Disability and Treatment Outcomes for Anxiety and Depression in Older Veterans
Disability and Treatment Outcomes for Anxiety and Depression in Older Veterans
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DOI：
10.1080/07317115.2015.1032463
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发表时间：
2015-08-08
影响因子：
2.8
通讯作者：
Tenover, J. Lisa
中科院分区：
文献类型：
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作者：
Gould, Christine E.;Huh, J. W. Terri;Tenover, J. Lisa
本研究审查了残疾对老年退伍军人心理健康结果的影响，并将其转介给一个跨学科的老年心理健康小组，以评估和治疗焦虑或抑郁或两者兼而有之。35名退伍军人(年龄，男性=81.2岁，SD=7.4)完成了一次或多次心理治疗以及治疗前和治疗后的焦虑、抑郁和残疾评估。在分级线性回归模型中，治疗前的残疾不能预测焦虑或抑郁的治疗反应。然而，残疾的变化可以预测焦虑和抑郁的治疗反应。具体地说，残疾减少与治疗后焦虑和抑郁症状的减少有关。焦虑和抑郁的治疗反应也预示着残疾的变化，因此在治疗后焦虑和抑郁症状的减少与残疾的减少有关。本研究提供了初步证据，表明治疗过程中残疾的改变可能对老年退伍军人的治疗结果产生影响，也可能是其作用。
The present study examined the impact of disability on mental health outcomes in older Veterans referred to an interdisciplinary geriatric mental health team for assessment and treatment of anxiety or depression or both. Thirty-five Veterans (age, M = 81.2 years, SD = 7.4) completed one or more psychotherapy sessions and pre- and post-treatment assessments of anxiety, depression, and disability. Pre-treatment disability did not predict anxiety or depression treatment response in hierarchical linear regression models. However, change in disability predicted both anxiety and depression treatment response. Specifically, decreased disability was associated with decreased anxiety and depression symptoms at post-treatment. Anxiety and depression treatment response also predicted change in disability such that decreased anxiety and depression symptoms were associated with less disability at post-treatment. The present study provides preliminary evidence that change in disability during treatment may have an effect on, and may also be a function of, treatment outcomes in older Veterans.