COMPARATIVE EFFECTIVENESS OF SOCIAL PROBLEM-SOLVING THERAPY AND REMINISCENCE THERAPY AS TREATMENTS FOR DEPRESSION IN OLDER ADULTS
COMPARATIVE EFFECTIVENESS OF SOCIAL PROBLEM-SOLVING THERAPY AND REMINISCENCE THERAPY AS TREATMENTS FOR DEPRESSION IN OLDER ADULTS
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DOI：
10.1037/0022-006x.61.6.1003
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发表时间：
1993-12-01
影响因子：
5.9
通讯作者：
JOSEPH, TX
中科院分区：
文献类型：
--
作者：
AREAN, PA;PERRI, MG;JOSEPH, TX
比较了两种基于不同概念的抑郁症在晚年生活中的心理治疗效果。75名被诊断为重度抑郁症的老年人被随机分配到问题解决治疗（PST），回忆治疗（RT）或等待列表控制（WLC）条件。PST和RT的参与者每周接受12次团体治疗。在基线、治疗后和3个月随访时采取的依赖性措施包括自我报告和基于抑郁症的评估。在治疗后，PST和RT条件下产生的抑郁症状显着减少，与WLC组相比，PST参与者经历了显着减少抑郁症比RT科目。此外，PST组与RT组相比，显著更大比例的受试者表现出足够的积极变化，以保证在治疗后和随访评估时将其抑郁症分类为改善或缓解。
Compared the effects of 2 psychotherapies based on divergent conceptualizations of depression in later life. Seventy-five older adults diagnosed with major depressive disorder were assigned randomly to problem-solving therapy (PST), reminiscence therapy (RT), or a waiting-list control (WLC) condition. Participants in PST and RT were provided with 12 weekly sessions of group treatment. Dependent measures, taken at baseline, posttreatment, and 3-month follow-up, included self-report and observer-based assessments of depressive symptomatology. At posttreatment, both the PST and the RT conditions produced significant reductions in depressive symptoms, compared with the WLC group, and PST participants experienced significantly less depression than RT subjects. Moreover, a significantly greater proportion of participants in PST versus RT demonstrated sufficient positive change to warrant classification of their depression as improved or in remission at the posttreatment and follow-up evaluations.