...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of the American Geriatrics Society >Efficacy of cognitive behavioral therapy for anxiety disorders in older people: A meta-analysis and meta-regression of randomized controlled trials
【24h】

Efficacy of cognitive behavioral therapy for anxiety disorders in older people: A meta-analysis and meta-regression of randomized controlled trials

机译：认知行为疗法对老年人焦虑障碍的功效：随机对照试验的荟萃分析和荟萃回归

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objectives To review the magnitude and duration of and factors associated with effects of cognitive behavioral therapy (CBT) for anxiety disorders in older people. Design Electronic literature databases and the Cochrane Trials Registry were searched for articles. A systematic critical review, random-effects meta-analysis, and meta-regression of randomized controlled trials were conducted. Setting Community outpatient clinics. Participants People with diagnoses of anxiety disorders. Measurements Outcome measures of anxiety and depression. Results Twelve studies were included. CBT was significantly more effective than treatment as usual or being on a waiting list at reducing anxiety symptoms at 0-month follow-up, with the effect size being moderate, but when CBT was compared with an active control condition, the between-group difference in favor of CBT was not statistically significant, and the effect size was small. At 6- but not 3- or 12-month follow-up, CBT was significantly more effective at reducing anxiety symptoms than an active control condition, although the effect size was again small. Meta-regression analyses revealed only one factor (type of control group) to be significantly associated with the magnitude of effect sizes. Conclusion The review confirms the effectiveness of CBT for anxiety disorders in older people but is suggestive of lower efficacy in older than working-age people. The small effect sizes in favor of CBT over an active control condition illustrate the need to investigate other treatment approaches that may be used to substitute or augment CBT to increase the effectiveness of treatment of anxiety disorders in older people.
机译：目的探讨认知行为疗法（CBT）对老年人焦虑症的影响程度，持续时间以及与之相关的因素。搜索设计电子文献数据库和Cochrane试验注册中心的文章。进行了系统的批判性评估，随机效应荟萃分析和随机对照试验的荟萃回归。设置社区门诊。参与者患有焦虑症的人。测量结果焦虑和抑郁的测量结果。结果共纳入十二项研究。在0个月的随访中，CBT在减轻焦虑症状方面比平时或等待治疗有效得多，效果大小适中，但是当将CBT与积极的控制条件进行比较时，组间差异赞成使用CBT在统计学上不显着，且效果大小很小。在6个月而不是3个月或12个月的随访中，CBT在减轻焦虑症状方面比主动控制的情况明显更有效，尽管效果大小仍然很小。荟萃回归分析显示，只有一个因素（对照组类型）与效应量的大小显着相关。结论综述证实了CBT对老年人焦虑症的有效性，但提示老年人比工作年龄人群的疗效低。与有效控制条件相比，有利于CBT的较小疗效表明需要研究其他可用于替代或增强CBT的方法，以提高老年人焦虑症的治疗效果。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号