Stanley Melinda A, Diefenbach Gretchen J, Hopko Derek R
Department of Psychiatry and Behavioral Sciences, University of Texas-Houston Medical School, 1300 Moursund Dr., Houston, TX 77030-3496, USA.
Behav Modif. 2004 Jan;28(1):73-117. doi: 10.1177/0145445503259259.
At least four academic clinical trials have demonstrated the utility of cognitive behavior therapy (CBT) for older adults with generalized anxiety disorder (GAD). These data may not generalize, however, to more heterogeneous and functionally impaired patients and the medical settings in which they typically receive care. A recent pilot project suggested the potential benefits of a new version of CBT for GAD among older patients in primary care. The manual developed and tested in this pilot project is presented here. Treatment components include motivation and education, relaxation skills, cognitive therapy, problem-solving-skills training, exposure exercises, and sleep-management-skills training. Procedures are designed to be administered flexibly to maximize attention to individual patient needs. Examples of session summaries, patient handouts, and homework forms are provided.
至少四项学术临床试验已证明认知行为疗法（CBT）对患有广泛性焦虑症（GAD）的老年人有用。然而，这些数据可能无法推广到更多样化且功能受损的患者以及他们通常接受护理的医疗环境中。最近的一个试点项目表明，新版本的CBT对初级保健中的老年GAD患者可能有益。本文介绍了在该试点项目中开发和测试的手册。治疗组成部分包括动机与教育、放松技巧、认知疗法、解决问题技巧训练、暴露练习和睡眠管理技巧训练。程序设计为可灵活实施，以最大程度地关注个体患者的需求。提供了疗程总结、患者手册和家庭作业表格的示例。
