Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Aichi 474-8511, Japan.
Int J Environ Res Public Health. 2018 Jul 12;15(7):1472. doi: 10.3390/ijerph15071472.
Safer and more effective programs are required to cope with an increasing number of older people with depression. Hence, we developed the Positive Photo Appreciation (PPA) program. A three-month pilot randomized controlled trial was conducted with healthy Japanese individuals aged 65⁻84 years, assigned to a PPA group ( = 28) or Photo Correspondence Education (PCE) (control group) ( = 27). We used the Center for Epidemiologic Studies Depression Scale (CES-D) score as the primary outcome measure. Secondary outcome measures, among others, were cognitive function and positive emotion. Data collected at baseline and post-intervention were analyzed using a linear mixed-effect model. Over 80% of the participants in the PPA group completed and were satisfied with the program. Compared with the PCE group, the CES-D score in the PPA group significantly improved (main effect of group: = -4.30, < 0.001; interaction effect of group by time: = 4.39, < 0.001), with an effect size of = 1.23. Additionally, a positive significant interaction effect of group by time was found in the Positive and Negative Affect Schedule ( = -2.33, = 0.024). The PPA program might be promising for mitigating depressive mood in older adults.
需要更安全、更有效的方案来应对越来越多的老年抑郁症患者。因此，我们开发了积极照片欣赏（PPA）方案。我们对 65-84 岁的健康日本老年人进行了为期三个月的试点随机对照试验，将他们分为 PPA 组（n=28）或照片对应教育（PCE）（对照组）（n=27）。我们使用流行病学研究中心抑郁量表（CES-D）评分作为主要结局指标。次要结局指标包括认知功能和积极情绪等。使用线性混合效应模型分析基线和干预后的数据。PPA 组超过 80%的参与者完成了该计划并对其感到满意。与 PCE 组相比，PPA 组的 CES-D 评分显著改善（组间主要效应：= -4.30，<0.001；组间时间交互效应：= 4.39，<0.001），效应量为= 1.23。此外，在正负面情绪量表（PANAS）中还发现了组间时间的正显著交互效应（= -2.33，= 0.024）。PPA 方案可能有希望减轻老年人的抑郁情绪。
