从社区主导的,为患有抑郁症和艾滋病病毒的老年妇女的试点电话治疗小组中吸取的经验教训
Aaron S Breslow1,2,3,4, Michelle Lopez5,6, Barbara Warren7,8
1PRIME Center for Health Equity, Psychiatry Research Institute at Montefiore Einstein, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY, USA. aaron.breslow@einsteinmed.edu.
AIDS and behavior
|September 2, 2024
概括
患有艾滋病毒和抑郁症的老年妇女可以从一个名为e-SMART/EST的文化适应的在线治疗计划中受益. 这种干预措施显示出高度的可接受性和可行性,解决了这一群体的关键生活质量挑战.
科学领域:
- 心理健康 心理健康
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
背景情况:
- 携带艾滋病毒的老年妇女经历了重大的生活质量挑战,包括神经认知能力下降,早期更年期和慢性健康问题.
- 抑郁症是艾滋病毒感染者的普遍精神病并发症,不成比例地影响女性.
- 针对艾滋病毒和抑郁症的老年妇女缺乏量身定制的干预措施.
研究的目的:
- 调整一个以证据为基础的干预措施,压力管理和放松训练/表达式支持性治疗妇女项目 (SMART/EST),为艾滋病毒和抑郁症的老年妇女在线提供.
- 利用ADAPT-ITT框架和社区利益相关者的投入,开发一个在线远程治疗小组干预 (e-SMART/EST).
- 试点测试e-SMART/EST干预措施的可接受性,可行性和适当性,在一个艾滋病毒和抑郁症的老年女性样本中进行试点测试.
主要方法:
- 该研究通过聚焦小组和与社区利益相关者进行手动修订,将SMART/EST干预措施适应在线实施 (e-SMART/EST).
- 一个为期八次的每周在线远程治疗小组由一名执照心理学家和一名同行辅导员共同促进.
- 一项探索性试点研究涉及8名55岁以上的艾滋病毒感染者和抑郁症患者,评估了组前和后的干预结果.
主要成果:
- 电子SMART/EST妇女项目在参与者中表现出高度的可接受性,可行性和适当性.
- 观察到高参与度,在8个会议中平均出席人数为6.8.
- 参与者报告了同行共同促进,文化相关主题,正念技巧和群体凝聚力的积极经验,同时注意到在线格式的技术障碍和减少情绪调整.
结论:
- 适应的在线干预,e-SMART/EST,是解决艾滋病毒感染老年妇女抑郁症的一个有希望的方法.
- 这些发现支持进一步研究和大规模试验的必要性,以验证e-SMART/EST的有效性.
- 解决技术障碍和优化在线干预中的情感联系对于这群人来说至关重要.
相关概念视频
Group Therapy
27
Group therapy is a sociocultural approach to psychological treatment, where individuals with shared psychological challenges come together under the guidance of a mental health professional. This therapeutic modality offers unique opportunities for individuals to connect, share, and grow within the context of a supportive group. By fostering mutual understanding and collaboration, group therapy can address a range of psychological concerns effectively, often complementing or surpassing the...
27
Community Based Intervention
36
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
36
Self-Help Support Groups
28
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
28
Interpersonal Psychotherapy
23
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
23
Therapeutic Communication
4.4K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
4.4K
Depression: Overview
228
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
228


