Hanson Ashley E, Scogin Forrest
Department of Psychology, University of Alabama, Tuscaloosa, AL 35487-0348, USA.
J Gerontol B Psychol Sci Soc Sci. 2008 Jul;63(4):P245-P248. doi: 10.1093/geronb/63.4.p245.
We examined older adults' ratings of the acceptability of geriatric depression treatments. We presented 120 community-dwelling participants with vignettes describing an older adult experiencing either mild to moderate or severe depression. Participants rated the acceptability of three different treatments: cognitive therapy (CT), antidepressant medication (AM), and a combination treatment of CT and AM (COM). For general acceptability, participants rated COM as a more acceptable treatment for depression than both CT and AM. With respect to perceived negative aspects of treatments, they rated CT as a more acceptable treatment for mild to moderate depression than both AM and COM. Participants rated both COM and CT as more acceptable treatments for severe depression than AM. Results indicate that combining psychotherapy and AM may be viewed as most acceptable by community-dwelling, nondepressed older adults.
我们研究了老年人对老年抑郁症治疗可接受性的评分。我们向120名居住在社区的参与者展示了描述一名患有轻度至中度或重度抑郁症的老年人的 vignettes。参与者对三种不同治疗方法的可接受性进行了评分：认知疗法（CT）、抗抑郁药物（AM）以及CT与AM的联合治疗（COM）。对于总体可接受性，参与者认为COM作为抑郁症治疗方法比CT和AM都更可接受。关于治疗的感知负面方面，他们认为CT作为轻度至中度抑郁症的治疗方法比AM和COM都更可接受。参与者认为COM和CT作为重度抑郁症的治疗方法都比AM更可接受。结果表明，对于居住在社区、未患抑郁症的老年人来说，将心理治疗与抗抑郁药物相结合可能被视为最可接受的治疗方法。
