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O’Keefe K, Chen M, Lesser KJ, DuVall AS, Dils AT. Treating Mental Health and Quality of Life in Older Cancer Patients with Cognitive Behavioral Therapy: A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:881. [PMID: 39063458 PMCID: PMC11277493 DOI: 10.3390/ijerph21070881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/17/2024] [Revised: 06/21/2024] [Accepted: 06/29/2024] [Indexed: 07/28/2024]
Abstract
BACKGROUND Cognitive behavioral therapy (CBT) has been successfully utilized in improving mental health (MH) and quality of life (QoL) in the general population, regardless of age. Cancer, which is most frequently diagnosed in older adults, is a debilitating illness that has a detrimental and long-lasting effect on patients' MH and QoL. While numerous studies have demonstrated CBT's efficacy, little evidence exists for its role in older cancer patients. This study, using MH and QoL metrics, evaluates the effectiveness of CBT for older adult cancer patients. METHODS Focusing on MH and QoL and an average age of over 60 years old, a final analysis was performed on 17 clinical trials with a total of 124 effect sizes, including 3073 participants receiving CBT. "Metaphor" and "Robumeta" packages in R Statistical Software (version 4.2.2) were used for analysis, which included robust variance estimation (RVE) in intercept-only meta-regression, and univariate meta-regression for moderator analysis. RESULTS With 17 clinical trials and 124 effect sizes, our results show that CBT moderately improves MH and QoL in cancer patients d = 0.19, 95% CI 0.0166-0.364, p < 0.0399. The delivery format was shown to be a strong moderator of CBT effectiveness with interpersonal technological interventions combined with pre-programmed segments having a very strong treatment effect size (d = 1.7307, 95% CI 1.5244-1.937, p < 0.001). CONCLUSIONS The use of CBT in older adult cancer patients statistically improves MH and QoL, with delivery format and stages of treatment having important roles. Tech-only interpersonal interventions combined with pre-programmed CBT provide an avenue for targeting older adult cancer patients.
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Affiliation(s)
- Kathryn O’Keefe
- College of Medicine, Central Michigan University, Mt Pleasant, MI 48859, USA; (K.O.)
| | - Meiyan Chen
- School of Social Work, University of Michigan, Ann Arbor, MI 48109, USA
| | - Kevin J. Lesser
- College of Medicine, Central Michigan University, Mt Pleasant, MI 48859, USA; (K.O.)
| | - Adam S. DuVall
- Section of Hematology/Oncology, University of Chicago Medicine, Chicago, IL 60637, USA
| | - Alexander T. Dils
- College of Medicine, Central Michigan University, Mt Pleasant, MI 48859, USA; (K.O.)
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2
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Robinson A, De Boos D, Moghaddam N. Acceptance and commitment therapy (
ACT
) for people with dementia experiencing psychological distress: A hermeneutic single‐case efficacy design (
HSCED
) series. COUNSELLING & PSYCHOTHERAPY RESEARCH 2023. [DOI: 10.1002/capr.12646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/09/2023]
Affiliation(s)
- Amie Robinson
- Division of Psychiatry and Applied Psychology University of Nottingham B Floor Yang Fujia, Jubilee Campus Nottingham UK
| | - Danielle De Boos
- Division of Psychiatry and Applied Psychology University of Nottingham B Floor Yang Fujia, Jubilee Campus Nottingham UK
| | - Nima Moghaddam
- College of Social Science University of Lincoln Brayford Pool Lincoln UK
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3
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Maurice C, Engels C, Canouï‐Poitrine F, Lemogne C, Fromantin I, Poitrine E. Dog ownership and mental health among community-dwelling older adults: A systematic review. Int J Geriatr Psychiatry 2022; 37:10.1002/gps.5815. [PMID: 36184824 PMCID: PMC9828431 DOI: 10.1002/gps.5815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 09/13/2022] [Indexed: 01/12/2023]
Abstract
BACKGROUND The population is ageing, and psychiatric disorders are common in older people. Those are associated with worsened quality of life. Although the positive relationship between dog ownership and physical health has been documented, data on mental health are scarcer, especially in community-dwelling older adults. OBJECTIVE We sought to establish whether owning a dog was associated with a lower number of symptoms of psychological disorders in community-dwelling older adults. METHODS We conducted a systematic review of the literature published between January 2005 and December 2020. We analysed comparative studies of the level of insomnia and symptoms of depression and/or anxiety among community-dwelling dog owners aged 70 and over. RESULTS The search identified 191 articles, of which 117 full texts were assessed for eligibility. Five cross-sectional studies and one before-after with control group study (assessing a total of 25,138 older adults) were included. The mean (range) NOS score (five studies) was 6.8/9 (5-9) and the EPOC score (one study) was 2/8. The association between the presence of a dog and depressive symptoms did not appear to be significant. Regular contact with a dog was associated with fewer symptoms of anxiety. None of the studies specifically examined sleep disorders. CONCLUSIONS Although the presence of a dog did not appear to be related to the level of depressive symptoms among community-dwelling older adults, there might be a beneficial relationship with anxiety. Further investigation is needed - especially with regard to the type of dog and the type of relationship with the dog.
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Affiliation(s)
| | - Cynthia Engels
- Universite Paris Est CreteilINSERMIMRBCEpiA TeamCréteilFrance,Universite Paris Est CreteilFaculty of HealthCréteilFrance
| | - Florence Canouï‐Poitrine
- Universite Paris Est CreteilINSERMIMRBCEpiA TeamCréteilFrance,AP‐HPHenri Mondor HospitalPublic Health ServiceCréteilFrance
| | - Cédric Lemogne
- AP‐HPCentre‐Université de ParisDMU Psychiatrie et AddictologieHôpital Hôtel‐DieuService de Psychiatrie de l'adulteParisFrance,INSERMInstitut de Psychiatrie et Neurosciences de ParisUniversité de ParisFaculté de SantéUFR de MédecineParisFrance
| | - Isabelle Fromantin
- Universite Paris Est CreteilINSERMIMRBCEpiA TeamCréteilFrance,Research and Wound Care UnitCurie InstituteParisFrance
| | - Eric Poitrine
- Maison de Santé Pluridisciplinaire Michael BalintLe Mée‐sur‐SeineFrance
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4
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Friedman E, Ruini C, Foy C, Jaros L, Love G, Ryff C. Lighten UP! A Community-Based Group Intervention to Promote Eudaimonic Well-Being in Older Adults: A Multi-Site Replication with 6 Month Follow-Up. Clin Gerontol 2019; 42:387-397. [PMID: 30767628 PMCID: PMC6715420 DOI: 10.1080/07317115.2019.1574944] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Objectives: Eudaimonic well-being (EWB), increasingly recognized as a critical component of health, typically declines in later life, and there are no existing programs to sustain or increase EWB in older adults. Lighten UP! is an 8-week program to promote EWB through facilitated group sessions in community settings and at-home practice. Building on earlier pilot research, the current study assessed the effect of the Lighten UP! Program using a longitudinal, multi-site design. Methods: Men and women (N = 169) aged 60 and over were recruited from three Wisconsin communities. EWB, life satisfaction, depression, and diverse aspects of health were assessed before and after the program and at 6-month follow up. Results: Participants reported significantly increased EWB; these changes were maintained 6 months later. The specific EWB domains of self-acceptance, positive relations, and personal growth showed the most robust gains. Participants also showed significant and sustained declines in depressive symptoms, anxiety, and hostility. Conclusions: Lighten UP! Program confirmed its positive effects for enhancing EWB in older adults living in multiple community settings. Clinical Implications: Programs that sustain or enhance EWB in older adults can be expected to yield improvements in diverse aspects of mental and physical health.
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Affiliation(s)
- E.M. Friedman
- Department of Human Development and Family Studies, Purdue University, West Lafayette, IN, USA
| | - C. Ruini
- Department of Psychology, University of Bologna, Italy
| | - C.R. Foy
- Aging and Disability Resource Center of Kenosha County, WI, USA
| | - L. Jaros
- Institute on Aging and Department of Psychology, University of Wisconsin-Madison, Madison, WI, USA
| | - G. Love
- Institute on Aging and Department of Psychology, University of Wisconsin-Madison, Madison, WI, USA
| | - C.D. Ryff
- Institute on Aging and Department of Psychology, University of Wisconsin-Madison, Madison, WI, USA
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5
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Ahmadpanah M, Akbari T, Akhondi A, Haghighi M, Jahangard L, Sadeghi Bahmani D, Bajoghli H, Holsboer-Trachsler E, Brand S. Detached mindfulness reduced both depression and anxiety in elderly women with major depressive disorders. Psychiatry Res 2017; 257:87-94. [PMID: 28735173 DOI: 10.1016/j.psychres.2017.07.030] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2016] [Revised: 07/04/2017] [Accepted: 07/14/2017] [Indexed: 11/28/2022]
Abstract
We investigated the influence of detached mindfulness (DM) in treating symptoms of depression and anxiety among elderly women. Thirty-four elderly females (mean age: 69.23 years) suffering from moderate major depressive disorders (MDD) and treated with a standard medication (citalopram) at therapeutic doses were randomly assigned either to an intervention condition (DM; group treatment, twice weekly) or to a control condition (with leisure activities, twice weekly). At baseline (BL), four weeks later at study completion (SC), and four weeks after that at follow-up (FU), participants completed ratings for symptoms of depression and anxiety; experts blind to patients' group assignments rated patients' symptoms of depression. Symptoms of depression (self and experts' ratings) and anxiety declined significantly over time in the DM, but not in the control condition. Effects remained stable at FU. The pattern of results suggests that, compared to a control condition, a specific psychotherapeutic intervention such as DM can have a beneficial effect in elderly female patients with MDD.
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Affiliation(s)
- Mohammad Ahmadpanah
- Behavioral Disorders and Substances Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | | | - Amineh Akhondi
- Hamadan Educational Organization, Ministry of Education. Hamadan, Iran
| | - Mohammad Haghighi
- Behavioral Disorders and Substances Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Leila Jahangard
- Behavioral Disorders and Substances Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Dena Sadeghi Bahmani
- Psychiatric Clinics of the University of Basel, Center for Affective, Stress und Sleep Disorders, University of Basel, Basel, Switzerland
| | - Hafez Bajoghli
- Iranian National Center for Addiction Studies (INCAS), Tehran University of Medical Sciences, Tehran, Iran
| | - Edith Holsboer-Trachsler
- Psychiatric Clinics of the University of Basel, Center for Affective, Stress und Sleep Disorders, University of Basel, Basel, Switzerland
| | - Serge Brand
- Psychiatric Clinics of the University of Basel, Center for Affective, Stress und Sleep Disorders, University of Basel, Basel, Switzerland; Department of Sport, Exercise and Health, Division of Sport and Psychosocial Health, University of Basel, Basel, Switzerland; Sleep Disorders Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran.
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6
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St-Hilaire A, Hudon C, Préville M, Potvin O. Utilization of healthcare services among elderly with cognitive impairment no dementia and influence of depression and anxiety: a longitudinal study. Aging Ment Health 2017; 21:810-822. [PMID: 26998576 DOI: 10.1080/13607863.2016.1161006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVES Little objective and nationally representative data are available concerning the influence of cognitive impairment no dementia (CIND) on utilization of healthcare services. The main objective was to compare the use of healthcare services over three years, between elders with current or incident CIND and those without CIND. A second objective was to evaluate the effect of depression and anxiety. METHODS Cross-sectional and longitudinal data from a population-based survey of 2265 older adults living in Quebec (Canada) were used. CIND was identified using normative data for the Mini-Mental State Examination and was linked with medical records from public health insurance plan. Multinomial logistic regressions adjusted for relevant socio-demographic, social network and health-related confounders were conducted for each service. Interaction between CIND and depression/anxiety was also examined. MAIN RESULTS Current CIND was a predictor of longer anxiolytic/sedative/hypnotic medication use. Incident CIND led to longer hospital stay. Depression raised the likelihood of frequenting geriatricians, psychiatrists or neurologists and emergency department, but lessened the likelihood of visiting general practitioners. The addition of the psychiatric conditions to the incident CIND did not increase the likelihood of consuming antidepressants, while the incident CIND cases without psychiatric conditions increased this likelihood. DISCUSSION Compared to older adults without CIND, older adults with CIND have a distinct utilization of healthcare services. Multiple evaluations over many years may help to better understand the utilization of healthcare services in individuals with CIND. In the meantime, evaluations of these conditions at key moments could allow a more efficient use of health resources.
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Affiliation(s)
| | - Carol Hudon
- a École de psychologie , Université Laval , Québec , QC , Canada.,b Centre de recherche de l'Institut universitaire en santé mentale de Québec , Québec , QC , Canada
| | - Michel Préville
- c Département des sciences de la santé communautaire , Université de Sherbrooke , Sherbrooke , QC , Canada.,d Centre de recherche Hôpital Charles LeMoyne , Longueuil , QC , Canada
| | - Olivier Potvin
- b Centre de recherche de l'Institut universitaire en santé mentale de Québec , Québec , QC , Canada
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Approval of psychotherapy and medication for the treatment of mental disorders over the lifespan. An age period cohort analysis. Epidemiol Psychiatr Sci 2017; 26:61-69. [PMID: 26753632 PMCID: PMC6998652 DOI: 10.1017/s2045796015001134] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
AIMS Previous cross-sectional studies revealed inconsistent results regarding mental health treatment preferences among the general population. In particular, it is unclear to what extent specific age groups approve psychotherapy or psychotropic medication for the treatment of mental disorders. We explore whether treatment recommendations of either psychotherapy or psychiatric medication change over the lifespan which includes age-related effects due to increasing age of a person, cohort effects that reflect specific opinions during the time a person was born and period effects that reflect societal changes. METHODS Using data from three identical population surveys in Germany from 1990, 2001 and 2011 (combined n = 9046), we performed age-period-cohort analyses to determine the pure age, birth cohort and time period effects associated with the specific treatment recommendations for a person with either depression or schizophrenia, using logistic Partial Least-Squares regression models. RESULTS For both disorders, approval of both psychotherapy and medication for a person with mental illness increases with age. At the same time, younger cohorts showed stronger recommendations particularly for psychotherapy (OR around 1.07 per decade). The strongest effects could be observed for time period with an increase in recommendation between 1990 and 2001 with odds ratio of 2.36 in depression and 2.97 in schizophrenia, respectively. In general, the treatment option that showed the strongest increase in recommendation was medication for schizophrenia and psychotherapy for depression. CONCLUSION Underutilisation of psychotherapy in old age seems not to reflect treatment preferences of older persons. Thus, special treatment approaches need to be offered for this group that seems to be willing for psychotherapy but do not yet use it. Cohort patterns suggest that approval of psychotherapy among older persons will likely further increase in the coming years as these people get older. Finally, strong period effects underpin the importance of changing attitudes in the society. These could reflect reporting changes about psychiatric topics in the media or a general increase in the perception of treatment options. Nevertheless, more treatment offers especially for older people are needed.
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8
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Kishita N, Laidlaw K. Cognitive behaviour therapy for generalized anxiety disorder: Is CBT equally efficacious in adults of working age and older adults? Clin Psychol Rev 2017; 52:124-136. [PMID: 28119196 DOI: 10.1016/j.cpr.2017.01.003] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2015] [Revised: 12/12/2016] [Accepted: 01/15/2017] [Indexed: 11/18/2022]
Abstract
The current meta-analysis compared the efficacy of CBT for GAD between adults of working age and older people. In addition, we conducted a qualitative content analysis of treatment protocols used in studies with older clients to explore potential factors that may enhance treatment outcomes with this particular client group. Applying the inclusion criteria resulted in the identification of 15 studies with 22 comparisons between CBT and control groups (770 patients). When examining overall effect sizes for CBT for GAD between older people and adults of working age there were no statistically significant differences in outcome. However, overall effect size of CBT for GAD was moderate for older people (g=0.55, 95% CI 0.22-0.88) and large for adults of working age (g=0.94, 95% CI 0.52-1.36), suggesting that there is still room for improvement in CBT with older people. The main difference in outcome between CBT for GAD between the two age groups was related to methodological quality in that no older people studies used an intention-to-treat design. The content analysis demonstrated that studies with older clients were conducted according to robust CBT protocols but did not take account of gerontological evidence to make them more age-appropriate.
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Affiliation(s)
- Naoko Kishita
- School of Health Sciences, University of East Anglia, United Kingdom
| | - Ken Laidlaw
- Department of Clinical Psychology, Norwich Medical School, University of East Anglia, United Kingdom.
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9
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Baiden P, Tarshis S, Antwi-Boasiako K, den Dunnen W. Examining the independent protective effect of subjective well-being on severe psychological distress among Canadian adults with a history of child maltreatment. CHILD ABUSE & NEGLECT 2016; 58:129-140. [PMID: 27372801 DOI: 10.1016/j.chiabu.2016.06.017] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/18/2015] [Revised: 04/27/2016] [Accepted: 06/11/2016] [Indexed: 06/06/2023]
Abstract
The purpose of this study was to examine the independent protective effect of subjective well-being on severe psychological distress among adult Canadians with a history of child maltreatment. Data for this study were obtained from the 2012 Canadian Community Health Survey-Mental Health (CCHS-MH). A sample of 8126 respondents aged 20-69 years old who experienced at least one child maltreatment event was analyzed using binary logistic regression with severe psychological distress as the outcome variable. Of the 8126 respondents with a history of child maltreatment, 3.9% experienced severe psychological distress within the past month. Results from the multivariate logistic regression revealed that emotional and psychological well-being each had a significant effect on severe psychological distress. For each unit increase in emotional well-being, the odds of a respondent having severe psychological distress were predicted to decrease by a factor of 28% and for each unit increase in psychological well-being, the odds of a respondent having severe psychological distress were predicted to decrease by a factor of 10%, net the effect of demographic, socioeconomic, and health factors. Other factors associated with psychological distress included: younger age, poor self-perceived physical health, and chronic condition. Having post-secondary education, having a higher income, and being non-White predicted lower odds of severe psychological distress. Although, child maltreatment is associated with stressful life events later in adulthood, subjective well-being could serve as a protective factor against severe psychological distress among adults who experienced maltreatment when they were children.
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Affiliation(s)
- Philip Baiden
- University of Toronto, Factor-Inwentash Faculty of Social Work, 246 Bloor Street West, Toronto, Ontario, Canada M5S 1V4.
| | - Sarah Tarshis
- University of Toronto, Factor-Inwentash Faculty of Social Work, 246 Bloor Street West, Toronto, Ontario, Canada M5S 1V4
| | - Kofi Antwi-Boasiako
- University of Toronto, Factor-Inwentash Faculty of Social Work, 246 Bloor Street West, Toronto, Ontario, Canada M5S 1V4
| | - Wendy den Dunnen
- University of Ottawa, School of Psychology, 136 Jean Jacques Lussier, Vanier Hall, Ottawa, Ontario, Canada K1N 6N5
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10
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Koder D. The use of cognitive behaviour therapy in the management of BPSD in dementia (Innovative practice). DEMENTIA 2016; 17:227-233. [PMID: 26984130 DOI: 10.1177/1471301216636261] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Psychosocial approaches to the management of behavioural and psychological symptoms of dementia have received much support in the scientific literature. The following paper focuses on cognitive behaviour therapy as a valid framework in assessing and treating people with behavioural and psychological symptoms of dementia. The importance of identifying symptoms of depression and anxiety is emphasized, as cognitive behaviour therapy has been shown to be an effective intervention for these conditions in older adults. Modifications of cognitive behaviour therapy for those with dementia are discussed based on available evidence, with emphasis on incorporating nursing home staff in treatment programs and focusing on behavioural elements of cognitive behaviour therapy such as activity scheduling. The paper concludes with suggestions regarding how to incorporate and promote the use of cognitive behaviour therapy in dementia care settings.
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Affiliation(s)
- Deborah Koder
- Specialist Mental Health Service for Older People, Sydney Local Health District, NSW, Australia
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11
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Werheid K, Köhncke Y, Ziegler M, Kurz A. Latent change score modeling as a method for analyzing the antidepressant effect of a psychosocial intervention in Alzheimer's disease. PSYCHOTHERAPY AND PSYCHOSOMATICS 2015; 84:159-66. [PMID: 25833732 DOI: 10.1159/000376583] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2013] [Accepted: 01/29/2015] [Indexed: 11/19/2022]
Abstract
BACKGROUND Developing and evaluating interventions for patients with age-associated disorders is a rising field in psychotherapy research. Its methodological challenges include the high between-subject variability and the wealth of influencing factors associated with longer lifetime. Latent change score modeling (LCSM), a technique based on structural equation modeling, may be well suited to analyzing longitudinal data sets obtained in clinical trials. Here, we used LCSM to evaluate the antidepressant effect of a combined cognitive behavioral/cognitive rehabilitation (CB/CR) intervention in Alzheimer's disease (AD). METHODS LCSM was applied to predict the change in depressive symptoms from baseline as an outcome of the CORDIAL study, a randomized controlled trial involving 201 patients with mild AD. The participants underwent either the CORDIAL CB/CR program or standard treatment. Using LCSM, the model best predicting changes in Geriatric Depression Scale scores was determined based on this data set. RESULTS The best fit was achieved by a model predicting a decline in depressive symptoms between before and after testing. Assignment to the intervention group as well as female gender revealed significant effects in model fit indices, which remained stable at 6- and 12-month follow-up examinations. The pre-post effect was pronounced for patients with clinically relevant depressive symptoms at baseline. CONCLUSIONS LCSM confirmed the antidepressant effect of the CORDIAL therapy program, which was limited to women. The effect was pronounced in patients with clinically relevant depressive symptoms at baseline. Methodologically, LCSM appears well suited to analyzing longitudinal data from clinical trials in aged populations, by accounting for the high between-subject variability and providing information on the differential indication of the probed intervention.
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Affiliation(s)
- Katja Werheid
- Clinical Gerontopsychology, Humboldt Universität zu Berlin, Berlin, Germany
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12
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Abstract
It is well-documented that the population of much of the developed world is aging. On the one hand, this represents a success story in terms of reducing deaths from infectious and a number of systemic diseases, most notably cardiovascular disease. On the other hand, it also presents a challenge to provide adequate health services to a population with rapidly increasing longevity, as well as an opportunity to develop policies that can assist in promoting good physical and mental health. A number of authors have asked whether we are ready to meet the challenges of an aging population (Doyleet al., 2009; Connolly, 2012). Over the years, prominent psychologists have suggested that clinical psychology could play a greater role in the provision of services for older adults, and lamented the apparent lack of enthusiasm on the part of psychologists to work with this group (e.g. Karelet al., 2012). In this paper, we examine a range of questions pertinent to this theme: where are the psychologists in the provision of mental health services to older adults? What contribution can psychologists make to improve the mental health of this growing sector of the population? How can we encourage more psychologists to specialize in working with older adults?
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