Symptom profiles and treatment status of older adults with chronic post-traumatic stress disorder.

摘要: OBJECTIVE Failure to diagnose and treat post-traumatic stress disorder (PTSD) may help explain the substantial disability, increased cognitive decline, adverse health outcomes suffered by older adults with this disorder. To evaluate possibility, we examined symptom differences among younger individuals PTSD measured frequency which receive standard of care treatment. METHODS Clinician-Administered Scale for DSM (CAPS) scores were compared between PTSD. Profiles calculated most dominant CAPS cluster reported each participant, age cutoff best differentiating clusters was determined. Clinical interview data (older adult sample only) evaluated trained raters determine rates at participants accessed RESULTS Among 108 PTSD, 69% <67 years old had Criterion C (avoidance) symptoms as 39% ≥67 (p = 0.016). Eight percent E (hyperarousal) 30% Less than 25% (N = 53 subsample) receiving a first-line pharmacotherapy option 0% currently participating in an evidence-based psychotherapy CONCLUSIONS Clinicians evaluating patients should be aware that different profiles present Despite their high risk neuropsychiatric other consequences, appear infrequently clinical