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Phenomenology of depression in older compared with younger adults: meta-analysis.老年人与年轻人相比抑郁的现象学:荟萃分析。
Br J Psychiatry. 2012 Apr;200(4):275-81. doi: 10.1192/bjp.bp.111.095950.
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Treating the aged in rural communities: the application of cognitive-behavioral therapy for depression.农村社区老年人的治疗:认知行为疗法在抑郁治疗中的应用。
J Clin Psychol. 2010 May;66(5):502-12. doi: 10.1002/jclp.20678.
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Improving quality of life in diverse rural older adults: a randomized trial of a psychological treatment.改善不同农村老年人的生活质量:一项心理治疗的随机试验
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Somatic symptoms of depression in elderly patients with medical comorbidities.患有合并症的老年患者抑郁症的躯体症状。
Int J Geriatr Psychiatry. 2005 Oct;20(10):973-82. doi: 10.1002/gps.1389.
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Community-integrated home-based depression treatment in older adults: a randomized controlled trial.老年人社区综合居家抑郁症治疗:一项随机对照试验。
JAMA. 2004 Apr 7;291(13):1569-77. doi: 10.1001/jama.291.13.1569.
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Depression in late life: review and commentary.老年期抑郁症:综述与评论
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Dimensions of the Beck Depression Inventory-II in clinically depressed outpatients.贝克抑郁量表第二版在临床抑郁症门诊患者中的维度。
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The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory.霍普金斯症状清单(HSCL):一份自我报告症状量表。
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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.

DOI:10.1002/gps.4009
PMID:23893503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4416221/
Abstract

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.

摘要

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。