Cabanel N, Kundermann B, Franz M, Müller M J
Vitos Klinik für Psychiatrie und Psychotherapie Gießen, Vitos Klinikum Gießen-Marburg, Licher Straße 106, 35394, Gießen, Deutschland.
Klinik für Psychiatrie und Psychotherapie, Philipps-Universität Marburg, Marburg, Deutschland.
Nervenarzt. 2017 Nov;88(11):1221-1226. doi: 10.1007/s00115-017-0406-z.
Depression is common in old age but is often underdiagnosed and inadequately treated. Although psychotherapy is considered effective for treating elderly patients with depression, it is rarely applied in inpatient settings. Furthermore, treatment on inpatient units specialized for elderly patients and implementation of a psychotherapeutic treatment approach are currently more the exception. From this background, a multiprofessional inpatient behavioral treatment program (MVT) for elderly depressed patients was developed at a specialized unit of a university-affiliated regional psychiatric hospital. The MVT is based on specific and modularized group therapies accompanied by individual therapeutic interventions. While the provision of group therapies (such as psychotherapy, social skills training, relaxation training, euthymic and mindfulness-based methods, exercise and occupational therapy as well as psychoeducational sessions for relatives) is assigned to specific professional groups, a joint multiprofessional treatment planning is of central relevance. First evaluations of different treatment components support the high acceptability of the MVT and highlight that psychotherapeutic inpatient treatment programs for the elderly are feasible. Further research is required to investigate the clinical efficacy of psychotherapy in elderly depressive inpatients.
抑郁症在老年人中很常见,但往往诊断不足且治疗不充分。尽管心理治疗被认为对治疗老年抑郁症患者有效,但在住院环境中很少应用。此外,目前专门针对老年患者的住院单元进行治疗以及实施心理治疗方法更多只是个别情况。在此背景下,一所大学附属地区精神病医院的一个专门科室为老年抑郁症患者制定了一个多专业住院行为治疗项目(MVT)。MVT基于特定的模块化团体治疗,并辅以个体治疗干预。虽然团体治疗(如心理治疗、社交技能训练、放松训练、基于心境正常化和正念的方法、运动和职业治疗以及为亲属提供的心理教育课程)由特定专业团队负责,但联合多专业治疗计划至关重要。对不同治疗组成部分的初步评估支持了MVT的高可接受性,并突出表明针对老年人的住院心理治疗项目是可行的。需要进一步研究来调查心理治疗对老年抑郁症住院患者的临床疗效。