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Relations entre certaines caractéristiques des sujets et la réponse à la thérapie cognitive de la dépression avec des personnes âgées

Published online by Cambridge University Press:  29 November 2010

Philippe Cappeliez ,
David Latour  and
Manal Guirguis
Philippe Cappeliez
Affiliation:
Université d'Ottawa
David Latour
Affiliation:
Université d'Ottawa
Manal Guirguis
Affiliation:
Université d'Ottawa
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Abstract

Available research supports the therapeutic usefulness of cognitive therapy for depressed older adults. Few studies have addressed the issue of response prediction. This research investigates the associations between several pre-intervention characteristics of subjects and therapy outcomes in the context of a group intervention. The characteristics under study were severity of depressive symptommatology, endogenous depression profile, subjective health status, perceived social support, and frequency of cognitive depressive symptoms representing a negative view of oneself. A more severe depressive symptomatology and a more negative health perception were associated with a less favourable outcome of therapy. Although the majority of endogenous patients benefitted from the intervention, only a minority reached the level of symptom remission at the end of treatment. A more pronounced cluster of symptoms characterized by negative thoughts about oneself tended to be associated with a worse outcome. Perceived social support was unrelated to therapy outcome.

Résumé

Les recherches actuelles témoignent de l'utilité de la thérapie cognitive pour le traitement de la dépression des personnes âgées. Toutefois ces recherches nous renseignent mal sur les prédicteurs de la réponse à cette intervention. La présente étude envisage les associations entre une série de caractéristiques des sujets avant le début de l'intervention et Tissue de la thérapie, dans le cadre d'une intervention en format de groupe. Les caractéristiques étudiées sont la sévérité de la symptomatologie dépressive, un profil de dépression endogène, l'état de santé subjectif, le niveau de soutien social perçu, et la fréquence de symptômes cognitifs dénotant une attitude négative envers soi. Une symptomatologie dépressive plus sévère et une perception plus négative de sa propre santé étaient associées à une issue moins favorable de l'intervention. Bien que la majorité des sujets avec un profil endogène ont bien répondu à la thérapie, cette amélioration n'a atteint le statut de rémission que pour une minorité d'entre eux. La présence plus marquée de symptômes dépressifs dénotant une attitude négative envers soi tendait à être associée à un résultat moins favorable. Le degré de soutien social perçu n'était pas associé à l'issue de l'intervention.

Keywords

Cognitive TherapyDepressionOlder AdultsResponseThérapie cognitivedépressionpersonnes âgéesréponse
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 16 , Issue 1 , Printemps/Spring 1997 , pp. 70 - 83
Copyright
Copyright © Canadian Association on Gerontology 1997

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