From Late-Onset Stress Symptomatology to Later-Adulthood Trauma Reengagement in Aging Combat Veterans: Taking a Broader View
From Late-Onset Stress Symptomatology to Later-Adulthood Trauma Reengagement in Aging Combat Veterans: Taking a Broader View
复制标题
DOI：
10.1093/geront/gnv097
复制
发表时间：
2016-02-01
期刊：
影响因子：
5.7
通讯作者：
King, Daniel W.
中科院分区：
文献类型：
--
作者：
Davison, Eve H.;Kaiser, Anica Pless;King, Daniel W.
大约十年前，我们提出了迟发性应激反应学的概念，以描述老年退伍军人中与早期生活战区创伤相关的症状的后期出现。我们假设，与年龄相关的挑战（角色转换和丧失，家庭成员和朋友的死亡，身体和认知能力下降）可能会导致先前成功处理早期创伤事件的退伍军人的回忆增加，并可能导致痛苦。最近，我们重新审视了我们以前的想法，以更好地反映我们对这一现象的理解，并纳入更多关于创伤后成长和复原力的当代观点。因此，我们已经扩大了我们的概念，成年后期创伤再参与（LATR）。我们认为，在以后的生活中，许多战斗退伍军人面对和改造他们的战时记忆，努力寻找意义和建立连贯性。通过回忆、生活回顾，以及与正直与绝望等问题的搏斗，他们有意地重新参与他们在生命早期避免或成功管理的经历，也许没有解决或整合。本文链接LATR经典老年学的概念，并阐述了如何LATR过程可以导致积极的个人成长或消极的增加老年学。我们还讨论了预防性干预在增强退伍军人在晚年重新参与战时记忆的积极成果方面的作用。
About a decade ago we proposed the notion of late-onset stress symptomatology, to characterize the later-life emergence of symptoms related to early-life warzone trauma among aging combat Veterans. We hypothesized that aging-related challenges (role transition and loss, death of family members and friends, physical and cognitive decline) might lead to increased reminiscence, and possibly distress, among Veterans who had previously dealt successfully with earlier traumatic events. Recently, we have reexamined our earlier ideas, to better reflect our developing understanding of this phenomenon, and to incorporate more contemporary perspectives on posttraumatic growth and resilience. As a result, we have broadened our conceptualization to later-adulthood trauma reengagement (LATR). We suggest that in later life many combat Veterans confront and rework their wartime memories in an effort to find meaning and build coherence. Through reminiscence, life review, and wrestling with issues such as integrity versus despair, they intentionally reengage with experiences they avoided or managed successfully earlier in life, perhaps without resolution or integration. This article links LATR to classic gerontologic notions, and elaborates how the LATR process can lead positively to personal growth or negatively to increased symptomatology. We also address the role of preventive intervention in enhancing positive outcomes for Veterans who reengage with their wartime memories in later life.