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Child Maltreatment Among Older Adults: A Narrative Review of Psychotherapeutic Interventions and Clinical Considerations

2023; Taylor & Francis; Linguagem: Inglês

10.1080/07317115.2023.2219671

1545-2301

Rachel Zack Ishikawa, Ilana Ander, Dominique L. Popescu, Chirag M. Vyas, Olivia I. Okereke,

Elder Abuse and Neglect

ABSTRACTABSTRACTObjectives The goals of this narrative review are to review the literature on psychotherapeutic interventions for older adults with histories of child maltreatment (CM) and to examine the unique considerations for assessing, diagnosing, and treating older adults with CM histories.Methods Online database searches were conducted to identify the extant research into the efficacy of psychotherapeutic interventions for older adults with CM-related trauma.Results Eight studies met inclusion criteria. The primary target diagnoses were post-traumatic stress disorder and depression. Psychotherapeutic interventions included Narrative Exposure Therapy, exposure-based treatments, Life Review Therapy, integrated treatments, and a spiritually-focused group therapy.Conclusions While limited in number and generalizability due to study design and sample size and characteristics, the studies provide preliminary evidence of potentially effective psychotherapeutic treatments for older adults with CM histories. Further research is needed to determine the most effective psychotherapeutic interventions for this population.Clinical Implications Many older adults suffer for decades with the repercussions of CM. Due to knowledge gaps regarding best practices for treating older adults with CM histories, many clinicians are poorly equipped to treat this population. Therefore, awareness of CM-related pathology and familiarity with effective psychotherapeutic interventions are essential for clinicians to meet the needs of this population.KEYWORDS: Child maltreatmentolder adultspost-traumatic stress disorderpsychotherapytraumatreatment AcknowledgementsThe authors would like to acknowledge Jillian Carkin, MLIS and Lisa Liang Philpotts, RN, MSLS of Treadwell Library, Massachusetts General Hospital for their contributions to this review.Disclosure statementNo potential conflict of interest was reported by the authors.Data availability statementData sharing is not applicable to this article as no new data were created or analyzed in this study. https://authorservices.taylorandfrancis.com/data-sharing/share-your-data/data-availability-statements/_gl=1*151j71s*_ga*MTU3NzUzMjcxNS4xNjgzNzQwMzMx*_ga_0HYE8YG0M6*MTY4NTQwNzQ0My44LjEuMTY4NTQwNzkyMS4wLjAuMA..&_ga=2.7749426.145053654.1685407443-1577532715.1683740331Additional informationFundingThe work was supported by the Nestle Purina PetCare Company.