Gum Amber, Areán Patricia A
Department of Psychiatry, University of California at San Francisco, 401 Parnassus Avenue, Box CPT, San Francisco, CA 94143, USA.
Curr Psychiatry Rep. 2004 Feb;6(1):32-8. doi: 10.1007/s11920-004-0035-7.
Research on psychotherapy for older adults with psychiatric disorders has demonstrated its effectiveness, although the majority of research has been conducted on major depression. Recent advances in extending this research to additional diagnostic categories and treatment settings are reviewed. Psychotherapy appears promising in the treatment of minor depression, dysthymia, anxiety disorders, depression with comorbid personality disorders, depression with comorbid cognitive impairment, and as an adjunctive treatment in psychotic disorders. Psychotherapy also has been successfully transported to the primary care setting, and shows potential in long-term care and in-home settings. Many of these studies are preliminary, however; additional research is needed with larger, more diverse samples across a variety of psychiatric diagnoses and treatment settings.
针对患有精神疾病的老年人的心理治疗研究已证明其有效性，尽管大多数研究是针对重度抑郁症进行的。本文综述了将该研究扩展到其他诊断类别和治疗环境的最新进展。心理治疗在治疗轻度抑郁症、心境恶劣障碍、焦虑症、伴有共病性人格障碍的抑郁症、伴有共病性认知障碍的抑郁症以及作为精神障碍的辅助治疗方面似乎很有前景。心理治疗也已成功应用于初级保健环境，并在长期护理和家庭环境中显示出潜力。然而，这些研究大多是初步的；需要针对各种精神疾病诊断和治疗环境中的更大、更多样化的样本进行更多研究。
