Psychosocial interventions for late-life major depression: evidence-based treatments, predictors of treatment outcomes, and moderators of treatment effects.
Psychosocial interventions for late-life major depression: evidence-based treatments, predictors of treatment outcomes, and moderators of treatment effects.
复制标题
晚期重度抑郁症的社会心理干预措施:基于证据的治疗,治疗结果的预测因素以及治疗效果的主持人。
DOI:
10.1016/j.psc.2011.03.001
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发表时间:
2011-06
影响因子:
1.7
通讯作者:
Arean, Patricia A.
中科院分区:
文献类型:
--
作者:
Kiosses, Dimitris N.;Leon, Andrew C.;Arean, Patricia A.
关键词:
The goal of this systematic review is to evaluate the efficacy of psychosocial interventions for the acute treatment of late-life depression and identify predictors of treatment outcomes and moderators of treatment effects. The results of the systematic review may help to advance the development of personalized psychosocial treatments for late-life major depression. Based on our criteria, Problem Solving Therapy (PST), Cognitive Behavioral Therapy (CBT), and Treatment Initiation and Participation Program (TIP) have supportive evidence of efficacy, pending replication. Even though the data on the predictors of treatment outcomes and moderators of treatment effects are still preliminary, it appears that baseline anxiety and stress level, personality pathology, endogenous depression, and reduced self-rated health are associated with worse depression outcomes. More research is also recommended to examine the moderating effects of baseline depression severity; for instance, our review indicates that Interpersonal Psychotherapy (IPT) may work better in participants with high baseline depression severity than in participants with low depression severity. Recommendations for future novel psychosocial interventions for the acute treatment of late-life major depression include application of these interventions in non-traditional settings, involvement of the caregivers in the treatment of cognitively and functionally impaired older adults with major depression, and expansion of research to include more racially and ethnically diverse populations as the samples of the examined studies is highly selective, i.e. overly healthy, cognitively intact, Caucasian, and highly educated.
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影响因子:
--
作者:
Alexopoulos, George S.;Raue, Patrick J.;Kiosses, Dimitris N.;Mackin, R. Scott;Kanellopoulos, Dora;McCulloch, Charles;Arean, Patricia A.
通讯作者:
Arean, Patricia A.
影响因子:
5.9
作者:
BEUTLER, LE;SCOGIN, F;LEVENSON, AI
通讯作者:
LEVENSON, AI
影响因子:
3.7
作者:
Areán, PA;Gum, A;Thompson, L
通讯作者:
Thompson, L
影响因子:
120.7
作者:
Bruce, ML;Ten Have, TR;Alexopoulos, GS
通讯作者:
Alexopoulos, GS
影响因子:
5.9
作者:
AREAN, PA;PERRI, MG;JOSEPH, TX
通讯作者:
JOSEPH, TX