在被诊断患有抑郁症的养老院居民中遵守CBT转诊:可行性研究的结果
Laura Carlotta Nagel1, Valentina A Tesky2, Arthur Schall2
1Department of Clinical Psychology, Goethe University, Frankfurt, Germany.
Heliyon
|December 27, 2023
概括
被诊断为抑郁症的老年人不太可能遵守认知行为疗法 (CBT) 的转诊,如果他们年长或有更严重的抑郁症. 未来的干预措施应侧重于精神教育和文化敏感的方法,以改善坚持.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 抑郁症是养老院居民中普遍存在的疾病.
- 认知行为疗法 (CBT) 是抑郁症的有效治疗方法.
- 在老年人群中,遵守推的治疗方法可能是一个挑战.
研究的目的:
- 确定影响患者遵守推的认知行为疗法 (CBT) 的患者水平因素,在被诊断患有抑郁症的养老院居民中.
- 分析抑郁症逐步护理模型中对CBT转诊的坚持预测因素.
主要方法:
- 一个集群随机试验 (DAVOS研究) 涉及诊断患有抑郁症的养老院居民.
- 参与者接受了摄入面试,如果有指示,则获得CBT的转诊.
- 二元逻辑回归被用来确定符合CBT转诊的重要预测因素,评估社会人口统计特征,抑郁症严重程度,孤独感,身体健康以及对衰老的态度.
主要成果:
- 在123名受访居民中,80人被推接受CBT,47人 (58.8%) 接受CBT.
- 年龄较大 (OR=0.9) 和抑郁症严重程度较高 (OR=1.33) 是不遵守CBT转诊的重要预测因素.
- 合规的后勤回归模型在统计学上是显著的 (χ2(9) =21.64,p=0.010).
结论:
- 在这个养老院环境中,合规率与其他年龄组相美.
- 未来的干预措施应该包括心理教育,了解CBT对老年人轻度抑郁症状的好处,并解决抑郁症的耻辱感.
- 文化敏感的方法和干预措施,如回忆或解决问题,可能会增强遵守,特别是在非常老的患者 (80+).
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