老年人的团队与个人关注悲伤的认知行为疗法:一项随机临床试验
Katrine Komischke1, Paul A Boelen2,3, Fiona Maccallum4
1Unit for Bereavement Research, Department of Psychology and Behavioural Sciences, Aarhus University, Aarhus, Denmark.
JAMA psychiatry
|January 14, 2026
概括
发现,焦点是悲伤的认知行为疗法 (GF-CBT) 组会议与老年人长期悲伤障碍 (PGD) 的个人治疗一样有效. 这两种格式都显著减少了PGD,PTSD,抑郁和焦虑症状.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 老年学是一门学科.
背景情况:
- 长期悲伤障碍 (PGD) 显著影响老年人.
- 关注悲伤的认知行为疗法 (GF-CBTs) 对PGD有效.
- 组与个人GF-CBT输送格式的比较疗效尚不清楚.
研究的目的:
- 为了确定组GF-CBT是否与个人GF-CBT在减轻老年成人PGD症状方面不劣.
- 为了比较两个GF-CBT交付格式在PTSD,抑郁和焦虑等二次结果上的有效性.
主要方法:
- 一项非劣势随机临床试验,涉及113名患有PGD的老年人 (≥65岁).
- 参与者被随机分配到12个每周一次的组GF-CBT (2小时) 或个人GF-CBT (1小时) 会议.
- 包括PGD,PTSD,抑郁和焦虑症状在内的结果在治疗后6个月的多个时间点被评估.
主要成果:
- 随着时间的推移,团体和个人GF-CBT都显著减少了PGD症状 (大效果大小).
- 组GF-CBT在6个月的随访后,在减少PGD症状方面表现不劣于个人GF-CBT.
- 对于二次结果也观察到非劣势性,包括PTSD,抑郁症和焦虑症状,与可比的退学率.
结论:
- 集体GF-CBT是一种可行的,有效的替代方案,以个人GF-CBT治疗PGD在老年人.
- 这两种格式都显示出对PGD和相关症状的显著而持久的好处.
- 这些发现支持在临床实践中使用组GF-CBT,用于经历悲伤和相关疾病的老年人.
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