Effects of Home-Delivered Cognitive Behavioral Therapy (CBT) for Depression on Anxiety Symptoms among Rural, Ethnically Diverse Older Adults
| Autor: | Avani Shah, Elizabeth A. DiNapoli, Christina M Pierpaoli, Forrest Scogin, Xin Yang |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Rural Population medicine.medical_specialty Health (social science) Social Psychology medicine.medical_treatment Ethnic group Article 03 medical and health sciences 0302 clinical medicine Quality of life Ethnicity medicine Humans Psychiatry Geriatric Assessment Depression (differential diagnoses) Aged Depressive Disorder Cognitive Behavioral Therapy 030214 geriatrics Ethnically diverse Anxiety Disorders Telemedicine Cognitive behavioral therapy Clinical Psychology Treatment Outcome Phobic anxiety Cognitive therapy Anxiety Female Geriatrics and Gerontology medicine.symptom Psychology Gerontology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Clinical Gerontologist. 40:181-190 |
| ISSN: | 1545-2301 0731-7115 |
| DOI: | 10.1080/07317115.2017.1288670 |
| Popis: | We examined the effects of home-delivered cognitive-behavioral therapy (CBT) for depression on anxiety symptoms in an ethnically diverse, low resource, and medically frail sample of rural, older adults.This was a secondary analysis of a randomized clincial trial with 134 rural-dwelling adults 65 years and older with decreased quality of life and elevated psychological symptomatology. Anxiety symptoms were assessed with the anxiety and phobic anxiety subscales of the Symptom Checklist-90-Revised (SCL-90-R).Compared to a minimal support control condition, CBT for depression resulted in significantly greater improvements in symptoms of anxiety and phobic anxiety from pre-treatment to post-treatment.Home-delivered CBT for depression can be an effective treatment for anxiety in a hard-to-reach older populations.Additional research should explore integrated anxiety and depression protocols and other treatment modalities, including bibliotherapy or telehealth models of CBT, to reduce costs associated with its in home delivery. Flexibility in administration and adaptations to the CBT protocol may be necessary for use with vulnerable, rural older adults. |
| Databáze: | OpenAIRE |
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