N/A
N=88
Post-traumatic Stress Disorder (PTSD) Symptoms in Later Life
Post Traumatic Stress Disorder
Bottom Line
View on ClinicalTrials.gov: NCT03821259 ↗Enrolled (actual)
88
Serious AEs
0.0%
Results posted
Jun 2020
Primary outcome: Primary: The Trauma History Questionnaire (THQ; Green, 1996) — 5.93; 0.76; 3.81; 0.97 score on a scale
Study Design & Population
- Study type
- Observational
- Phase
- N/A
- Interventions
- Psychological measures (Other)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- University of Edinburgh
- Primary completion
- May 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY The Trauma History Questionnaire (THQ; Green, 1996) |
5.93; 0.76; 3.81; 0.97 | — |
| PRIMARY The Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004) |
93.63; 17.20; 16.59; 12.26; 14.56; 21.51 | — |
| PRIMARY The Civilian Version of the PTSD Checklist (PCL-C; Weathers, Litz, Huska & Keane, 1994) |
42.14 | — |
| PRIMARY The Group Identification Scale (GIS; Sani et al., 2012) |
1.73 | — |
| PRIMARY The Scottish Index of Multiple Deprivation (SIMD; Scottish Executive, 2016) |
3.31 | — |
Summary
Older adults are becoming a growing proportion of people utilising mental health services. However, the needs of this population are poorly understood despite the evidence that mental health conditions are manifested differently in old age. One of those conditions is Post Traumatic Stress Disorder (PTSD) which has been associated with an increased risk of adverse outcomes in old age, including health problems, difficulties in daily functioning, less satisfaction with life and multiple psychiatric co-morbidities, such as depression and anxiety. Despite the serious consequences, PTSD symptoms in old age tend to be underreported or misperceived as a physical illness or part of an ageing process.
Traumatic life experiences do not necessarily lead to PTSD. Psychological resources, including emotional stability and social support, allow individuals to find appropriate coping strategies and maintain well-being in old age. Group identification, defined as a sense of belonging to a specific group, influences the response to social support and may be important in predicting distress in old age. On the other hand, socioeconomic deprivation is likely to increase this distress as exposure to traumatic events is more prevalent in disadvantaged populations.
The present study will investigate the impact of those factors on PTSD symptoms in later life. The researcher will recruit 85 older adults from the Older People Psychological Therapies Service, who are in receipt of psychological treatment for PTSD, anxiety or depression. Participants will be asked to provide basic demographic information, which will be used to describe the participant characteristics and to estimate the degree of socioeconomic deprivation. Participants will also complete five measures to screen for cognitive impairment and measure PTSD symptoms, lifetime trauma exposure, emotion regulation and group identification.
The findings will help improve the diagnostic process and development of psychological treatments for PTSD in older adults by expanding our knowledge of this condition in later life.
Eligibility Criteria
Inclusion Criteria
- Aged 65 years and over
- In receipt of psychological treatment for PTSD, anxiety or depression
- Fluent English speaker
- Ability to give consent
Exclusion Criteria
- Cognitive impairment (MoCA ≤20)
- Under investigation for or a confirmed diagnosis of dementia
- Currently experiencing an episode of a serious mental illness, e.g. psychosis
- Ongoing substance misuse
- Ongoing serious risk issues (i.e. risk of harm to self and others, suicidality)
Data sourced from ClinicalTrials.gov (NCT03821259). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.