积极的精神病学干预老年精神健康。

Q1 Psychology
Current Treatment Options in Psychiatry Pub Date : 2020-12-01 Epub Date: 2020-08-29 DOI:10.1007/s40501-020-00228-6
Jeffrey Lam, Awais Aftab, Ellen Lee, Dilip Jeste
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引用次数: 0

摘要

综述目的:积极精神病学将老年精神保健的重点从研究疾病和精神病理学转移到研究有助于心理健康和成功老龄化的因素。越来越多的干预性研究正在使用针对可改变的积极社会心理特征(PPCs)的治疗方法,并研究其对心理健康的影响。在此,我们以针对社会联系、生活意义、智慧和复原力的干预为例,概述了有关积极精神病学干预的文献:摘要:本综述总结的初步证据表明,针对社会联系、生活意义、智慧和复原力的积极精神病学干预措施可以改善老年人的整体幸福感和其他积极的健康结果。在研究性临床试验和荟萃分析中报告的这些干预措施的效应大小通常是小到中等,但偶尔也会报告较大的效应大小。目前的文献受限于不同的方法,限制了临床医生将这些积极精神病学原则推广到日常实践中的能力。随着证据的不断增加,积极精神病学有可能改变老年心理健康的格局。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
POSITIVE PSYCHIATRY INTERVENTIONS IN GERIATRIC MENTAL HEALTH.

Purpose of review: Positive psychiatry shifts the focus of geriatric mental healthcare beyond studying disorders and psychopathology to studying factors that contribute to mental well-being and successful aging. An increasing number of interventional studies are using treatments that target modifiable positive psychosocial characteristics (PPCs) and study their impact on mental health. Here we provide an overview of the literature on positive psychiatry interventions using illustrative examples of interventions targeting social connectedness, meaning in life, wisdom, and resilience.

Recent findings: There is growing evidence that PPCs are modifiable constructs that may be associated with improved well-being, physical health, and mental health outcomes.

Summary: The preliminary evidence summarized in this narrative review indicates that positive psychiatry interventions targeting social connectedness, meaning in life, wisdom, and resilience can improve overall well-being and other positive health outcomes amongst older adults. The effect sizes of these interventions reported in RCTs and meta-analyses are typically small to medium, but occasionally large effect sizes are also reported. Current literature is restricted by heterogeneous methodology, limiting clinicians' abilities to extrapolate these principles of positive psychiatry into everyday practice. With the expanding body of evidence, positive psychiatry may have the potential to transform the landscape of geriatric mental health.

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来源期刊
Current Treatment Options in Psychiatry
Current Treatment Options in Psychiatry Psychology-Clinical Psychology
CiteScore
5.70
自引率
0.00%
发文量
28
期刊介绍: This journal focuses on the latest advances in the multifaceted treatment of psychiatric disorders. Designed for physicians and other mental health professionals, Current Treatment Options in Psychiatry offers expert reviews on the management of a range of mental health conditions, includingSchizophrenia and other psychotic disordersSubstance use disordersAnxiety, obsessive-compulsive, and related disordersMood disordersEating and other impulse control disordersPersonality disordersArticles cover a range of established and emerging treatment options across the lifespan, and their innovative, hands-on format makes them ideal for informing treatment decisions at the point of care.We accomplish this by appointing leaders in the field to serve as Section Editors in key areas. Section Editors, in turn, select the most pressing topics as well as experts to present the latest research, assess the efficacy of available treatment options, and discuss special considerations.Additionally, an international Editorial Board—representing a range of disciplines within psychiatry and psychology—ensures that the journal content includes current, emerging research and suggests articles of special interest to their country or region.
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