VA HSR&D Center of Excellence, Houston, TX, USA.
Aging Ment Health. 2011 Sep;15(7):811-21. doi: 10.1080/13607863.2011.569487. Epub 2011 Jun 27.
While psychosocial interventions for late-life anxiety show positive outcomes, treatment effects are not as robust as in younger adults. To date, the reach of research has been limited to academic and primary care settings, with homogeneous samples. This review examines recently funded and ongoing late-life anxiety research that uses innovative approaches to reach unique patient populations and tailor treatment content and delivery options to meet the unique needs of older adults.
A systematic search was conducted using electronic databases of funded clinical trials to identify ongoing psychosocial intervention studies targeting older adults with anxiety. The principal investigators (PIs) of the studies were contacted for study details and preliminary data, if available. In some cases, the PIs of identified studies acted as referral sources in identifying additional studies.
Eleven studies met inclusion criteria and represented three areas of innovation: new patient groups, novel treatment procedures, and new treatment-delivery options. Studies and their associated theoretical bases are discussed, along with preliminary results reported in published papers or conference presentations.
Psychosocial intervention trials currently in progress represent promising new strategies to facilitate engagement and improve outcomes among unique subsets of older adults with anxiety. Continued investigation of evidence-based treatments for geriatric anxiety will allow greater understanding of how best to tailor the interventions to fit the needs of older adults.
虽然针对老年焦虑的心理社会干预措施显示出积极的结果,但治疗效果不如年轻人那么显著。迄今为止,研究的范围仅限于学术和初级保健机构,且研究对象样本单一。本综述考察了最近获得资金支持和正在进行的老年焦虑研究,这些研究采用了创新方法来接触独特的患者群体,并根据老年人的独特需求调整治疗内容和交付选项。
使用电子数据库对已资助的临床试验进行了系统搜索,以确定针对有焦虑症的老年人的心理社会干预研究。联系了这些研究的主要研究者(PI)以获取研究详情和初步数据(如果有的话)。在某些情况下,已确定研究的 PI 作为联络人,以确定其他研究。
符合纳入标准的有 11 项研究,代表了三个创新领域:新的患者群体、新的治疗程序和新的治疗提供选项。讨论了这些研究及其相关的理论基础,以及已发表论文或会议报告中报告的初步结果。
目前正在进行的心理社会干预试验代表了有前途的新策略,可以促进独特的老年焦虑亚组的参与度并改善其结果。对老年焦虑症的循证治疗的持续研究将使我们更好地了解如何针对老年人的需求调整干预措施。