在长期护理机构居住的老年人中治疗抑郁症的心理疗法
Tanya E Davison1,2,3, Sunil Bhar4, Yvonne Wells5
1Research and Innovation, Silverchain, Melbourne, Australia.
The Cochrane database of systematic reviews
|March 19, 2024
概括
心理治疗可以减少抑郁症症状,改善长期护理 (LTC) 居民的福祉,但证据非常不确定. 需要进一步的高质量试验来证实这些影响.
科学领域:
- 老年学是指老年学的学科.
- 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:
- 在长期护理 (LTC) 设施中居住的老年人中,抑郁症很普遍.
- 抗抑郁药物是常见的,但老年人往往更喜欢非药物治疗方法.
- 在这种人群中,心理治疗是治疗抑郁症的合适替代方案.
研究的目的:
- 评估老年LTC居民抑郁症心理治疗的有效性.
- 为了比较心理治疗与通常的治疗,等候名单和注意力控制.
- 为了比较不同类型的心理治疗在LTC环境中的有效性.
主要方法:
- 随机对照试验 (RCT) 和集群RCT的系统审查和元分析.
- 包括65岁以上的成年人在LTC设施中患有抑郁症.
- 提取了有关抑郁症状,缓解,生活质量,焦虑和治疗可接受性的数据.
主要成果:
- 非常低的确定性证据表明,与对照组相比,心理治疗可以减少抑郁症状 (SMD-1.04).
- 心理治疗可以改善短期的生活质量和福祉 (SMD0.51),证据的确定性非常低.
- 较高的退学率 (OR 3.44) 表明潜在的不可接受性,尽管数据有限,发现需要谨慎.
结论:
- 认知行为疗法,行为疗法和回忆疗法可能会减少LTC居民的抑郁症状,但证据非常不确定.
- 心理治疗可能会提高短期的生活质量和幸福感,但对焦虑症状没有明显的影响.
- 需要更高质量的RCT,采用更大的样本和更长的随访,以加强证据基础.
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