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首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >Video-Delivered Relaxation Intervention Reduces Late-Life Anxiety: A Pilot Randomized Controlled Trial
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Video-Delivered Relaxation Intervention Reduces Late-Life Anxiety: A Pilot Randomized Controlled Trial

机译:视频交付的放松干预可降低晚期焦虑:试点随机对照试验

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Objective: The study's aim was to demonstrate the feasibility and preliminary efficacy of a 4-week video-delivered relaxation program called Breathing, Relaxation, and Education for Anxiety Treatment in the Home Environment (BREATHE) for reducing anxiety and increasing activity engagement in older adults with anxiety disorders. Methods: This was an 8-week pilot randomized controlled trial performed as outpatient and self-directed learning at home among 40 community-dwelling adults aged 60 years or older who met criteria for an anxiety disorder (generalized anxiety disorder, social anxiety disorder, panic disorder, agoraphobia, or anxiety disorder unspecified). The study looked at the BREATHE intervention compared with a wait list control condition. The primary outcome measure was anxiety symptoms (Geriatric Anxiety Scale). Secondary outcomes included activity engagement (modified Activity Card Sort), depressive symptoms (Patient Health Questionnaire), and somatic symptoms (Somatic Symptom Scale). Results: In linear mixed-effects models, findings indicated a significant reduction in anxiety symptoms. There was no significant effect of group on activity engagement. Results also showed significant reductions in depressive and somatic symptoms associated with the BREATHE intervention compared with wait list. Conclusion: Our findings demonstrate feasibility and preliminary efficacy for this brief video-delivered relaxation intervention and suggest that older adults can benefit from technology-delivered interventions with minimal provider contact. Although activity engagement did not improve, lessons learned suggest that targeted coaching around activity goals may help target this outcome.
机译:目的:该研究的目的是展示一个4周的视频交付放松计划的可行性和初步疗效,称为呼吸,放松和焦虑症,在家庭环境中进行焦虑症(呼吸),以减少老年人的焦虑和增加活动参与焦虑症。方法:这是一个8周的试点随机对照试验,作为门诊和自我导向的学习,在60岁或以上的40岁或以上的社区住宅中,达到焦虑症(广义焦虑症,社会焦虑症,恐慌无序,恐惧症或焦虑症未指明)。该研究与等待列表控制条件相比,看着呼吸干预。主要结果措施是焦虑症状(老年焦虑尺度)。二次结果包括活动参与(修饰的活动卡分类),抑郁症状(患者健康问卷)和躯体症状(躯体症状量表)。结果:在线性混合效果模型中,调查结果表明焦虑症状的显着降低。集团对活动参与没有显着影响。结果还显示出与等待名单相比呼吸干预相关的抑郁和体细胞症状的显着减少。结论:我们的调查结果表明了这种短暂视频交付的放松干预的可行性和初步效力,并表明老年人可以从技术提供的干预措施中受益,具有最小的提供商联系。虽然活动参与没有改善,但经验教训表明,活动目标周围的针对性教练可能有助于实现这一结果。

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