Dobkin Roseanne D, Interian Alejandro, Durland John Logan, Gara Michael A, Menza Matthew A
1 Department of Psychiatry, RUTGERS, The State University of New Jersey, Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
2 VA NJ Healthcare System-Lyons Campus, Mental Health and Behavioral Sciences, Lyons, NJ, USA.
J Geriatr Psychiatry Neurol. 2018 Jul;31(4):171-176. doi: 10.1177/0891988718783274. Epub 2018 Jun 26.
High rates of depression are observed in Parkinson's disease, and limited access to care complicates management. The purpose of this pilot project was to evaluate the feasibility and impact of a personalized cognitive-behavioral telemedicine program for depression in Parkinson's disease (dPD). Thirty-four individuals with dPD and their carepartners participated in this pilot study. A 10-module self-help workbook, tailored to the unique needs of the dPD population, was created to be used as either a stand-alone intervention, with minimal therapist support, or a supplement to formal telephone-administered cognitive-behavioral therapy sessions. Improvements in depression, anxiety, quality of life, sleep, negative thoughts, and caregiver burden were observed over the course of the 4-month study, independent of treatment modality (guided self-help vs formal telephone-based psychotherapy). Future research will utilize randomized controlled designs and continue to focus on delivery models that can improve access to this and other evidence-based mental health interventions for dPD.
帕金森病患者中抑郁症的发病率很高，而获得治疗的机会有限使管理变得复杂。这个试点项目的目的是评估针对帕金森病伴发抑郁症（dPD）的个性化认知行为远程医疗项目的可行性和影响。34名dPD患者及其护理伙伴参与了这项试点研究。创建了一个针对dPD人群独特需求的10模块自助工作手册，可作为独立干预措施使用，在治疗师支持最少的情况下使用，或作为正式电话认知行为治疗课程的补充。在为期4个月的研究过程中，观察到抑郁症、焦虑症、生活质量、睡眠、消极思维和照顾者负担方面的改善，与治疗方式无关（引导式自助与基于电话的正式心理治疗）。未来的研究将采用随机对照设计，并继续关注能够改善dPD患者获得这种及其他循证心理健康干预措施机会的交付模式。
