简短的视频交付干预措施来减少焦虑和改善老年退伍军人的功能:试点随机对照试验
Christine E Gould1,2, Chalise Carlson1, Julie L Wetherell3,4
1Geriatric Research, Education and Clinical Center, VA Palo Alto Health Care System, Palo Alto, CA, United States.
JMIR aging
|December 9, 2024
概括
对于焦虑的老退伍军人来说,有引导的自我管理干预是可行的. 健康生活计划在减少焦虑症状和改善功能方面显示出比BREATHE更有前景.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 心理健康 心理健康
背景情况:
- 年长的退伍军人面临着心理健康服务的重大障碍.
- 引导自主管理为可访问性和供应商短缺提供了一个潜在的解决方案.
研究的目的:
- 评估一个随机对照试验的可行性和可接受性,以指导自我管理干预.
- 为了比较两个干预措施 (放松和健康心理教育) 对老年退伍军人的焦虑和功能效果的有效性.
- 探索影响家庭实践和参与的因素.
主要方法:
- 56名患有焦虑障碍的老年退伍军人被随机分配到BREATHE (呼吸,放松和家庭环境中的焦虑治疗教育) 或健康生活 (精神教育) 中.
- 干预是通过视频传递的,每周通过电话提供指导.
- 在多个时间点测量焦虑,抑郁和功能,并在研究结束时进行定性访谈.
主要成果:
- 这两种干预都是可行的和可以接受的,保留率没有差异.
- 健康生活小组完成了比呼吸小组更多的课程.
- 两种干预都没有显著减少整体焦虑或改善功能,尽管健康生活显示体质焦虑的下降更大.
结论:
- 对退伍军人晚年焦虑的引导自我管理干预措施对于更大规模的试验是可行的.
- 与健康生活相比,BREATHE干预措施在减少焦虑方面没有效果.
- 坚持家庭实践是一项挑战,特别是对于那些焦虑程度较高或有医疗并发症的人来说.
相关概念视频
01:18Anxiety: Overview
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Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
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01:27Post-traumatic Stress Disorder
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Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
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01:30Generalized Anxiety Disorder
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Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
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01:28Social Anxiety Disorder
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Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
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01:26Stress Prevention and Stress Management Techniques IV
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Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
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01:22Behavior Therapy
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Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
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