治疗不同、农村和弱势老年人群体中的抑郁症状。
Treatment of depressive symptoms in diverse, rural, and vulnerable older adults.
机构信息
The University of Alabama, Department of Psychology, Tuscaloosa, AL, USA.
出版信息
Int J Geriatr Psychiatry. 2014 Mar;29(3):310-6. doi: 10.1002/gps.4009. Epub 2013 Jul 26.
BACKGROUND
We examined the effects of home-delivered cognitive-behavior therapy (CBT) on depressive symptoms among rural, diverse, and vulnerable older adults. Furthermore, we differentiated depression into its two salient aspects: psychological and somatic.
METHOD
Data came from a randomized controlled experiment of CBT on 134 individuals residing in rural Alabama.
RESULTS
Cognitive-behavior therapy resulted in significantly lower depressive symptom severity scores. When depressive symptoms were categorized as psychological or somatic, CBT was found to significantly improve the former but not the latter. Notably, there was a trend toward somatic symptom improvement.
CONCLUSION
Cognitive-behavior therapy can be an effective treatment for depression in a hard-to-reach group of older adults. Home delivery affords advantages but is also an expensive delivery modality. Diverse older adults responded to the CBT intervention.
背景
我们研究了家庭提供的认知行为疗法（CBT）对农村、多样化和弱势老年人群体抑郁症状的影响。此外，我们将抑郁分为两个明显的方面：心理和躯体。
方法
数据来自于对阿拉巴马州农村地区 134 名居民进行的 CBT 随机对照实验。
结果
认知行为疗法导致抑郁症状严重程度评分显著降低。当将抑郁症状分为心理或躯体时，发现 CBT 显著改善前者，但不改善后者。值得注意的是，躯体症状有改善的趋势。
结论
认知行为疗法可以成为难以接触的老年人群体抑郁的有效治疗方法。家庭提供的服务具有优势，但也是一种昂贵的服务模式。多样化的老年人对 CBT 干预做出了反应。
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