Pacini Adele, Stickland Annabel, Kupeli Nuriye
Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London, 6th Floor, Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK.
Gatehouse Charity, Dettigen Way, Bury St Edmunds, IP33 3TU, UK.
Age Ageing. 2022 Dec 5;51(12). doi: 10.1093/ageing/afac270.
the negative consequences of COVID-19 distancing measures on older adults' mental health and ability to access services have been well documented. Online cognitive behavioural therapy and mindfulness interventions for older adults, carried out during the COVID-19 pandemic, have shown that these interventions are feasible and have potential mental health benefits. However, little research has been carried out on older adults' experiences of engaging with online psychological therapy, and specifically mindfulness therapy.
to understand the experience of older adults engaging with online mindfulness therapy during the COVID-19 pandemic.
a qualitative analysis of four community-based focus groups.
thirty-six community dwelling older adults aged between 65 and 85 years were recruited via older adult organisations, charities and the local press. Nineteen percent had long-term physical health conditions, 25% had severe and enduring mental health difficulties and 19% had mild to moderate mental health difficulties.
there was a strong sense of group cohesion and community from the participants.Three main themes were identified: reasons for applying, experience of the mindfulness therapy and connecting at home.
the majority of participants were positive about attending a mindfulness group online. This extended to the perceived psychological and social benefits as well as practical considerations. While some participants noted technological hurdles at the beginning of the course, the findings challenge previous studies that suggest older adults are reluctant to engage in online psychological therapies and has important implications for the future provision of psychological therapies to this population.
新冠疫情防控措施对老年人心理健康及获取服务能力产生的负面影响已有充分记录。在新冠疫情期间为老年人开展的在线认知行为疗法和正念干预表明,这些干预措施是可行的,且对心理健康有潜在益处。然而,关于老年人参与在线心理治疗,特别是正念治疗的体验的研究却很少。
了解新冠疫情期间老年人参与在线正念治疗的体验。
对四个社区焦点小组进行定性分析。
通过老年组织、慈善机构和当地媒体招募了36名年龄在65至85岁之间的社区老年人。19%的人有长期身体健康问题,25%的人有严重且持久的心理健康问题,19%的人有轻度至中度心理健康问题。
参与者有强烈的群体凝聚力和社区感。确定了三个主要主题:申请原因、正念治疗体验和在家建立联系。
大多数参与者对参加在线正念小组持积极态度。这延伸到了感知到的心理和社会效益以及实际考虑因素。虽然一些参与者指出在课程开始时存在技术障碍,但研究结果挑战了之前认为老年人不愿参与在线心理治疗的研究,对未来为该人群提供心理治疗具有重要意义。