Feasibility of EMDR in Older Adults with PTSD to Reduce Frailty and Improve Quality of Life,Clinical Gerontologist

当前位置： X-MOL 学术 › Clin. Gerontol. › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Feasibility of EMDR in Older Adults with PTSD to Reduce Frailty and Improve Quality of Life
Clinical Gerontologist ( IF 2.8 ) Pub Date : 2022-09-04 , DOI: 10.1080/07317115.2022.2114397
Ellen M J Gielkens _{1,

2} , Kim Turksma ₃ , Leonieke W Kranenburg ₄ , Lara Stas _{5,

6} , Sjacko Sobczak _{1,

7} , Sebastiaan P J van Alphen _{2,

3,

8} , Gina Rossi ₂

Affiliation

Clinical center of excellence for older adults with personality disorders, Mondriaan Mental Health Center, Heerlen-Maastricht, The Netherlands.
Faculty of Psychology & Educational Sciences, Department of Psychology, Personality and Psychopathology Research Group (PEPS), Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Department of Psychiatry, Altrecht, Outpatient treatment center for older adults with psychiatric disorders Utrecht, The Netherlands.
Department of Psychiatry, Section Medical Psychology and Psychotherapy, Erasmus Medical Center, Rotterdam, the Netherlands.
Support for Quantitative and Qualitative Research (SQUARE), Vrije Universiteit Brussel (VUB), Core facility of the VUB, Brussels, Belgium.
Biostatistics and Medical Informatics Research Group, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience; School for Mental Health and Neuroscience, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands.

ABSTRACT

Objectives

Posttraumatic stress disorder (PTSD) after exposure to multiple (childhood) trauma’s is strongly associated with accelerated aging and high psychiatric and somatic comorbidity, influencing frailty and Quality of Life (QoL) in older adults. Eye Movement Desensitization therapy (EMDR) addresses psychological and physiologic symptoms stemming from adverse life events and therefore could influence frailty and QoL in older adults.

Methods

We conducted a multi-center feasibility study (two psychiatric hospitals) in Dutch older outpatients (N = 24; ≥60 years) with PTSD. Participants received weekly EMDR-treatment during the course of the trial (3 months to a maximum of 9 months). Frailty (Groninger Frailty Indicator) and QoL (EuroQol 5D-3L), were assessed pre- and posttreatment.

Results

A linear mixed-model approach showed significant reduction of frailty (F(1,23) = 9.019, p = .006) and improvement of QoL (F(1,23) = 13.787, p = .001). For both frailty and QoL, there was no significant influence of Clinician-Administered PTSD Scale (CAPS-5) pre-treatment score, therapy duration, and neither an interaction effect of therapy duration x CAPS-5 pre-treatment score.

Conclusions

EMDR with older adults with PTSD showed a significant reduction of frailty and improvement of QoL. Randomized controlled studies are needed to more precisely study the impact of trauma-focused treatment in older adults on frailty and QoL and the implications this might have for lessening disease burden.

Clinical implications

Screening for PTSD in older frail adults is important to treat PTSD as a possible way to reduce frailty and improve QoL.

中文翻译：

EMDR 在患有 PTSD 的老年人中减少虚弱和提高生活质量的可行性

摘要

目标

遭受多重（儿童）创伤后的创伤后应激障碍（PTSD）与加速衰老和高精神和躯体合并症密切相关，影响老年人的虚弱和生活质量（QoL）。眼动脱敏疗法 (EMDR) 解决了由不良生活事件引起的心理和生理症状，因此可能影响老年人的虚弱和生活质量。

方法

我们对患有 PTSD 的荷兰老年门诊患者（N = 24；≥60 岁）进行了一项多中心可行性研究（两家精神病院）。参与者在试验过程中每周接受一次 EMDR 治疗（3 个月至最长 9 个月）。在治疗前和治疗后评估虚弱（格罗宁格虚弱指标）和生活质量（EuroQol 5D-3L）。

结果

线性混合模型方法显示虚弱程度显着降低 (F(1,23) = 9.019, p = .006)，生活质量得到改善 (F(1,23) = 13.787, p = .001)。对于虚弱和生活质量，临床医师管理的 PTSD 量表 (CAPS-5) 治疗前评分、治疗持续时间以及治疗持续时间 x CAPS-5 治疗前评分的交互作用均无显着影响。