老年人抑郁症的非专业人士支持的网络认知行为疗法:随机对照试验
Xiaoling Xiang1, Jay Kayser1, Skyla Turner1
1School of Social Work, University of Michigan, Ann Arbor, MI, United States.
Journal of medical Internet research
|March 4, 2024
概括
与对照组相比,通过网络为老年人提供认知行为疗法 (wCBT) 显著减少了抑郁症状. 这种可访问的治疗方法对改善老年人的心理健康有很大的希望.
科学领域:
- 老年学是一门学科.
- 心理健康 心理健康
- 数字健康数字健康
背景情况:
- 抑郁症是老年人的主要心理健康问题.
- 获得基于证据的治疗方法对这一群体来说可能是一个重大障碍.
- 网络认知行为疗法 (wCBT) 提供了一个潜在的解决方案,特别是当非专业人士协助时.
研究的目的:
- 为了评估Empower@Home的有效性,这是一项针对老年人的新型wCBT计划,与等候名单注意力控制相比.
- 评估该计划对二次心理社会结果的影响.
- 探索潜在的变化机制,这些变化机制是干预效应的基础.
主要方法:
- 一项随机对照试验,涉及70名老年人.
- 干预组接受了9个在线课程和10周的非专业教练电话支持.
- 对照组每周接受友好电话和症状监测.
- 主要结局:抑郁症状严重程度 (患者健康问卷-9).
主要成果:
- 在Empower@Home干预组中,抑郁症状显著减少 (科恩d=1.22,P<.001).
- 两组间的分析显示了有利于干预的显著效应 (科恩d=0.72,P<.001).
- 改善CBT技能,行为激活和心理需求满足的治疗效果.
结论:
- 在老年人减轻抑郁症状方面,Empower@Home是一个由教练支持的 wCBT 计划,比注意力控制更有效.
- 该计划在焦虑,愤怒,社会隔离,失眠和疼痛方面表现出显著的小组内改善.
- 未来的研究应该探讨在社区环境中使用非临床人员作为教练的有效性.
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