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帕金森病抑郁的人际心理治疗:一项可行性研究。

Interpersonal Psychotherapy for Depression in Parkinson's Disease: A Feasibility Study.

作者信息

Koszycki Diana, Taljaard Monica, Kogan Cary, Bradwejn Jacques, Grimes David

机构信息

6363University of Ottawa, Ottawa, ON, Canada.

Institut du savoir Montfort, 153195Montfort Hospital, Ottawa, ON, Canada.

出版信息

J Geriatr Psychiatry Neurol. 2023 Jan;36(1):52-62. doi: 10.1177/08919887221090220. Epub 2022 Apr 21.

Abstract

Individuals living with Parkinson's disease (PD) experience interpersonal stressors that contribute to depressive risk. Interpersonal psychotherapy (IPT) emphasizes the bidirectional relationship between interpersonal stressors and mood may therefore be a suitable treatment for PD-depression. The primary aim of this study was to evaluate the feasibility of delivering 12 sessions of IPT to depressed PD patients and explore the need for modifications. A secondary aim was to obtain descriptive information about efficacy outcomes. The study used a pre-post design without a comparison group. Participants were 12 PD patients with a major depressive disorder. IPT was well accepted and tolerated by patients and required minimal modifications. Compliance with session attendance and completion of study questionnaires were excellent and treatment satisfaction was high. Depression scores declined from baseline to endpoint, with 7 patients meeting criteria for remission at endpoint. Findings are encouraging and a larger randomized controlled trial is currently underway to ascertain if IPT is an efficacious treatment for PD-depression.

摘要

帕金森病(PD)患者会经历导致抑郁风险的人际压力源。人际心理治疗(IPT)强调人际压力源与情绪之间的双向关系,因此可能是治疗帕金森病伴发抑郁症的合适方法。本研究的主要目的是评估为抑郁症帕金森病患者提供12节IPT治疗的可行性,并探索修改的必要性。次要目的是获取有关疗效结果的描述性信息。该研究采用了无对照组的前后设计。参与者为12名患有重度抑郁症的帕金森病患者。IPT很受患者接受和耐受,只需进行最小程度的修改。患者对疗程的依从性以及研究问卷的完成情况都很好,治疗满意度很高。抑郁评分从基线降至终点,7名患者在终点达到缓解标准。研究结果令人鼓舞,目前正在进行一项更大规模的随机对照试验,以确定IPT是否是治疗帕金森病伴发抑郁症的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21a/9755694/90440de31f92/10.1177_08919887221090220-fig1.jpg

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