Ptsd

Posttraumatic Stress Disorder in Older Adults: A Conceptual Review
Patricia M. Averill Ph.D.a and J. Gayle Beck Ph.D., b
a Department of Psychiatry, University of Texas Medical School, Houston, TX, USA
b Department of Psychology, State University of New York at Buffalo, Buffalo, NY, USA

Available online 28 April 2000.

Abstract
—Issues that are salient in understanding posttraumatic stress disorder (PTSD) in older adults are examined in this review. Although this issue has received scattered attention in the literature since introduction of the diagnosis of PTSD to the Diagnostic and Statistical Manual (DSM) in 1980, it is clear that numerous conceptual and defining questions exist in our understanding of the aftermath of trauma exposure in older adults. In approaching this issue, studies pertaining to diagnostic status as well as broader dimensions of psychosocial functioning are examined. Concerns that are unique to older adults are highlighted throughout, with particular attention to areas where additional research is warranted.
Author Keywords: PTSD; Aging; Trauma
Article Outline
• Posttraumatic stress disorder: diagnostic criteria and cardinal features
• What are the unique symptoms of posttraumatic stress disorder in older adults?
• Comment
• Prevalence of posttraumatic stress disorder in older adults
• Comment
• Can posttraumatic stress disorder begin many years after trauma exposure in older adults?
• Comment
• What comorbid features are associated with posttraumatic stress disorder in older adults?
• Comment
• What are the radiating effects of exposure to trauma on the elderly?
• General Psychological Effects
• Physical Effects
• Coping Strategies
• Coping With Nontraumatic Age-Related Stressors
• Comment
• Summary
• Acknowledgements
• References
Although posttraumatic stress disorder (PTSD) was not formally included in the Diagnostic and Statistical Manual of Mental Disorders (DSM) until 1980 (American Psychiatric...