It has been suggested that cognitive behavioural therapy for older adults be augmented with age-appropriate methods to enhance outcomes for depression treatment.

This study investigated whether a CBT wisdom enhancement timeline technique for older adults reduced depression, as well as increase self-compassion and self-assessed wisdom.

An N-of-1 series trial with non-concurrent multiple-baseline AB design was conducted. Older adults experiencing depression, recruited from mental health service waiting lists, were randomly assigned to baseline conditions. Participants received five individual sessions of the examined intervention, offering a structured way of utilising one’s life experiences to evolve the psychological resource of wisdom within a cognitive behavioural framework, in order to improve mood. Participants completed idiographic daily measures and self-report standardised measures of depression, anxiety, self-compassion and wisdom during baseline and intervention phases, and at 1 month follow-up.

Six participants competed the study and were subject to standardised and single-case data analyses. Four participants were deemed responders with reliable changes in depression post-intervention with idiographic changes coinciding with intervention onset. Two participants saw clinically significant changes in depression scores at follow-up. One responder saw significant changes in measures of self-compassion and self-assessed wisdom.

The examined technique shows promise as an effective technique for reducing depression in older adults. There is insufficient evidence to implicate wisdom and/or self-compassion as significant mechanisms of change. Clinical and theoretical implications are discussed.

有人建议用适合年龄的方法来增强老年人的认知行为疗法，以提高抑郁症治疗的结果。

这项研究调查了针对老年人的 CBT 智慧增强时间线技术是否可以减少抑郁，以及增加自我同情和自我评估的智慧。

进行了具有非同时多基线 AB 设计的N -of-1 系列试验。从心理健康服务等候名单中招募的患有抑郁症的老年人被随机分配到基线条件下。参与者接受了五次单独的检查干预，提供了一种结构化的方式，利用一个人的生活经历在认知行为框架内发展智慧的心理资源，以改善情绪。参与者在基线和干预阶段以及 1 个月的随访中完成了具体的日常测量和自我报告的抑郁、焦虑、自我同情和智慧的标准化测量。

六名参与者参加了这项研究，并接受了标准化和单例数据分析。四名参与者被认为是干预后抑郁症变化可靠的响应者，具体变化与干预开始一致。两名参与者在随访中看到了抑郁评分的临床显着变化。一位响应者看到自我同情和自我评估智慧的衡量标准发生了显着变化。

经过检验的技术有望成为减少老年人抑郁症的有效技术。没有足够的证据表明智慧和/或自我同情是改变的重要机制。讨论了临床和理论意义。