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简短、内感受暴露为焦点的治疗对轻度认知障碍患者的焦虑。

Brief, interoceptive exposure focused treatment for anxiety in mild cognitive impairment.

机构信息

Department of Psychology, Florida State University, Tallahassee, FL, USA.

Department of Behavioral Sciences and Social Medicine, Florida State University, Tallahassee, FL, USA.

出版信息

Age Ageing. 2022 Jun 1;51(6). doi: 10.1093/ageing/afac133.

DOI:10.1093/ageing/afac133
PMID:35697353
Abstract

Anxiety is common in older adults with mild cognitive impairment (MCI), and Alzheimer's disease and related dementias (ADRD). Anxiety has also been identified as a risk factor for cognitive decline. Brief interventions targeting risk mechanisms of anxiety, such as anxiety sensitivity (AS), have been effective in reducing overall anxiety in a variety of populations. This case series investigated the feasibility and efficacy of a brief AS intervention in anxious older adults with MCI (n = 9). Paired samples t-test results indicate that this intervention is capable of significantly reducing AS as measured by the Anxiety Sensitivity Index-3 (Δ = 5.11, Hedges g = 0.82, P < 0.05). Given these large AS reductions and high acceptability, further investigation of this intervention is warranted in older adults with MCI.

摘要

焦虑在轻度认知障碍 (MCI)、阿尔茨海默病和相关痴呆症 (ADRD) 老年人中很常见。焦虑也被确定为认知能力下降的一个风险因素。针对焦虑的风险机制,如焦虑敏感性 (AS) 的简短干预措施,已在各种人群中证明有效降低整体焦虑水平。本病例系列研究了针对 MCI 焦虑老年人的简短 AS 干预措施的可行性和疗效 (n = 9)。配对样本 t 检验结果表明,该干预措施能够显著降低焦虑敏感性指数-3 测量的 AS (Δ = 5.11,Hedges g = 0.82,P < 0.05)。鉴于这些较大的 AS 降低和高接受性,有必要在 MCI 老年人中进一步研究这种干预措施。

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