在COVID-19期间,通过视频交付心理治疗改善了抑郁症的老年虐待受害者的结果
Isabel Rollandi1, Samprit Banerjee2, Yuqing Qiu2
1Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, White Plains, NY, USA.
概括
对虐待老年人的远程治疗有效地减少了抑郁症. 视频和电话交付PROTECT (为老年客户提供选择) 与面对面会议一样有效,提供可扩展的解决方案.
科学领域:
- 老年学是一门学科.
- 心理治疗 心理治疗
- 公共卫生 公共卫生
背景情况:
- 虐待老年人的受害者往往缺乏可获得的,基于证据的治疗方法.
- 对这一群体有需要远程交付,量身定制的心理治疗选择.
- 由于COVID-19大流行,治疗方法的转变变成为必要.
研究的目的:
- 为了评估短暂的抑郁治疗 (PROTECT) 对老年虐待受害者的有效性.
- 为了比较远程 (电话/视频) 与个人交付PROTECT.的疗效.
- 评估老年虐待的远程治疗干预措施的可扩展性.
主要方法:
- 在COVID-19期间,PROTECT是一种简短的疗法,适用于远程传递 (电话和视频).
- 使用患者健康问卷-9 (PHQ-9) 测量抑郁症的严重程度.
- 一个线性混合效应模型与非劣势测试比较了远程和面对面的交付结果.
主要成果:
- 保护疗法导致抑郁症严重程度显著降低 (平均5.15个PHQ-9分).
- 发现远程交付 (视频和电话) 与亲自交付无差.
- 视频组的完成时间更快,症状改善更快.
结论:
- 远程输送PROTECT是减少老年虐待受害者抑郁症的有效策略.
- 基于视频的PROTECT交付显示了增加覆盖范围和可扩展性的潜力,以服务更脆弱的老年人.
- 这种方法解决了对老年虐待幸存者的可访问心理健康服务的关键需求.
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