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目的 对网络认知行为疗法在老年患者心理干预中的应用进行范围综述，明确其干预类型和内容、干预结局指标以及效果。方法 系统检索PubMed、Embase、Web of Science、 The Cochrane Library、中国知网、万方、维普、中国生物医学文献数据库中的相关研究，检索时限为建库至2025年4月27日，对纳入文献进行分析总结。结果 共纳入13篇文献，纳入的老年患者涵盖门诊、社区及长期护理机构群体，主要症状为抑郁与焦虑，核心患者群体为单纯焦虑抑郁患者，还包括髋关节置换术后、老年性黄斑变性、膝骨关节炎合并抑郁等躯体共病患者，结局指标主要涉及抑郁、焦虑、认知功能、生活质量、治疗依从性及干预接受度。结论 网络认知行为疗法适用于老年轻中度抑郁、焦虑及躯体共病患者，经多学科协作与老年适配方案实施可有效改善症状且具有成本效益优势。
Abstract：Objective A scoping review was conducted on research regarding the application of Internet-based Cognitive Behavioral Therapy(ICBT) in psychological interventions for elderly patients, aiming to clarify the types and contents of interventions, intervention outcome indicators, and effects. Methods Relevant studies were systematically searched in PubMed, Embase, Web of Science, The Cochrane Library, CNKI, WanFang, VIP Database, and Chinese Biomedical Literature Database(CBM), with the search time limit from the establishment of the databases to April 27, 2025. The included literatures were analyzed and summarized. Results A total of 13 studies were included. The included elderly patients were from outpatient clinics, communities, and long-term care institutions. Their main symptoms were depression and anxiety. The core patient group consists of patients with simple anxiety and depression; as well as those with physical comorbidities such as post-hip replacement, age-related macular degeneration, and knee osteoarthritis complicated with depression. The outcome indicators mainly covered depression, anxiety, cognitive function, quality of life, treatment adherence, and intervention acceptance. Conclusions ICBT is applicable to elderly patients with mild-tomoderate depression, anxiety, and physical comorbidities. Through multidisciplinary collaboration and the implementation of age-adapted programs for the elderly, it can effectively alleviate symptoms and has cost-effectiveness advantages.
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基本信息:
DOI：
中图分类号:R473.5
引用信息:
[1]王硕,赵雅琦,高传旭,等.网络认知行为疗法在老年患者心理干预中应用的范围综述[J].老年医学研究,2025,6(05):10-15.
基金信息: