Treatment of depression in low-income older adults
Treatment of depression in low-income older adults
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DOI：
10.1037/0882-7974.20.4.601
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发表时间：
2005-12-01
影响因子：
3.7
通讯作者：
Thompson, L
中科院分区：
文献类型：
--
作者：
Areán, PA;Gum, A;Thompson, L
本研究的目的是比较认知行为团体治疗（CBGT），临床病例管理（CCM），以及它们的组合（CBGT + CCM）治疗低收入老年人（60岁以上）的抑郁症。67名患有重度抑郁症或心境恶劣的参与者被随机分配并进入3种治疗条件中的1种，持续6个月。他们在治疗开始后对抑郁和功能结果进行了18个月的随访。CCM和CBGT + CCM导致抑郁症状的改善比CBGT更大，但CBGT导致身体功能的改善更大。所有3种情况均导致类似的需求减少。研究结果表明，处于不利地位的老年人抑郁症受益于增加获得社会服务，无论是单独或结合心理治疗。
The purpose of this study was to compare cognitive-behavioral group therapy (CBGT), clinical case management (CCM), and their combination (CBGT + CCM) to treat depression in low-income older adults (60+). Sixty-seven participants with major depressive disorder or dysthymia were randomly assigned and entered into 1 of the 3 treatment conditions for 6 months. They were followed for 18 months after treatment initiation on depression and functional outcomes. CCM and CBGT + CCM led to greater improvements in depressive symptoms than CBGT, but CBGT led to greater improvements in physical functioning. All 3 conditions resulted in similar reduction of needs. Findings suggest that disadvantaged older adults with depression benefit from increased access to social services either alone or combined with psychotherapy.