Older adults' acceptance of psychological, pharmacological, and combination treatments for geriatric depression

Older adults' acceptance of psychological, pharmacological, and combination treatments for geriatric depression
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DOI:
10.1093/geronb/63.4.p245
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发表时间:
2008-07-01
影响因子:
6.2
通讯作者:
Scogin, Forrest
Scogin, Forrest
中科院分区:
医学1区
文献类型:
--
作者:
Hanson, Ashley E.;Scogin, Forrest

文献摘要

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我们调查了老年人对老年抑郁症治疗可接受性的评分。我们向120名居住在社区的参与者提供了描述患有轻度至中度或重度抑郁症的老年人的小插曲。参与者对三种不同的治疗方法的可接受性进行评分:认知疗法(CT),抗抑郁药物(AM),以及CT和AM的联合治疗(COM)。对于普遍的可接受性,参与者认为COM比CT和AM更能接受抑郁症的治疗。关于治疗的消极方面,他们认为CT比AM和COM更能接受轻度到中度抑郁症的治疗。参与者认为COM和CT治疗重度抑郁症比AM治疗更容易接受。结果表明,将心理治疗和AM相结合可能被居住在社区的非抑郁症老年人认为是最可接受的。
We examined older adults' ratings of the acceptability of geriatric depression treatments. We presented 120 community-dwelling participants with vignettes describing an older adult experiencing either mild to moderate or severe depression. Participants rated the acceptability of three different treatments: cognitive therapy (CT), antidepressant medication (AM), and a combination treatment of CT and AM (COM). For general acceptability, participants rated COM as a more acceptable treatment for depression than both CT and AM. With respect to perceived negative aspects of treatments, they rated CT as a more acceptable treatment for mild to moderate depression than both AM and COM. Participants rated both COM and CT as more acceptable treatments for severe depression than AM. Results indicate that combining psychotherapy and AM may be viewed as most acceptable by community-dwelling, nondepressed older adults.