Advances in Psychotherapy for Depressed Older Adults.

Advances in Psychotherapy for Depressed Older Adults.
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DOI:
10.1007/s11920-017-0812-8
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发表时间:
2017-09
影响因子:
6.7
通讯作者:
Sirey JA
Sirey JA
中科院分区:
医学2区
文献类型:
--
作者:
Raue PJ;McGovern AR;Kiosses DN;Sirey JA

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我们回顾了最近的进展,心理治疗抑郁症的老年人,特别是那些为特殊人群的特点是慢性疾病,急性疾病,认知障碍,自杀风险因素。我们审查适应心理治疗,以克服障碍,其在非专业设置,如初级保健,居家或难以达到的老年人,和社会服务设置。最近的证据支持心理疗法的有效性,这些心理疗法针对特定共病条件下的晚年抑郁症,包括COPD,心力衰竭,帕金森病,中风和其他急性疾病,认知障碍和自杀风险。越来越多的证据支持心理治疗的可行性,可接受性和有效性,修改为各种医疗保健和社会服务环境。研究支持的好处,选择类型的心理治疗的基础上综合评估老年人的精神,医疗,功能和认知状态,并定制心理治疗的设置中,老年抑郁症的成年人最有可能出现。
We review recent advances in psychotherapies for depressed older adults, in particular those developed for special populations characterized by chronic medical illness, acute medical illness, cognitive impairment, and suicide risk factors. We review adaptations for psychotherapy to overcome barriers to its accessibility in non-specialty settings such as primary care, homebound or hard-to-reach older adults, and social service settings. Recent evidence supports the effectiveness of psychotherapies that target late life depression in the context of specific comorbid conditions including COPD, heart failure, Parkinson’s disease, stroke and other acute conditions, cognitive impairment, and suicide risk. Growing evidence supports the feasibility, acceptability, and effectiveness of psychotherapy modified for a variety of health care and social service settings. Research supports the benefits of selecting the type of psychotherapy based on a comprehensive assessment of the older adult’s psychiatric, medical, functional, and cognitive status, and tailoring psychotherapy to the settings in which older depressed adults are most likely to present.
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