Intervenciones cognitivo-conductuales para la depresión en personas mayores. La eficacia de la terapia cognitivo-conductual para el tratamiento de la depresión en personas mayores

Solano, N.; Gallagher-Thompson, D.

doi:10.1016/S0211-139X(01)74719-1

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Resumen

Numerosos estudios han documentado la eficacia de la terapia cognitivo conductual (TCC) para el tratamiento de la depresión en la vejez. Sin embargo, dada la heterogeneidad existente entre las personas mayores, las técnicas terapéuticas deben ser modificadas para tratar los problemas, necesidades y expectativas específicas de las personas mayores. En este trabajo se comienza realizando una presentación de los conceptos básicos de la terapia cognitivo-conductual y una descripción de las ventajas de utilizar este enfoque con adultos mayores. Seguidamente se revisan recientes estudios de meta-análisis y de resultado en los que se documenta la utilidad de la TCC para la depresión en la vejez. Finalmente, se plantea cómo puede ser modificada la TCC para tratar las necesidades específicas de los adultos mayores y se proporcionan sugerencias para futuras líneas de trabajo.

Palabras clave:

Depresión

Terapia conductual

Eficacia

Summary

Numerous studies have documented the effectiveness of cognitive-behavioral therapy (CBT) for the treatment of late-life depression. However, given the diversity that exists among older adults, therapeutic techniques must be modified to address the specific problems, needs, and expectations of elders. In this paper, we begin with an overview of the basic concepts of cognitive-behavioral therapy and describe the benefits of using this approach with older adults. Next, we review recent meta-analytic and outcome studies documenting the utility of CBT for late-life depression. Lastly, we outline how CBT can be modimodified to meet the unique needs of older adults and provide suggestions for future directions.

Key words:

Depression

Behavior therapy

Efficacy

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