老年人抑郁症的元认知训练的有效性和调节者 (MCT-Silver):一个随机对照试验
Brooke C Schneider1, Ruth Veckenstedt1, Evangelos Karamatskos1
1Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany.
Journal of affective disorders
|October 21, 2023
概括
超认知训练-银 (MCT-银) 显示,老年人自我报告的抑郁和反的显著减少. 虽然不优于临床医生评级的抑郁症,但MCT-Silver可能有利于具有特定认知特征的患者.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 老年人中未经治疗的抑郁症的高患病率,高达79%的人没有接受指导方针建议的治疗.
- 超认知训练-银 (MCT-银) 是一种低强度的小组干预,旨在通过解决超认知信念来缓解抑郁症状.
研究的目的:
- 为了比较MCT-Silver对老年人认知修复的疗效,这些老年人被诊断出患有严重抑郁症和/或抑郁症.
- 评估MCT-Silver对临床医生评估和自我报告的抑郁症,认知信念,反和其他与健康相关的结果的影响.
主要方法:
- 一项随机对照试验,涉及MCT-Silver组的41名参与者和认知补救组的39名参与者.
- 抑郁症 (HDRS,BDI-II),认知信念,反,健康状况,生活质量和神经认知功能在基线,干预后和随访时的评估.
主要成果:
- 两组都在抑郁症中实现了中度至大程度的减少;MCT-Silver在临床医生评级抑郁症 (HDRS) 上没有表现出优异的效果.
- MCT-Silver在自我报告的抑郁症 (BDI-II) 和反方面表现出更大的降低,因基线反,积极的元认知信念和先前治疗经验而减轻效应.
- 患者评估表明,MCT-Silver被认为是优越的,尽管在后期和随访时组之间的结果得分相似.
结论:
- 虽然MCT-Silver在初级结局 (HDRS) 上没有超过对照组,但它显著改善了自我报告的抑郁和反.
- 具有较高的基线反,积极的元认知信念或没有先前的心理治疗的人可能会从MCT-Silver中获得更大的好处.
- 研究结果受到抑郁症措施和COVID-19大流行背景的混合结果的限制.
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