Hyer Lee, Yeager Catherine A, Hilton Nathan, Sacks Amanda
Georgia Neurosurgical Institute, Macon, Georgia, USA.
Am J Alzheimers Dis Other Demen. 2008;23(6):528-39. doi: 10.1177/1533317508323571. Epub 2008 Nov 10.
Depression is a major problem in long-term care (LTC) as is the lack of related empirically supported psychological treatments. This small study addressed a variant of cognitive behavioral therapy, GIST (group, individual, and staff therapy), against treatment as usual (TAU) in long-term care.
25 residents with depression were randomized to GIST (n = 13) or TAU (n = 12). Outcome measures included geriatric depression scale-short form (GDS-S), life satisfaction index Z (LSI-Z), and subjective ratings of treatment satisfaction. The GIST group participated in 15 group sessions. TAU crossed over to GIST at the end of the treatment trial.
There were significant differences between GIST and TAU in favor of GIST on the GDS-S and LSI-Z. The GIST group maintained improvements over another 14 sessions. After crossover to GIST, TAU members showed significant improvement from baseline. Participants also reported high subjective ratings of treatment satisfaction.
This trial demonstrated GIST to be more effective for depression in LTC than standard treatments.
抑郁症是长期护理（LTC）中的一个主要问题，缺乏相关的实证支持的心理治疗也是如此。这项小型研究针对长期护理中一种认知行为疗法的变体——GIST（团体、个体和员工治疗）与常规治疗（TAU）进行了比较。
25名抑郁症患者被随机分为GIST组（n = 13）或TAU组（n = 12）。结果测量包括老年抑郁量表简表（GDS-S）、生活满意度指数Z（LSI-Z）以及治疗满意度的主观评分。GIST组参加了15次团体治疗课程。TAU组在治疗试验结束时转而接受GIST治疗。
在GDS-S和LSI-Z上，GIST组和TAU组之间存在显著差异，GIST组更具优势。GIST组在另外14次治疗课程中保持了改善。转而接受GIST治疗后，TAU组成员的情况从基线水平有了显著改善。参与者对治疗满意度的主观评分也很高。
该试验表明，在长期护理中，GIST治疗抑郁症比标准治疗更有效。
