老年焦虑症的认知行为疗法:退伍军人与社区参与者之间的异同。

Cognitive-behavioral therapy for late-life anxiety: Similarities and differences between Veteran and community participants.

作者信息

Barrera Terri L, Cully Jeffrey A, Amspoker Amber B, Wilson Nancy L, Kraus-Schuman Cynthia, Wagener Paula D, Calleo Jessica S, Teng Ellen J, Rhoades Howard M, Masozera Nicholas, Kunik Mark E, Stanley Melinda A

机构信息

Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States; Baylor College of Medicine, Houston, TX, United States; South Central Mental Illness Research, Education and Clinical Center (A Virtual Center), Houston, United States.

Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States; Baylor College of Medicine, Houston, TX, United States; South Central Mental Illness Research, Education and Clinical Center (A Virtual Center), Houston, United States.

出版信息

J Anxiety Disord. 2015 Jun;33:72-80. doi: 10.1016/j.janxdis.2015.04.005. Epub 2015 May 7.

Abstract

Cognitive-behavioral therapy (CBT) is an evidence-based treatment for anxiety; however, a growing body of research suggests that CBT effect sizes are smaller in Veteran samples. The aim of this study was to perform secondary data analyses of a randomized controlled trial of CBT for late-life generalized anxiety disorder compared with treatment as usual (TAU) in a Veteran (n = 101) and community-based (n = 122) sample. Veterans had lower income and less education than community participants, greater severity on baseline measures of anxiety and depression, poorer physical health, and higher rates of psychiatric comorbidity. Treatment effects were statistically significant in the community sample (all ps < 0.01), but not in Veterans (all ps > 0.05). Further analyses in Veterans revealed that poorer perceived social support significantly predicted poorer outcomes (all ps < 0.05). Our results underscore the complexity of treating Veterans with anxiety, and suggest that additional work is needed to improve the efficacy of CBT for Veterans, with particular attention to social support.

摘要

认知行为疗法(CBT)是一种基于证据的焦虑症治疗方法;然而,越来越多的研究表明,在退伍军人样本中,CBT的效应量较小。本研究的目的是对一项针对老年广泛性焦虑症的CBT随机对照试验进行二次数据分析,该试验将退伍军人样本(n = 101)和社区样本(n = 122)中的CBT与常规治疗(TAU)进行了比较。退伍军人的收入和受教育程度低于社区参与者,焦虑和抑郁的基线测量严重程度更高,身体健康状况较差,精神共病率更高。治疗效果在社区样本中具有统计学意义(所有p值<0.01),但在退伍军人中则无统计学意义(所有p值>0.05)。对退伍军人的进一步分析表明,较差的感知社会支持显著预示着较差的治疗结果(所有p值<0.05)。我们的结果强调了治疗退伍军人焦虑症的复杂性,并表明需要开展更多工作来提高CBT对退伍军人的疗效,尤其要关注社会支持。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索