Modular psychotherapy for anxiety in older primary care patients.
Modular psychotherapy for anxiety in older primary care patients.
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DOI：
10.1097/jgp.0b013e3181a31fb5
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发表时间：
2009-06
期刊：
影响因子：
--
通讯作者：
Patterson TL
中科院分区：
文献类型：
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作者：
Wetherell JL;Ayers CR;Sorrell JT;Thorp SR;Nuevo R;Belding W;Gray E;Stanley MA;Areán PA;Donohue M;Unützer J;Ramsdell J;Xu R;Patterson TL
开发和测试老年焦虑症初级保健患者的模块化心理治疗方案。随机对照试验研究。大学老年医学诊所。31例有广泛性焦虑障碍或其他未指明的焦虑障碍的老年初级保健患者。模块化形式的心理治疗与强化社区治疗的比较。焦虑、担忧、抑郁和心理健康相关生活质量的自我报告、访谈者评价和定性评估。两组患者在焦虑症状、担忧、抑郁症状和精神健康相关生活质量方面均有显著改善。大多数在强化社区治疗条件下的人报告接受药物治疗或其他形式的专业治疗焦虑症。在这两种情况下，那些报告了重大生活事件或压力源的人，以及那些将参与活动作为应对策略的人，比那些没有报告的人获得的收益要小。结果表明，模块化的心理治疗和其他治疗方法可以有效地治疗老年初级保健患者的焦虑。结果进一步表明，生活事件和通过增加活动来应对可能在老年人的焦虑维持中发挥作用。
To develop and test a modular psychotherapy protocol in older primary care patients with anxiety disorders. Randomized, controlled pilot study. University-based geriatric medicine clinics. 31 elderly primary care patients with Generalized Anxiety Disorder or Anxiety Disorder Not Otherwise Specified. Modular form of psychotherapy compared to enhanced community treatment. Self-reported, interviewer-rated, and qualitative assessments of anxiety, worry, depression, and mental health-related quality of life. Both groups showed substantial improvements in anxiety symptoms, worry, depressive symptoms, and mental health-related quality of life. Most individuals in the enhanced community treatment condition reported receiving medications or some other form of professional treatment for anxiety. Across both conditions, individuals who reported major life events or stressors and those who used involvement in activities as a coping strategy made smaller gains than those who did not. Results suggest that modular psychotherapy and other treatments can be effective for anxiety in older primary care patients. Results further suggest that life events and coping through increased activity may play a role in the maintenance of anxiety in older adults.