与工作年龄的成年人相比,年轻人和老年人如何从认知行为疗法中受益? 一个大型的多中心自然主义研究
Nicolas Wrede1, Mareike C Hillebrand2, Anne Katrin Risch1
1Department of Counseling and Clinical Intervention, Institute of Psychology, Friedrich Schiller University Jena, Germany.
Journal of affective disorders
|January 31, 2025
概括
老年人受益于门诊认知行为疗法 (CBT),与年轻人相似,效果和消耗率相似. 然而,一些抑郁症指标在老年人群中显示出较低的反应,可能是由于体质症状.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 老年学是指老年学的学科.
背景情况:
- 在元分析中,认知行为疗法 (CBT) 的疗效在老年人和工作年龄的成年人之间是可比的.
- 在不同年龄组的自然环境中,CBT在不同年龄组的有效性仍未得到充分研究.
研究的目的:
- 为了比较症状变化,消耗率和门诊CBT的治疗持续时间,在工作年龄的成年人 (18-64岁),年轻的老年人 (65-74岁) 和老年人 (≥75岁) 中进行.
主要方法:
- 对德国接受门诊认知治疗的患者的大型自然数据集 (n=9081) 的分析.
- 倾向性得分匹配被用来比较年龄组之间的治疗反应,缓解,磨损和持续时间.
主要成果:
- 在简要症状清单 (BSI-53) 和临床总体印象改善 (CGI-I) 中,反应和缓解率在年龄组之间没有差异.
- 年轻老年人和老年人在贝克抑郁症库存 (BDI-II) 上表现出较低的反应/缓解,这可能与体化项目有关.
- 老年人治疗的持续时间较短;所有组的消耗率都相似.
结论:
- 门诊性CBT似乎对年轻老年人和老年人有益,与工作年龄的成年人相比.
- 由于与年龄相关的体质投诉,结果测量中的潜在偏差值得承认.
- 局限性包括老年人的潜在选择性样本和观察设计.
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