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在痴呆症患者中治疗焦虑和抑郁的谈话疗法:一个范围的元综述
Georgina Charlesworth1,2, Cassie Eastham3, Lydia Morris4
1Research Department of Clinical, Educational and Heath Psychology, University College London, London, UK.
Psychology and psychotherapy
|July 31, 2025
概括
心理干预,如认知行为疗法 (CBT) 和行为激活,有效地减少痴呆症患者及其照顾者的抑郁症状. 需要更多的研究来改善痴呆症患者和家庭护理人员获得这些治疗方法的机会.
科学领域:
- 老年学是一门学科.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 焦虑和抑郁症状在痴呆症患者和他们的家庭照顾者中很普遍.
- 现有的对痴呆症心理干预措施的审查缺乏与NHS焦虑和抑郁症谈话疗法 (TTad) 的证据基础的整合.
研究的目的:
- 通过TTad的框架,通过审查对痴呆症患者及其照顾者的心理干预措施来弥合文献上的差距.
- 为此群体确定有效的TTad推疗法.
主要方法:
- 进行了对元分析的快速范围审查.
- 包括的疗法包括认知行为疗法 (CBT),行为激活,问题解决,抑郁症咨询和基于正念的认知疗法 (MBCT).
主要成果:
- 行为激活和CBT信息化的干预措施有效地减少了痴呆症患者和家庭护理人员的抑郁症状.
- 痴呆症患者的焦虑减轻不太一致;心理教育对照顾者有效.
- 基于正念的干预措施 (MBI) 在减少护理人员的抑郁和焦虑症状方面表现出有效性.
结论:
- 在TTad和痴呆症干预文献之间存在显著的差异.
- 改善痴呆症患者及其护理人员获得TTad的机会,需要调整研究方法,数据收集和服务交付模式.
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