临床医生对同行支持的解决问题的治疗对农村老年人抑郁症的比较有效性
Brooke Hollister1, Rebecca Crabb1, Patricia Areán1
1Institute for Health and Aging, University of California, San Francisco, San Francisco (Hollister, Crabb); Center for Care Research South, Department of Health and Nursing Sciences, University of Agder, Agder, Norway (Hollister); Accelerating the Reach and Impact of Treatments for Youth and Adults With Mental Illness (ALACRITY) Center, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Areán).
Psychiatric services (Washington, D.C.)
|April 23, 2024
概括
同行支持的,自我引导的解决问题疗法 (SG-PST) 是患有抑郁症的农村老年人的一种可行的选择. 虽然病例管理PST显示出更大的改善,但当临床医生访问有限时,SG-PST提供了可接受的替代方案.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 农村卫生 农村卫生
背景情况:
- 抑郁症在农村老年人中很普遍,经常面临治疗障碍.
- 自主指导和同行支持的干预措施可以克服这些访问挑战.
研究的目的:
- 为了比较同行支持的,自我指导的问题解决疗法 (SG-PST) 与病例管理问题解决疗法 (CM-PST) 在农村老年人患有抑郁症的有效性.
主要方法:
- 一项试点研究涉及105名加利福尼亚农村的老年人患有抑郁症.
- 参与者接受了最初的PST会话,随后是CM-PST (N=85) 或SG-PST (N=20) 的11个会话.
主要成果:
- 无论是CM-PST还是SG-PST干预措施,在第12周内都导致了临床显著的抑郁症改善.
- 与SG-PST组 (p<0.001) 相比,CM-PST组显示了抑郁症得分的更大降低 (4.1分以上).
结论:
- 同行支持的SG-PST是农村老年人抑郁症的可行和可接受的治疗方法.
- 当临床医生的访问受到限制时,SG-PST作为一种有价值的二线治疗选择.
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