Literature DB >> 22273763

Prolonged exposure therapy for older veterans with posttraumatic stress disorder: a pilot study.

Steven R Thorp1, Murray B Stein, Dilip V Jeste, Thomas L Patterson, Julie Loebach Wetherell.   

Abstract

OBJECTIVES: : The purpose of this pilot study was to assess the feasibility and preliminary efficacy of prolonged exposure psychotherapy in older Veterans with posttraumatic stress disorder (PTSD). Exposure therapy has broad empirical support for PTSD, but it has not been studied systematically in older adults, partly due to published concerns that older adults would not tolerate the treatment.
METHODS: : The trial followed a prospective pre-post design of 11 men recruited from a Veterans Affairs (VA) PTSD Clinical Team program. After baseline assessment, eight participants completed prolonged exposure therapy. Results were compared with a nonrandomized treatment-as-usual comparison group. The traumatic events identified by the Veterans in our samples had occurred, on average, 40 years prior to their study participation.
RESULTS: : Results revealed that conducting 6 weeks of exposure therapy with older Veterans with PTSD was feasible and efficacious, with evidence of some superiority to treatment-as-usual therapy.
CONCLUSIONS: : As hypothesized, Veterans showed a significant decrease in symptoms of PTSD (clinician-rated and self-reported) following exposure therapy.

Entities:  

Mesh:

Year:  2012        PMID: 22273763     DOI: 10.1097/JGP.0b013e3182435ee9

Source DB:  PubMed          Journal:  Am J Geriatr Psychiatry        ISSN: 1064-7481            Impact factor:   4.105


  11 in total

1.  Exposure-Based CBT for Older Adults After Fall Injury: Description of a Manualized, Time-Limited Intervention for Anxiety.

Authors:  Nimali Jayasinghe; Martha A Sparks; Kaori Kato; Kaitlyn Wilbur; Sandy B Ganz; Gabrielle R Chiaramonte; Bradford L Stevens; Philip S Barie; Mark S Lachs; Michael O'Dell; Arthur T Evans; Martha L Bruce; JoAnn Difede
Journal:  Cogn Behav Pract       Date:  2014-11-01

2.  Treatment of complicated grief in elderly persons: a randomized clinical trial.

Authors:  M Katherine Shear; Yuanjia Wang; Natalia Skritskaya; Naihua Duan; Christine Mauro; Angela Ghesquiere
Journal:  JAMA Psychiatry       Date:  2014-11       Impact factor: 21.596

Review 3.  Examining military population and trauma type as moderators of treatment outcome for first-line psychotherapies for PTSD: A meta-analysis.

Authors:  Casey L Straud; Jedidiah Siev; Stephen Messer; Alyson K Zalta
Journal:  J Anxiety Disord       Date:  2019-08-18

Review 4.  [Psychological consequences of earlier and acute traumatization in the elderly. Clinical presentation, diagnosis, and therapy].

Authors:  K Hucklenbroich; M Burgmer; G Heuft
Journal:  Z Gerontol Geriatr       Date:  2014-04       Impact factor: 1.281

Review 5.  [Psychotherapy for posttraumatic stress disorder in older adults].

Authors:  M Böttche; C Knaevelsrud
Journal:  Nervenarzt       Date:  2017-11       Impact factor: 1.214

6.  Sticking it out in trauma-focused treatment for PTSD: It takes a village.

Authors:  Laura A Meis; Siamak Noorbaloochi; Emily M Hagel Campbell; Christopher R Erbes; Melissa A Polusny; Tina L Velasquez; Ann Bangerter; Andrea Cutting; Afsoon Eftekhari; Craig S Rosen; Peter W Tuerk; Lori B Burmeister; Michele R Spoont
Journal:  J Consult Clin Psychol       Date:  2019-03

Review 7.  Systematic Review of the Clinical Application of Exposure Techniques to Community-Dwelling Older Adults with Anxiety.

Authors:  Nimali Jayasinghe; Lucy Finkelstein-Fox; Lili Sar-Graycar; Mary-Jane Ojie; Martha L Bruce; JoAnn Difede
Journal:  Clin Gerontol       Date:  2017-02-06       Impact factor: 2.619

Review 8.  Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders.

Authors:  Martin A Katzman; Pierre Bleau; Pierre Blier; Pratap Chokka; Kevin Kjernisted; Michael Van Ameringen; Martin M Antony; Stéphane Bouchard; Alain Brunet; Martine Flament; Sophie Grigoriadis; Sandra Mendlowitz; Kieron O'Connor; Kiran Rabheru; Peggy M A Richter; Melisa Robichaud; John R Walker
Journal:  BMC Psychiatry       Date:  2014-07-02       Impact factor: 3.630

9.  Interventions for adults with a history of complex traumatic events: the INCiTE mixed-methods systematic review.

Authors:  Hollie Melton; Nick Meader; Holly Dale; Kath Wright; Julie Jones-Diette; Melanie Temple; Iram Shah; Karina Lovell; Dean McMillan; Rachel Churchill; Corrado Barbui; Simon Gilbody; Peter Coventry
Journal:  Health Technol Assess       Date:  2020-09       Impact factor: 4.014

10.  The treatment of PTSD in an older adult Norwegian woman using narrative exposure therapy: a case report.

Authors:  Nina Mørkved; Steven R Thorp
Journal:  Eur J Psychotraumatol       Date:  2018-01-16
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