Center for Ageing Psychology, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.
BMC Psychiatry. 2011 May 20;11:92. doi: 10.1186/1471-244X-11-92.
As it is uncertain whether psychological treatments for depressive symptoms are effective in elderly inpatients with significant medical comorbidity, we aimed to assess the treatment effectiveness not only on depressive symptoms but also on somatic symptoms in these inpatients.
We performed a meta-analysis of randomized controlled studies assessing the effects of psychological treatments in Chinese older inpatients with significant medical comorbidity based upon extensive searches of the most comprehensive computerized Chinese academic database.
The overall effect size for depressive symptoms of twelve studies which compared psychological treatments with a care-as-usual control group was d = 0.80 (95% Confidence Intervals (CI) = 0.60-0.99; p < 0.001). The relative risk of psychological intervention of being effective or not, compared to control condition, was 1.52 (95% CI = 1.25-1.85; p < 0.001).
We conclude that psychological treatments of depressive symptoms are effective for Chinese elderly inpatients with significant medical comorbidity which should receive more attention in medical settings.
由于目前尚不确定心理治疗对患有严重合并症的老年住院患者的抑郁症状是否有效，我们旨在评估这些住院患者的心理治疗不仅对抑郁症状，而且对躯体症状的治疗效果。
我们对基于最全面的中文学术数据库的广泛搜索，对评估心理治疗对患有严重合并症的中国老年住院患者的影响的随机对照研究进行了荟萃分析。
十二项研究将心理治疗与常规护理对照组进行比较，结果显示抑郁症状的总体效应量为 d = 0.80（95%置信区间为 0.60-0.99；p < 0.001）。与对照条件相比，心理干预有效的相对风险为 1.52（95%置信区间为 1.25-1.85；p < 0.001）。
我们的结论是，心理治疗对患有严重合并症的中国老年住院患者的抑郁症状有效，在医疗环境中应给予更多关注。
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