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老年精神病学中的创新心理社会方法。

Innovative psychosocial approaches in old age psychiatry.

机构信息

School of Arts, Sciences and Humanities, Institute of Psychiatry, University of São Paulo, São Paulo, Brazil.

出版信息

Curr Opin Psychiatry. 2009 Nov;22(6):527-31. doi: 10.1097/YCO.0b013e3283304128.

Abstract

PURPOSE OF REVIEW

To identify and discuss recent research studies that propose innovative psychosocial interventions in old age psychiatry.

RECENT FINDINGS

Studies have shown that cognitive training research for healthy elderly has advanced in several ways, particularly in the refinement of study design and methodology. Studies have included larger samples and longer training protocols. Interestingly, new research has shown changes in biological markers associated with learning and memory after cognitive training. Among mild cognitive impairment patients, results have demonstrated that they benefit from interventions displaying cognitive plasticity.Rehabilitation studies involving dementia patients have suggested the efficacy of combined treatment approaches, and light and music therapies have shown promising effects. For psychiatric disorders, innovations have included improvements in well known techniques such as cognitive behavior therapy, studies in subpopulations with comorbidities, as well as the use of new computer-aided resources.

SUMMARY

Research evidence on innovative interventions in old age psychiatry suggests that this exciting field is moving forward by means of methodological refinements and testing of creative new ideas.

摘要

目的综述

确定并讨论老年精神病学中提出创新心理社会干预措施的最新研究。

最近的发现

研究表明,针对健康老年人的认知训练研究在几个方面取得了进展,特别是在研究设计和方法学的精细化方面。研究纳入了更大的样本和更长的训练方案。有趣的是,新的研究表明,认知训练后与学习和记忆相关的生物标志物发生了变化。在轻度认知障碍患者中,结果表明他们受益于显示认知可塑性的干预措施。涉及痴呆患者的康复研究表明,联合治疗方法有效,光疗和音乐疗法显示出有希望的效果。对于精神障碍,创新包括对认知行为疗法等知名技术的改进、对合并症亚群的研究,以及使用新的计算机辅助资源。

总结

老年精神病学中创新干预措施的研究证据表明,这一令人兴奋的领域正在通过方法学的改进和对创造性新想法的测试向前发展。

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