Utoyo Dharmayati Bambang
University of Indonesia, Depok, Indonesia.
Gerontol Geriatr Med. 2015 Jul 29;1:2333721415585432. doi: 10.1177/2333721415585432. eCollection 2015 Jan-Dec.
Depression is a common mental health problem in older adults, especially among those suffering from visual impairment. A clinical case of an Indonesian older adult with retinal detachment (75% blindness) suffering from Major Depressive Disorder, based on (4th ed., text rev.; ) criteria, was reported. Her principal motivation to seek help was her depressive symptoms, as well as her husband's discomfort with her change. A modified standardized cognitive-behavioral therapy was delivered in eight sessions, and a clinically significant reduction of depressive symptoms was observed at the middle of the treatment (Session 5); symptoms were further reduced at follow-up. This case report showed that conventional evidence-based psychological treatment can be modified to handle mental health problems in people with visual impairments.
抑郁症是老年人中常见的心理健康问题，尤其是在那些患有视力障碍的人群中。本文报告了一例印度尼西亚老年视网膜脱离患者（失明率75%），根据《精神障碍诊断与统计手册（第4版，修订版）》标准，被诊断为重度抑郁症。她寻求帮助的主要动机是她的抑郁症状，以及她丈夫对她变化的不适。采用改良的标准化认知行为疗法进行了8次治疗，在治疗中期（第5次治疗）观察到抑郁症状有显著临床改善；随访时症状进一步减轻。该病例报告表明，传统的循证心理治疗可以进行调整，以处理视力障碍患者的心理健康问题。
