在老年人中,认知行为疗法和第三波治疗焦虑和相关疾病的方法
Gert-Jan Hendriks1,2,3, Noortje Janssen2, Lindsay Robertson4
1"Overwaal" Centre of Expertise for Anxiety Disorders, OCD and PTSD, Institute for Integrated Mental Health Care "Pro Persona, Nijmegen, Netherlands.
The Cochrane database of systematic reviews
|July 8, 2024
概括
认知行为疗法 (CBT) 可以短期减少老年人的焦虑和抑郁. 长期有效性和与其他疗法进行比较需要更多的研究.
科学领域:
- 老年学是一门学科.
- 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:
- 认知行为疗法 (CBT) 对成人焦虑障碍有效.
- 由于大多数研究中的年龄限制,对老年人 (≥55岁) 进行CBT的证据有限.
- 本综述综合了CBT和第三波治疗对老年人焦虑的证据.
研究的目的:
- 评估CBT对老年人焦虑症状严重性的影响与最小管理.
- 评估CBT对焦虑的影响与老年人其他心理治疗相比.
主要方法:
- 随机对照试验 (RCT) 的系统综述,包括患有焦虑症的老年人 (≥55岁).
- 搜索了多个数据库 (CCMDCTR,CENTRAL,MEDLINE,Embase,PsycINFO) 更新至2024年2月.
- 包括21个RCT与1234名参与者,将CBT与最小管理或其他疗法进行比较.
主要成果:
- 经过CBT治疗,焦虑症 (SMD -0.51) 和伴随性抑郁症 (SMD -0.57) 在短期内有轻微到中度的减轻,而对治疗的管理则是最小的.
- 长期 (3-6个月) 的焦虑减轻是最小的 (SMD -0.29).
- 对临床康复和与其他疗法进行比较的证据不确定或缺乏.
结论:
- 在老年人中,CBT可能为焦虑和抑郁提供短期益处.
- 长期有效性和优于替代疗法的优势仍然不确定.
- 需要进一步的研究来澄清CBT在老年焦虑症治疗中的作用.
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