{"title":"谈话疗法治疗痴呆患者的焦虑和抑郁:一项范围荟萃综述。","authors":"Georgina Charlesworth, Cassie Eastham, Lydia Morris","doi":"10.1111/papt.70003","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Symptoms of anxiety and depression are common in people affected by dementia (people with dementia and family carers). There are many reviews of psychological interventions to reduce stress and distress in people with dementia and family carers, but little cross-fertilisation with the evidence base underpinning NHS Talking Therapies for anxiety and depression (TTad).</p><p><strong>Objectives: </strong>To review the psychological intervention literature for people with dementia and their family carers through the lens of TTad, thus providing a bridge between the two literatures.</p><p><strong>Methods: </strong>We undertook a rapid scoping review of meta-analyses of TTad-recommended therapies used with people with dementia and family carers, including cognitive-behavioural therapies (CBT), behavioural activation, problem-solving, counselling for depression and mindfulness-based cognitive therapy.</p><p><strong>Results: </strong>All meta-analytic reviews of cognitive and behavioural therapies (nine with family carers and a Cochrane review with people with dementia) demonstrated the effectiveness of behavioural activation and CBT-informed interventions in reducing symptoms of depression. Anxiety was less frequently studied, with no positive findings found for people with dementia. Psychoeducation was the most effective approach for anxiety reduction in carers. Evidence from meta-analyses of mindfulness-based interventions (MBIs) for carers showed reduced symptoms of both depression and anxiety.</p><p><strong>Conclusions: </strong>There are ontological and methodological differences in the literatures underpinning TTad and psychological interventions for people affected by dementia. To improve access to TTad for people with dementia and family carers, changes are required to research methodologies, TTad data collection and approaches to service delivery.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Talking therapies for anxiety and depression in people affected by dementia: A scoping meta-review.\",\"authors\":\"Georgina Charlesworth, Cassie Eastham, Lydia Morris\",\"doi\":\"10.1111/papt.70003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Symptoms of anxiety and depression are common in people affected by dementia (people with dementia and family carers). There are many reviews of psychological interventions to reduce stress and distress in people with dementia and family carers, but little cross-fertilisation with the evidence base underpinning NHS Talking Therapies for anxiety and depression (TTad).</p><p><strong>Objectives: </strong>To review the psychological intervention literature for people with dementia and their family carers through the lens of TTad, thus providing a bridge between the two literatures.</p><p><strong>Methods: </strong>We undertook a rapid scoping review of meta-analyses of TTad-recommended therapies used with people with dementia and family carers, including cognitive-behavioural therapies (CBT), behavioural activation, problem-solving, counselling for depression and mindfulness-based cognitive therapy.</p><p><strong>Results: </strong>All meta-analytic reviews of cognitive and behavioural therapies (nine with family carers and a Cochrane review with people with dementia) demonstrated the effectiveness of behavioural activation and CBT-informed interventions in reducing symptoms of depression. Anxiety was less frequently studied, with no positive findings found for people with dementia. Psychoeducation was the most effective approach for anxiety reduction in carers. Evidence from meta-analyses of mindfulness-based interventions (MBIs) for carers showed reduced symptoms of both depression and anxiety.</p><p><strong>Conclusions: </strong>There are ontological and methodological differences in the literatures underpinning TTad and psychological interventions for people affected by dementia. To improve access to TTad for people with dementia and family carers, changes are required to research methodologies, TTad data collection and approaches to service delivery.</p>\",\"PeriodicalId\":54539,\"journal\":{\"name\":\"Psychology and Psychotherapy-Theory Research and Practice\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-07-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychology and Psychotherapy-Theory Research and Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/papt.70003\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology and Psychotherapy-Theory Research and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/papt.70003","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Talking therapies for anxiety and depression in people affected by dementia: A scoping meta-review.
Background: Symptoms of anxiety and depression are common in people affected by dementia (people with dementia and family carers). There are many reviews of psychological interventions to reduce stress and distress in people with dementia and family carers, but little cross-fertilisation with the evidence base underpinning NHS Talking Therapies for anxiety and depression (TTad).
Objectives: To review the psychological intervention literature for people with dementia and their family carers through the lens of TTad, thus providing a bridge between the two literatures.
Methods: We undertook a rapid scoping review of meta-analyses of TTad-recommended therapies used with people with dementia and family carers, including cognitive-behavioural therapies (CBT), behavioural activation, problem-solving, counselling for depression and mindfulness-based cognitive therapy.
Results: All meta-analytic reviews of cognitive and behavioural therapies (nine with family carers and a Cochrane review with people with dementia) demonstrated the effectiveness of behavioural activation and CBT-informed interventions in reducing symptoms of depression. Anxiety was less frequently studied, with no positive findings found for people with dementia. Psychoeducation was the most effective approach for anxiety reduction in carers. Evidence from meta-analyses of mindfulness-based interventions (MBIs) for carers showed reduced symptoms of both depression and anxiety.
Conclusions: There are ontological and methodological differences in the literatures underpinning TTad and psychological interventions for people affected by dementia. To improve access to TTad for people with dementia and family carers, changes are required to research methodologies, TTad data collection and approaches to service delivery.
期刊介绍:
Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.