Adamek Margaret E, Slater Greta Yoder
Indiana University, School of Social Work, 902 W. New York St., Indianapolis, IN 46202, USA.
J Gerontol Soc Work. 2008;50 Suppl 1:153-89.
Depression and anxiety are the most common psychiatric conditions in late life. Despite their prevalence, we know relatively little about their unique manifestation in older adults. And, Although the most common intervention for late-life depression and anxiety continues to be medication, research on psychosocial interventions for late-life depression and anxiety has burgeoned in the past several years. Unfortunately, this growing body of intervention research has yet to be widely translated into improved systems of care for late-life depression. This article is one step toward synthesizing the knowledge in this growing area of research. The review of literature presents the conclusions of several meta-analyses that have reviewed psychosocial interventions for late-life depression and anxiety. In addition, intervention studies concerning the effectiveness of cognitive behavioral therapy, interpersonal therapy, reminiscence therapy, and alternative therapies with depressed and/or anxious older adults are reviewed. A brief description of various approaches to psychosocial intervention with anxious and/or depressed older adults is also presented.
抑郁症和焦虑症是老年人中最常见的精神疾病。尽管它们很普遍，但我们对其在老年人中的独特表现了解相对较少。而且，尽管治疗老年抑郁症和焦虑症最常用的干预措施仍然是药物治疗，但在过去几年中，针对老年抑郁症和焦虑症的心理社会干预研究迅速发展。不幸的是，这一不断增长的干预研究成果尚未广泛转化为改善老年抑郁症护理体系。本文朝着综合这一不断发展的研究领域的知识迈出了一步。文献综述呈现了几项荟萃分析的结论，这些荟萃分析回顾了针对老年抑郁症和焦虑症的心理社会干预措施。此外，还综述了有关认知行为疗法、人际疗法、回忆疗法以及针对抑郁和/或焦虑老年人的替代疗法有效性的干预研究。还简要介绍了针对焦虑和/或抑郁老年人的各种心理社会干预方法。
