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个性化行为干预:老年抑郁症案例

Personalizing behavioral interventions: the case of late-life depression.

作者信息

Arean Patricia A

机构信息

University of California, San Francisco, 401 Parnassus Avenue, San Francisco, CA 94143, USA.

出版信息

Neuropsychiatry (London). 2012 Apr;2(2):135-145. doi: 10.2217/npy.12.15.

DOI:10.2217/npy.12.15
PMID:23646065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3643295/
Abstract

This article reviews the potential utility of behavioral interventions in personalized depression treatment. The paper begins with a definition of personalized treatment, moves to current thinking regarding the various causes of depression, and proposes how those causes can be used to inform the selection of behavioral interventions. Two examples from the late-life depression field will illustrate how a team of researchers at Cornell University (NY, USA) and University of California, San Francisco (CA, USA) created a research partnership to select and study behavioral interventions for older adults with risk factors associated with poor response to selective serotonin reuptake inhibitor medications. The paper ends with a discussion of how the process used by the Cornell University-University of California, San Francisco team can be applied to the selection and development of behavioral interventions for other psychiatric disorders.

摘要

本文综述了行为干预在个性化抑郁症治疗中的潜在效用。文章开篇对个性化治疗进行了定义,接着阐述了当前关于抑郁症各种病因的观点,并提出如何依据这些病因来指导行为干预的选择。来自老年抑郁症领域的两个例子将说明美国纽约康奈尔大学和美国加利福尼亚州旧金山大学的一组研究人员如何建立研究合作关系,为患有与选择性5-羟色胺再摄取抑制剂药物反应不佳相关风险因素的老年人选择和研究行为干预措施。文章最后讨论了康奈尔大学-旧金山大学团队所采用的方法如何应用于其他精神疾病行为干预措施的选择和开发。

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本文引用的文献

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Adapting Mindfulness-Based Cognitive Therapy for Treatment-Resistant Depression: A Clinical Case Study.将基于正念的认知疗法应用于难治性抑郁症的治疗:一项临床案例研究。
Cogn Behav Pract. 2011 Aug;18(3):362-370. doi: 10.1016/j.cbpra.2010.05.004.
2
Psychosocial interventions for late-life major depression: evidence-based treatments, predictors of treatment outcomes, and moderators of treatment effects.老年期重度抑郁症的心理社会干预:基于证据的治疗方法、治疗结果的预测因素和治疗效果的调节因素。
Psychiatr Clin North Am. 2011 Jun;34(2):377-401, viii. doi: 10.1016/j.psc.2011.03.001.
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Remission prognosis for cognitive therapy for recurrent depression using the pupil: utility and neural correlates.利用瞳孔评估认知疗法治疗复发性抑郁症的缓解预后:效用及神经关联。
Biol Psychiatry. 2011 Apr 15;69(8):726-33. doi: 10.1016/j.biopsych.2010.12.041.
4
Beliefs about the causes of depression and treatment preferences.对抑郁症病因的看法和治疗偏好。
J Clin Psychol. 2011 Jun;67(6):539-49. doi: 10.1002/jclp.20785. Epub 2011 Mar 1.
5
Perspectives of young people on depression: awareness, experiences, attitudes and treatment preferences.年轻人对抑郁症的看法:认知、经历、态度和治疗偏好。
Early Interv Psychiatry. 2007 Nov;1(4):333-9. doi: 10.1111/j.1751-7893.2007.00042.x.
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Depression treatment preferences among Japanese undergraduates: using conjoint analysis.使用联合分析探究日本大学生对抑郁症治疗方法的偏好。
Int J Soc Psychiatry. 2012 Mar;58(2):195-203. doi: 10.1177/0020764010390437. Epub 2011 Feb 21.
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Depression treatment preferences of Hispanic individuals: exploring the influence of ethnicity, language, and explanatory models.西班牙裔个体的抑郁治疗偏好:探索种族、语言和解释模型的影响。
J Am Board Fam Med. 2011 Jan-Feb;24(1):39-50. doi: 10.3122/jabfm.2011.01.100118.
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Problem-solving therapy and supportive therapy in older adults with major depression and executive dysfunction: effect on disability.针对患有重度抑郁症和执行功能障碍的老年人的问题解决疗法和支持性疗法:对残疾的影响
Arch Gen Psychiatry. 2011 Jan;68(1):33-41. doi: 10.1001/archgenpsychiatry.2010.177.
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Effectiveness of collaborative care in addressing depression treatment preferences among low-income Latinos.协同护理在解决低收入拉丁裔人群对抑郁症治疗偏好方面的效果。
Psychiatr Serv. 2010 Nov;61(11):1112-8. doi: 10.1176/ps.2010.61.11.1112.
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An ethnic/racial comparison of causal beliefs and treatment preferences for the symptoms of depression among patients with diabetes.对糖尿病患者抑郁症状的病因信念和治疗偏好的种族/民族比较。
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