针对泛性焦虑症的以情绪为中心的解决问题疗法:一项单臂试点研究,对中老年和老年人进行试点研究
Sherry A Beaudreau1,2,3, Marcela C Otero4, Julie A Lutz1
1Sierra Pacific Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System, Palo Alto, CA, USA.
Aging & mental health
|September 13, 2025
概括
以情感为中心的解决问题疗法 (EC-PST) 对患有泛性焦虑障碍 (GAD) 的老年人来说是有前途的. 这项试点研究发现EC-PST是可行的和可接受的,导致焦虑和抑郁症状的显著减少.
科学领域:
- 老年学是指老年学的学科.
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
背景情况:
- 患有泛性焦虑障碍 (GAD) 的老年人可能对认知行为疗法 (CBT) 等传统疗法反应不佳.
- 痛苦可能会对老年人的认知产生负面影响,可能会阻碍治疗的有效性.
- 以情感为中心的解决问题疗法 (EC-PST) 可以克服这一群体技能获取障碍.
研究的目的:
- 评估6次EC-PST干预的可行性和可接受性,用于诊断为GAD的55岁以上的成年人.
- 为了确定EC-PST是否可以导致临床显著改善焦虑和/或担心症状.
- 为了检查抑郁症状的减少和参与者对EC-PST治疗的满意度.
主要方法:
- 一个单臂试点研究涉及16名年龄在58-83岁的成年人,患有GAD.
- 参与者接受了6次EC-PST干预.
- 评估了可行性,减轻症状 (焦虑,担忧,抑郁) 和治疗满意度.
主要成果:
- 16名参与者中有14人完成了治疗,这表明可行性很高.
- 85.7%的参与者在临床上显著地减少了焦虑和/或担忧症状.
- 64.2%的人经历了临床显著的抑郁症状的减少,报告了高满意度.
结论:
- 对于患有GAD的老年人来说,EC-PST是一种可行的和可以接受的干预措施.
- 积极的发现支持在随机对照试验中进一步调查EC-PST.
- EC-PST提供了一个潜在的基于证据的治疗选择,用于治疗晚年生活中的焦虑.
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