University of Alabama, School of Social Work.
VAMC, Tuscaloosa, AL.
Behav Ther. 2018 Nov;49(6):904-916. doi: 10.1016/j.beth.2018.06.002. Epub 2018 Jun 21.
The purpose of this study was to develop and explore the feasibility of audio-based (ACBT) and computer-based (CCBT) cognitive behavioral therapies for older adults with depressive symptoms. The audio program consisted of 8 compact discs and a workbook while the computer program consisted of 11 modules of similar duration provided on a tablet PC. Both interventions consisted of the following topics: identifying and changing unhelpful thoughts, addressing feelings, relaxation, engaging in pleasant events, assertiveness, and problem-solving. Fifty-one older adults were recruited from medical settings and rural communities. Participants were randomly assigned to immediate treatment (ACBT or CCBT) or delayed treatment control condition. Analyses were conducted to examine change on interviewer-based and self-reported depression. A significant interaction effect between time and condition was found on the interviewer-based depression scale. This suggests that both types of treatments decreased depressive symptoms over time when compared to a delayed treatment control. Computer-based and audio-based cognitive behavioral treatments may be valuable low-cost modalities to deliver psychotherapy to older adults with depressive symptoms.
本研究旨在开发和探索基于音频（ACBT）和基于计算机（CCBT）的认知行为疗法对有抑郁症状的老年人的可行性。音频程序由 8 张光盘和一本工作簿组成，而计算机程序则由 11 个类似时长的模块组成，这些模块都提供在平板电脑上。这两种干预措施都包括以下主题：识别和改变无益的想法、处理情绪、放松、参与愉快的活动、自信和解决问题。51 名老年人从医疗场所和农村社区招募。参与者被随机分配到即时治疗（ACBT 或 CCBT）或延迟治疗对照组。对基于访谈者和自我报告的抑郁进行了分析。基于访谈者的抑郁量表的时间和条件之间存在显著的交互作用效应。这表明与延迟治疗对照组相比，这两种治疗方法随着时间的推移都能降低抑郁症状。基于计算机和基于音频的认知行为疗法可能是为有抑郁症状的老年人提供心理治疗的有价值的低成本模式。
