针对老年人抑郁症的定制互联网认知行为疗法:一种随机对照试验
Lise Bergman Nordgren1, Mikael Ludvigsson2,3, Kristin Silfvernagel4
1Region Örebro län and Department of medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
BMC geriatrics
|December 10, 2024
概括
通过互联网提供的认知行为疗法 (ICBT) 有效地治疗65岁及以上成年人的抑郁症. 这种量身定制的方法比非指令支持更能改善结果,增加了获得心理健康护理的机会.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 抑郁症是老年人普遍存在的心理健康问题,往往无法获得心理治疗.
- 通过互联网提供的认知行为疗法 (ICBT) 提供了一个可扩展的解决方案,以改善这一人口群的治疗可访问性.
- 以前的研究表明,ICBT对成人群体的抑郁症有效.
研究的目的:
- 评估针对65岁及以上成年人抑郁症的量身定制ICBT的疗效.
- 为了确定认知灵活性是否可以预测这一群体的治疗结果.
主要方法:
- 一项随机对照试验比较了10周的临床指导ICBT (n=50) 与非指导性支持 (n=51) 的积极对照.
- 参与者从社区中在线招募.
- 主要结局用老年抑郁量表 (GDS-15) 测量;次要结局包括贝克抑郁量表 (BDI-II) 和患者健康问卷 (PHQ-9).
主要成果:
- 两组人都显著减少了抑郁症症状.
- 在ICBT组的GDS-15 (科恩的d=0.78) 和BDI-II (科恩的d=0.53) 上显示出明显更大的改善.
- 在PHQ-9组之间没有发现显著差异;认知灵活性没有预测结果.
结论:
- 量身定制的ICBT是老年人抑郁症的优越治疗方法,与主动对照相比.
- 该研究强调了ICBT在提高老年人群心理治疗机会方面的潜力.
- 观察到的效果大小比之前的研究小,可能是由于使用了活跃对照组.
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