Modifying Cognitive-Behavioral Therapy for a Depressed Older Adult With Partial Sight: A Case Report

Gerontology & Geriatric Medicine

Dharmayati Bambang Utoyo¹ 

关键词: depression;    older adults;    retinal detachment;    cognitive-behavioral therapy;    visual impairment;   

DOI  :  10.1177/2333721415585432

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Depression is a common mental health problem in older adults, especially among those suffering from visual impairment. A clinical case of an Indonesian older adult with retinal detachment (75% blindness) suffering from Major Depressive Disorder, based on Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR) criteria, was reported. Her principal motivation to seek help was her depressive symptoms, as well as her husband’s discomfort with her change. A modified standardized cognitive-behavioral therapy was delivered in eight sessions, and a clinically significant reduction of depressive symptoms was observed at the middle of the treatment (Session 5); symptoms were further reduced at follow-up. This case report showed that conventional evidence-based psychological treatment can be modified to handle mental health problems in people with visual impairments.

【 授权许可】

CC BY-NC