使用PROTECT减少老年虐待受害者的抑郁和自杀念头
Isabel Rollandi1, Emily Carter2, Samprit Banerjee3
1Weill Cornell Institute of Geriatric Psychiatry (RI, BS, CC, SN, SJA), Weill Cornell Medicine, White Plains, NY.
概括
这项研究发现,自杀念头与老年虐待受害者的人口统计数据无关. 保护心理治疗有效地减少了这些人的抑郁和自杀念头.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 虐待老年人 (EA) 是一个重要的公共卫生问题,具有严重的后果,包括高死亡率和抑郁症.
- 大约三分之一的老年虐待受害者患有抑郁症,这凸显了对有效干预的迫切需要.
研究的目的:
- 调查老年人虐待中自杀念头 (SI) 和受害者特征之间的关联.
- 评估PROTECT心理治疗在减轻老年虐待受害者的抑郁症方面的有效性,无论他们是否有自杀想法.
- 为了确定PROTECT心理治疗是否可以降低老年虐待受害者的自杀念头.
主要方法:
- 158名患有抑郁症的老年虐待受害者的样本 (PHQ-9 ≥10) 没有认知障碍参与.
- 保护心理治疗是一项为期10周的行为干预,分为45分钟的会议 (面对面或远程).
- 每周使用PHQ-9评估抑郁症严重程度和自杀念头,通过混合效应模型分析数据.
主要成果:
- 人口统计或老年虐待特征与自杀念头之间没有发现显著的关联.
- 在SI和非SI组中,PROTECT心理治疗显著降低了抑郁症的严重程度.
- 自杀念头在整个治疗过程中下降,患病率从基线的19%下降到研究结束时的5.7%.
结论:
- 自杀念头在老年虐待受害者中均分布,无论他们的背景如何.
- 保护心理治疗是一种可行的和有效的治疗方法,可以减少老年虐待幸存者的抑郁和自杀念头.
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