Yuan Jiaqi, Yin Yi, Tang Xinfeng, Tang Tan, Lian Qinshu, Yang Xuemei, Xiao Yun, Yang Fahui, Qu Zhiyong
Center for Behavioral Health & School of Social Development and Public Policy, Beijing Normal University, Beijing, China.
Peking University HuiLongGuan Clinical Medical School & Beijing Huilongguan Hospital, Beijing, China.
Behav Cogn Psychother. 2020 Oct 29:1-5. doi: 10.1017/S1352465820000818.
Late-life depression issues in developing countries are challenging because of understaffing in mental health. Cognitive behavioural therapy (CBT) is effective for treating depression.
This pilot trial examined the adherence and effectiveness of an eight-session adapted CBT delivered by trained lay health workers for older adults with depressive symptoms living in rural areas of China, compared with the usual care.
Fifty with screen-positive depression were randomly assigned to the CBT arm or the care as usual (CAU) arm. The primary outcomes were the session completion of older adults and changes in depressive symptoms, assessed using the Geriatric Depression Scale (GDS).
The majority (19/24) of participants in the CBT arm completed all sessions. Mixed-effect linear regression showed that the CBT reduced more GDS scores over time compared with CAU.
Lay-delivered culturally adapted CBT is potentially effective for screen-positive late-life depression.
由于心理健康领域人员配备不足，发展中国家的老年抑郁症问题颇具挑战性。认知行为疗法（CBT）对治疗抑郁症有效。
本试点试验比较了由经过培训的非专业卫生工作者为居住在中国农村地区有抑郁症状的老年人提供的八节适应性CBT与常规护理的依从性和有效性。
50名筛查出阳性抑郁症的患者被随机分配到CBT组或常规护理（CAU）组。主要结局是老年人的课程完成情况以及使用老年抑郁量表（GDS）评估的抑郁症状变化。
CBT组的大多数参与者（19/24）完成了所有课程。混合效应线性回归表明，与CAU相比，CBT随着时间的推移降低了更多的GDS评分。
由非专业人员提供的文化适应性CBT对筛查出阳性的老年抑郁症可能有效。
