Group, Individual, and Staff Therapy: An Efficient and Effective Cognitive Behavioral Therapy in Long-Term Care

Hyer, Lee; Yeager, Catherine A.; Hilton, Nathan E.; Sacks, Amanda

doi:10.1177/1533317508323571

Cited by 37 publications

(29 citation statements)

References 66 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The five included CBT-trials were conducted in the USA [ 32 , 34 ], the Netherlands [ 33 ], the UK [ 35 ], and Taiwan [ 31 ]. The trials were heterogeneous with respect to interventions (mode of delivery, intensity and duration) and the included populations (Tables 1 and 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…The trials were heterogeneous with respect to interventions (mode of delivery, intensity and duration) and the included populations (Tables 1 and 2 ). Two trials evaluated bibliotherapy with minimal therapist support [ 33 , 34 ], one evaluated a combination of group, individual, and staff delivered therapy [ 32 ], one evaluated group-based CBT [ 31 ], and one evaluated individual CBT [ 35 ]. In two trials the participants had a confirmed depressive disorder [ 32 , 35 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Psychological Treatment of Depression in People Aged 65 Years and Over: A Systematic Review of Efficacy, Safety, and Cost-Effectiveness

et al. 2016

View full text Add to dashboard Cite

ObjectivesDepression in elderly people is a major public health concern. As response to antidepressants is often unsatisfactory in this age group, there is a need for evidence-based non-pharmacological treatment options. Our objectives were twofold: firstly, to synthesize published trials evaluating efficacy, safety and cost-effectiveness of psychological treatment of depression in the elderly and secondly, to assess the quality of evidence.MethodThe electronic databases PubMed, EMBASE, Cochrane Library, CINAL, Scopus, and PsycINFO were searched up to 23 May 2016 for randomized controlled trials (RCTs) of psychological treatment for depressive disorders or depressive symptoms in people aged 65 years and over. Two reviewers independently assessed relevant studies for risk of bias. Where appropriate, the results were synthesized in meta-analyses. The quality of the evidence was graded according to GRADE (Grading of Recommendations Assessment, Development and Evaluation).ResultsTwenty-two relevant RCTs were identified, eight of which were excluded from the synthesis due to a high risk of bias. Of the remaining trials, six evaluated problem-solving therapy (PST), five evaluated other forms of cognitive behavioural therapy (CBT), and three evaluated life review/reminiscence therapy. In frail elderly with depressive symptoms, the evidence supported the efficacy of PST, with large but heterogeneous effect sizes compared with treatment as usual. The results for life-review/reminiscence therapy and CBT were also promising, but because of the limited number of trials the quality of evidence was rated as very low. Safety data were not reported in any included trial. The only identified cost-effectiveness study estimated an incremental cost per additional point reduction in Beck Depression Inventory II score for CBT compared with talking control and treatment as usual.ConclusionPsychological treatment is a feasible option for frail elderly with depressive symptoms. However, important questions about efficacy, generalizability, safety and cost-effectiveness remain.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Psychological Treatment of Depression in People Aged 65 Years and Over: A Systematic Review of Efficacy, Safety, and Cost-Effectiveness

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Higher age and male sex correlated with less change in depressive symptoms in the ICBT group. Older people to some extent seem to benefit from CBT [ 20 , 41 ]; however, the evidence of benefit for them is greater in problem-solving therapy [ 42 , 43 ]. Our ICBT program relied to a large extent on behavioral activation and to a lesser extent on problem-solving therapy [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Guided Web-Based Cognitive Behavioral Therapy on Patients With Depressive Symptoms and Heart Failure: A Pilot Randomized Controlled Trial

Lundgren¹,

Dahlström²,

Andersson³

et al. 2016

J Med Internet Res

138

View full text Add to dashboard Cite

BackgroundDepressive symptoms, and the associated coexistence of symptoms of anxiety and decreased quality of life (QoL), are common in patients with heart failure (HF). However, treatment strategies for depressive symptoms in patients with HF still remain to be established. Internet-based cognitive behavioral therapy (ICBT), as guided self-help CBT programs, has shown good effects in the treatment of depression. Until now, ICBT has not been evaluated in patients with HF with depressive symptoms.ObjectiveThe aims of this study were to (1) evaluate the effect of a 9-week guided ICBT program on depressive symptoms in patients with HF; (2) investigate the effect of the ICBT program on cardiac anxiety and QoL; and (3) assess factors associated with the change in depressive symptoms.MethodsFifty participants were randomized into 2 treatment arms: ICBT or a Web-based moderated discussion forum (DF). The Patient Health Questionnaire-9 was used to measure depressive symptoms, the Cardiac Anxiety Questionnaire (CAQ) was used to measure cardiac-related anxiety, and the Minnesota Living with Heart Failure questionnaire was used to measure QoL. Data were collected at baseline and at follow-up at the end of the 9-week intervention. Intention-to-treat analysis was used, and missing data were imputed by the Expectation-Maximization method. Between-group differences were determined by analysis of covariance with control for baseline score and regression to the mean.ResultsNo significant difference in depressive symptoms between the ICBT and the DF group at the follow-up was found, [F(1,47)=1.63, P=.21] and Cohen´s d=0.26. Secondary within-group analysis of depressive symptoms showed that such symptoms decreased significantly in the ICBT group from baseline to the follow-up (baseline M=10.8, standard deviation [SD]=5.7 vs follow-up M=8.6, SD=4.6, t(24)=2.6, P=.02, Cohen´s d=0.43), whereas in the DF group, there was no significant change (baseline M=10.6, SD=5.0, vs follow-up M=9.8, SD=4.3, t(24)=0.93, P=.36. Cohen´s d=0.18). With regard to CAQ and QoL no significant differences were found between the groups (CAQ [d(1,47)=0.5, P=.48] and QoL [F(1,47)=2.87, P=.09]). In the ICBT group in the CAQ subscale of fear, a significant within-group decrease was shown (baseline M=1.55 vs follow-up M=1.35, P=.04). In the ICBT group, the number of logins to the Web portal correlated significantly with improvement in depressive symptoms (P=.02), whereas higher age (P=.01) and male sex (P=.048) were associated with less change in depressive symptoms. This study is underpowered because of difficulties in the recruitment of patients.ConclusionsGuided ICBT adapted for persons with HF and depressive symptoms was not statistically superior to participation in a Web-based DF. However, within the ICBT group, a statically significant improvement of depressive symptoms was detected.ClinicalTrialClinicaltrials.gov NCT01681771; https://clinicaltrials.gov/ct2/show/NCT01681771 (Archived by WebCite at http://www.webcitation.org/6ikzbcuLN)

show abstract

“…Most studies (n=7) were conducted in the United States (Cook, 1998; Haight et al , 1998; Hyer et al , 2008; McCurren et al , 1999; Reinhardt et al , 2014; Sood et al , 2003; Zerhusen et al , 1991), while the rest were conducted in Taiwan (Chiang et al , 2010; Tsai et al , 2008; Wang, 2005), Canada (Cook, 1998; Konnert et al , 2009), and Spain (Alonso-Fernandez et al , 2015). …”

Section: Resultsmentioning

confidence: 99%

Treatment of depression in nursing home residents without significant cognitive impairment: a systematic review

Simning

Simons

2016

Int. Psychogeriatr.

View full text Add to dashboard Cite

Background Depression in nursing facilities is widespread and has been historically under-recognized and inadequately treated. Many interventions have targeted depression among residents with dementia in these settings. Less is known about depression treatment in residents without dementia who may be more likely to return to community living. Our study aimed to systematically evaluate randomized control trials (RCTs) in nursing facilities that targeted depression within samples largely comprised of residents without dementia. Methods The following databases were evaluated with searches covering January 1991 through December 2015 (PubMed, PsycINFO) and March 2016 (CINAHL). We also examined national and international clinical trial registries including ClinicalTrials.gov. RCTs were included if they were published in English, evaluated depression or depressive symptoms as primary or secondary outcomes, and included a sample with a mean age of 65 and older for which most had no or only mild cognitive impairment. Results A total of 32 RCTs met our criteria including those testing psychotherapeutic interventions (n=13), psychosocial and recreation interventions (n=9), and pharmacologic or other biologic interventions (n=10). Seven psychotherapeutic, six psychosocial and recreation, and four pharmacologic or other biologic interventions demonstrated a treatment benefit. Conclusions Many studies had small samples, were of poor methodological quality, and did not select for depressed residents. There is limited evidence suggesting that cognitive behavioral therapies, reminiscence, interventions to reduce social isolation, and exercise-based interventions have some promise for decreasing depression in cognitively intact nursing home residents; little can be concluded from the pharmacologic or other biologic RCTs.

show abstract

Group, Individual, and Staff Therapy: An Efficient and Effective Cognitive Behavioral Therapy in Long-Term Care

Abstract: This trial demonstrated GIST to be more effective for depression in LTC than standard treatments.

Cited by 37 publications

References 66 publications

Psychological Treatment of Depression in People Aged 65 Years and Over: A Systematic Review of Efficacy, Safety, and Cost-Effectiveness

Psychological Treatment of Depression in People Aged 65 Years and Over: A Systematic Review of Efficacy, Safety, and Cost-Effectiveness

The Effect of Guided Web-Based Cognitive Behavioral Therapy on Patients With Depressive Symptoms and Heart Failure: A Pilot Randomized Controlled Trial

Treatment of depression in nursing home residents without significant cognitive impairment: a systematic review

Contact Info

Product

Resources

About