbecker I, Wessely SC, First MB, Saxena S (2013) Proposals for mental disorders specifically associated with stress in the international classification of diseases-11. Lancet 381(9878):1683–1685

    Article  PubMed  Google Scholar 

  • Mehlsen MY (2005) Den paradoksale livstilfredshed i alderdommen. Psyke Logos 26(2):609–628

    Google Scholar 

  • Morrison V (2008) Ageing and physical health. Wiley, New York

    Book  Google Scholar 

  • Nordhus IH (2008) Manifestations of depression and anxiety in older adults. Wiley, New York

    Book  Google Scholar 

  • O’Connor M (2010a) “A longitudinal study of PTSD in the elderly bereaved: prevalence and predictors”: erratum. Aging Ment Health 14(5):3

    Google Scholar 

  • O’Connor M (2010b) PTSD in older bereaved people. Aging Ment Health 14(6):670–678

    Article  PubMed  Google Scholar 

  • 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. https://doi.org/10.1007/s12671-013-0194-x

    Article  Google Scholar 

  • O'Connor M, Lasgaard M, Larsen L, Johannsen M, Lundorff M, Farver-Vestergaard I, Boelen PA (2019) Comparison of proposed diagnostic criteria for pathological grief using a sample of elderly bereaved spouses in Denmark: perspectives on future bereavement research. J Affect Disord 251:52–59

    Article  PubMed  Google Scholar 

  • Oliver C, Adams D, Kalsy S (2008) Ageing, dementia and people with intellectual disability. Wiley, New York

    Book  Google Scholar 

  • Palgi Y, Avidor SS, Hoffman Y, Bodner E, Ben-Ezrad M (2019) Understanding the long-term connections between posttraumatic stress, subjective age, and successful aging among midlife and older adults. Eur J Psychotraumatol 10:1–9. https://doi.org/10.1080/20008198.2019.1583523

    Article  Google Scholar 

  • Roper-Hall A (2008) Systemic interventions and older people. Wiley, New York

    Book  Google Scholar 

  • Ruskin PE, Talbott JA (1996) Aging and posttraumatic stress disorder, 1st edn. American Psychiatric Association, Washington, DC

    Google Scholar 

  • Schaie KW (1994) The course of adult intellectual development. Am Psychol 49(4):304–313. https://doi.org/10.1037/0003-066X.49.4.304

  • Schaie KW (2005) Developmental influences on adult intelligence: the Seattle longitudinal study. Oxford University Press, New York

    Book  Google Scholar 

  • Segal ZV, Williams JMG, Teasdale JD (2013) Mindfulness-based cognitive therapy for depression, 2nd edn. Guilford Press, New York

    Google Scholar 

  • Shear MK, 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 MF, First M, Sareen J, Bolton J, Skritskaya N, Mancini AD, Keshaviah A (2011) Complicated grief and related bereavement issues for DSM-5. Depress Anxiety 28(2):103–117

    Article  PubMed  PubMed Central  Google Scholar 

  • Silverman GK, Jacobs SC, Kasl SV, Shear MK, Maciejewski PK, Noaghiul FS, Prigerson HG (2000) Quality of life impairments associated with diagnostic criteria for traumatic grief. Psychol Med 30:857–862

    Article  CAS  PubMed  Google Scholar 

  • Smith A, Graham L, Senthinathan S (2007) Mindfulness-based cognitive therapy for recurring depression in older people: a qualitative study. Aging Ment Health 11(3):346–357

    Article  CAS  PubMed  Google Scholar 

  • Spirduso WW, MacRae PG (1990) Motor performance and aging. Academic Press, San Diego

    Book  Google Scholar 

  • Spitzer C, Barnow S, Völzke H, John U, Freyberger HJ, Grabe HJ (2008) Trauma and posttraumatic stress disorder in the elderly: findings from a German community study. J Clin Psychiatry 69(5):693–700

    Article  PubMed  Google Scholar 

  • Splevins K, Smith A, Simpson J (2009) Do improvements in emotional distress correlate with becoming more mindful? A study of older adults. Aging Ment Health 13(3):328–335

    Article  PubMed  Google Scholar 

  • Stroebe M, Schut H, van den Bout J (2013) Complicated grief: assessment of scientific knowledge and implications for research and practice. Routledge/Taylor & Francis Group, New York, pp 295–311

    Book  Google Scholar 

  • Van Zelst WH, De Beurs E, Beekman ATF, Van Dyck R, Deeg DDH (2006) Well-being, physical functioning, and use of health services in the elderly with PTSD and subthreshold PTSD. Int J Geriatr Psychiatry 21(2):180–188

    Article  PubMed  Google Scholar 

  • Yaffe K, Vittinghoff E, Lindquist K, Barnes D, Covinsky KE, Neylan T, Kluse M, Marmar C (2010) Posttraumatic stress disorder and risk of dementia among US veterans. Arch Gen Psychiatry 67(6):608–613

    Article  PubMed  PubMed Central  Google Scholar 

  • Yang YK, Yeh TL, Chen CC, Lee CK, Lee IH, Lee L, Jeffries KJ (2003) Psychiatric morbidity and posttraumatic symptoms among earthquake victims in primary care clinics. Gen Hosp Psychiatry 25(4):253–261

    Article  PubMed  Google Scholar 

  • Young LA, Baime MJ (2010) Mindfulness-based stress reduction: effect on emotional distress in older adults. Complement Health Pract Rev 15(2):59–64

    Article  Google Scholar 

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O’Connor, M., Elklit, A. (2022). 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/10.1007/978-3-030-97802-0_21

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