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Journal of Geriatric Psychiatry and Neurology
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*Post-Traumatic Stress Disorder
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The Emergence of Posttraumatic Distress in Later Life: A Review

Syd Hiskey, PhD

University College London London, United Kingdom, North Essex Partnership NHS Foundation Trust Chelmsford, Essex, United Kingdom, sydhiskey{at}hotmail.com

Michael Luckie, MSc

North Essex Partnership NHS Foundation Trust Chelmsford, Essex, United Kingdom

Stephen Davies, MSc

North Essex Partnership NHS Foundation Trust Chelmsford, Essex, United Kingdom

Chris R. Brewin, PhD

University College London London, United Kingdom

We review the literature for evidence of posttraumatic stress disorder that emerges in older adulthood yet is related to earlier life events. Minimum standards necessary to establish the phenomenon are proposed and applied to existing group and case studies. Our findings suggest that the best evidence for this rests with a handful of group studies featuring male war veterans (n = 4) and a variety of case studies (n = 12) that have appeared over the last two decades. We summarize what is known regarding prevalence, symptoms, course, and triggers, and conclude that the phenomenon does exist but has rarely been investigated systematically. There are therefore no grounds at present for thinking of reemergent posttraumatic stress disorder as a unique subtype of the disorder among elderly people. We suggest that future research focuses in more detail on participants' history of posttraumatic difficulties and considers the phenomenon across groups other than male veterans.

Key Words: elderly • posttraumatic stress disorder • review • emergence

Journal of Geriatric Psychiatry and Neurology, Vol. 21, No. 4, 232-241 (2008)
DOI: 10.1177/0891988708324937
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