Group, individual, and staff therapy: an efficient and effective cognitive behavioral therapy in long-term care.
Am J Alzheimers Dis Other Demen
; 23(6): 528-39, 2008.
Article
em En
| MEDLINE
| ID: mdl-19001352
ABSTRACT
OBJECTIVE:
Depression is a major problem in long-term care (LTC) as is the lack of related empirically supported psychological treatments. This small study addressed a variant of cognitive behavioral therapy, GIST (group, individual, and staff therapy), against treatment as usual (TAU) in long-term care.METHOD:
25 residents with depression were randomized to GIST (n = 13) or TAU (n = 12). Outcome measures included geriatric depression scale-short form (GDS-S), life satisfaction index Z (LSI-Z), and subjective ratings of treatment satisfaction. The GIST group participated in 15 group sessions. TAU crossed over to GIST at the end of the treatment trial.RESULTS:
There were significant differences between GIST and TAU in favor of GIST on the GDS-S and LSI-Z. The GIST group maintained improvements over another 14 sessions. After crossover to GIST, TAU members showed significant improvement from baseline. Participants also reported high subjective ratings of treatment satisfaction.DISCUSSION:
This trial demonstrated GIST to be more effective for depression in LTC than standard treatments.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Terapia Cognitivo-Comportamental
/
Transtorno Depressivo
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article