The Need for a Diagnostic Instrument to Assess Post-Traumatic Stress Disorder in People with Dementia: Findings from a Delphi Study

Author:

Havermans Demi C.D.12ORCID,van Alphen Sebastiaan P.J.234,Olff Miranda56,Van der Velden-Daamen Mariëlle78,Verhey Frans1,Rutten Bart P.F.1,Stuijts Peggy9,Cook Joan M10,Sobczak Sjacko211

Affiliation:

1. Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNs), Maastricht University Medical Centre+, Maastricht, The Netherlands

2. Department of Old Age Psychiatry, Mondriaan Mental Health Center, Heerlen, The Netherlands

3. Department of Clinical and Life Span Psychology, Vrije Universiteit Brussel (VUB), Brussels, Belgium

4. Department of Medical and Clinical Psychology, School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands

5. ARQ National Psychotrauma Centre, Diemen, The Netherlands

6. Department of Psychiatry, Amsterdam Public Health, Amsterdam University Medical Centers Location AMC, Amsterdam, The Netherlands

7. Department of Health Services Research, Maastricht University, Maastricht, The Netherlands

8. Department of Psychogeriatrics, Cicero-Zorggroep, Brunssum, The Netherlands

9. Meandergroep Zuid-Limburg, Heerlen, The Netherlands

10. Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA

11. Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands

Abstract

Cognitive and behavioral aspects may mask posttraumatic stress disorder (PTSD) in people with dementia. PTSD severely lowers quality of life in people with dementia. Proper recognition of PTSD is essential to ensure adequate treatment. However, a valid diagnostic tool for PTSD in dementia is lacking. A Delphi study was conducted among 20 Dutch and 6 international experts in the field of PTSD and dementia care or research. The aim was to reach consensus in 3 rounds on the added value, form, content, and application for developing such an instrument. The first round confirmed the need for a new diagnostic tool for research and clinical practice. Consensus was reached on 23 statements regarding the support base and 19 related to content of the instrument. In the third round, opinions on several conceptual problems were gathered. Based on the experts' opinions, a draft version of an instrument, the TRAuma and DEmentia-interview (TRADE-interview), was developed. Clinical and research implications of this new measure are discussed.

Funder

EMDR-Europe

Stichting Wetenschappelijk Onderwijs Limburg

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,Geriatrics and Gerontology,Neurology (clinical)

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