身体炼增强的认知行为疗法对老年人具有泛性焦虑障碍 (PEXACOG):一个随机对照试验的可行性研究
Kristine Sirevåg1,2, S H Stavestrand3,4, T Sjøbø3
1Solli DPS, Osvegen 15 Nesttun, 5228, Bergen, Norway. kristine.sirevag@solli.no.
BioPsychoSocial medicine
|July 19, 2023
概括
将体育炼 (PE) 与认知行为疗法 (CBT) 结合起来,对于患有泛性焦虑症 (GAD) 的老年人来说,这是一个可行的治疗方法. 在一项试点研究中,这种方法在减少焦虑和担忧症状方面显示出有希望的结果.
科学领域:
- 老年学是一门学科.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 一般性焦虑障碍 (GAD) 对老年人产生重大影响,认知行为疗法 (CBT) 等标准治疗的疗效降低.
- 身体炼 (PE) 可能通过改善认知功能和增加脑衍生神经营养因子 (BDNF) 来提高CBT的有效性.
研究的目的:
- 评估随机对照试验 (RCT) 的可行性,以结合CBT和PE在老年人中与GAD.
- 评估评估和治疗程序对这一群体的适用性和可管理性.
主要方法:
- 一项试点研究包括四名被诊断患有GAD的老年人 (年龄在62-70岁).
- 参与者接受了15周的PE结合10周的CBT.
- 评估包括自我报告措施和临床,生物,生理和神经心理测试.
主要成果:
- 在三个完成者中观察到高的坚持率 (PE为80%,CBT为100%).
- 一名参与者退出;剩下的三名参与者在治疗后不再符合GAD标准.
- 自我报告措施表明,焦虑和担忧症状的减少.
结论:
- 结合CBT和PE是GAD老年人的可行治疗方法.
- 研究程序和测试对目标样本来说是合适和可管理的.
- 这种组合疗法在老年人群中显示出改善GAD症状的潜力.
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