A 12-week multidomain intervention for late-life depression: a community-based randomized controlled trial

Roh, Hyun Woong; Hong, Chang Hyung; Lim, Hyun Kook; Chang, Ki Jung; Kim, Haena; Kim, Na-Rae; Choi, Jin Wook; Lee, Kang Soo; Cho, Sun-Mi; Park, Bumhee; Son, Sang Joon

doi:10.1016/j.jad.2019.12.013

Cited by 13 publications

(22 citation statements)

References 45 publications

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“…Encouragingly, no adverse effects resulting from the LM intervention were reported in this study. In line with the meta-analysis and recent RCTs, we showed that LM interventions were superior to CAU in managing depressive symptoms [33][34][35][36][37]56].…”

Section: Discussionsupporting

confidence: 86%

“…Previous RCTs have only examined the effects of LM interventions delivered merely through written recommendations [34,35]. Other RCTs were conducted among depressed older-adults through individual calls and visits [36,37]. Recently, some researchers started to develop integrated lifestyle programs, such as Healthy Body Healthy Mind (HBHM) [38].…”

Section: Introductionmentioning

confidence: 99%

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Effects of a group-based lifestyle medicine for depression: A pilot randomized controlled trial

Yeung

et al. 2021

PLoS ONE

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Given the growing evidence that a range of lifestyle factors are involved in the etiology of depression, a ‘lifestyle medicine’ approach can be potentially safe and cost-effective to prevent or treat depression. To examine the effects and acceptability of a group-based, integrative lifestyle medicine intervention as a standalone treatment for managing depressive symptoms, a pilot randomized controlled trial (RCT) was conducted in a Chinese adult population in 2018. Participants (n = 31) with PHQ-9 score above the cut-off of ≥ 10, which was indicative of moderate to severe depression, were recruited from the general community in Hong Kong and randomly assigned to lifestyle medicine group (LM group) or care-as-usual group (CAU group) in a ratio of 1:1. Participants in the LM group received 2-hour group sessions once per week for six consecutive weeks, which covered diet, exercise, mindfulness, psychoeducation, and sleep management. Linear mixed-effects model analyses showed that the LM group had a significant reduction in PHQ-9 scores compared to the CAU group at immediate posttreatment and 12-week posttreatment follow-up (d = 0.69 and 0.73, respectively). Moreover, there were significantly greater improvements in anxiety, stress, and insomnia symptoms (measured by DASS-21 and ISI) at all time points in the LM group (d = 0.42–1.16). The results suggests that our 6-week group-based, integrative lifestyle intervention program is effective in lowering depressive, anxiety, stress, and insomnia symptoms in the Chinese population. Further studies in clinical populations with a larger sample size and longer follow-up are warranted.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Effects of a group-based lifestyle medicine for depression: A pilot randomized controlled trial

Yeung

et al. 2021

PLoS ONE

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“…Research states that mild depression sufferers should be treated with nonpharmacological interventions to avoid the risk of unnecessary treatment, nonpharmacological interventions for the treatment of depression in the long term should be designed to meet physical challenges, and psychology faced by the elderly who experience depression (13). Research conducted [14] shows that a combined therapeutic approach consisting of physical activity, a healthy diet, social activity, and cognitive restructuring for 12 weeks can reduce the level of depression experienced by elderly people with major depressive disorders.…”

Section: Discussionmentioning

confidence: 99%

Integration of Therapy in Reducing the Onset of Depression in Older Adults: Case Report

Pradana¹,

Sahar

Permatasari

2021

KLS

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Depression in older adults is known to have a high impact on their quality of life. Depressive conditions experienced by older adults require the implementation of therapies that can reduce depression levels. The purpose of this report is to provide an evidence-based practice of integrated therapies programs to reduce depression levels in nursing care involving 10 elderly people. The integration program consists of cognitive restructuring therapy, deep breathing relaxation and Benson relaxation interventions, guided autogenic, and behavior modification with laughter therapy. The implementation was carried out for 8 months, consisting of 2 sessions with each implementation for 4 months. The measurement results using the Geriatric Depression Scale (GDS)-15 showed a change in the depression level of older adults between preand post-treatment by 2.4 points. The results of this study are expected to be applied in community health services. Keywords: Case study, Depression, Older adults, Therapy

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“…Penggabungan intervensi keperawatan pada lansia depresi bukanlah hal yang tergolong baru, penelitian menyebutkan bahwa para penderita depresi ringan harus ditangani dengan intervensi non-farmakologis untuk menghindari risiko pengobatan yang tidak diperlukan, intervensi non-farmakologis untuk pengobatan depresi dalam jangka panjang harus dirancang untuk memenuhi tantangan fisik dan psikologis yang dihadapi oleh lansia yang mengalami depresi (Yoon, Moon, & Pitner, 2018). Penelitian yang dilakukan Roh et al (2020) menunjukkan bahwa pendekatan terapi gabungan dapat menurunkan tingkat depresi yang dialami lansia yang mengalami gangguan depresi berat. Tim pengabdi meminta persetujuan dan kesediaan dari para kader untuk turut serta mengikuti kegiatan yang akan dilakukan bersama.…”

Section: Hasil Dan Pembahasanunclassified

Elderly empowerment with evidence-based depression problems using an android application

Sahar

Permatasari

Pradana

et al. 2021

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Psychosocial problems in the elderly are a quite common health problem in this decade. Changes in the elderly related to psychosocial problems include changes in mental status, ability in decision making, affective function, conflict with reality and social support. This evidence-based community service activity consists of health promotion of depression in the elderly, education on depression screening using Depression, Anxiety, Stress Scale (DASS) tools, and socialization and implementation of the Depression-Aware Elderly Group. The activity was held in Mekarjaya Village, Depok in September-November 2020 and was attended by 42 elderly and cadres. Based on the measurement results, it was concluded that there was an increase in people's understanding of the depression condition experienced by the elderly where the mean value before the intervention was 0.46, increasing to 3.21 after the intervention. Other than that, the problem of depression in the elderly needs to be considered by the government and becomes one of the priority programs.

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A 12-week multidomain intervention for late-life depression: a community-based randomized controlled trial

Cited by 13 publications

References 45 publications

Effects of a group-based lifestyle medicine for depression: A pilot randomized controlled trial

Effects of a group-based lifestyle medicine for depression: A pilot randomized controlled trial

Integration of Therapy in Reducing the Onset of Depression in Older Adults: Case Report

Elderly empowerment with evidence-based depression problems using an android application

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