Corpas, Jorge, Gilbody, Simon orcid.org/0000-0002-8236-6983 and McMillan, Dean orcid.org/0000-0002-2901-8410 (2022) Cognitive, behavioural or cognitive-behavioural self-help interventions for subclinical depression in older adults:A systematic review and meta-analysis. Journal of affective disorders. pp. 384-390. ISSN 0165-0327
Abstract
BACKGROUND: Subclinical depression is a risk factor for the development of major depression in older adults. We aimed to determine the effectiveness of pure self-help or self-help with minimal support to reduce depressive symptoms and to prevent the onset of major depression in this population. METHODS: This was a systematic review and meta-analysis of trials that used self-administrated cognitive, behavioural or cognitive-behavioural interventions for older adults with subclinical depression compared to control groups. Medline, Embase, PsycInfo and Cochrane databases were searched for relevant studies. RESULTS: We analysed eight trials involving 1449 participants. A small but significant effect favouring the intervention was found at short-term [d = 0.33; 95% CI (Confidence Interval): 0.20-0.47] and at long-term (d = 0.22; 95% CI: 0.04-0.40) for depressive symptoms. None of the studies looked at the preventive effect of self-help interventions in reducing the probability of a subsequent diagnosis of major depression. LIMITATIONS: The low number of studies meant that it was not possible to test for publication bias. The absence of pre-published protocols for many of the studies meant that there is a possibility of selective reporting bias for some of the primary studies. CONCLUSIONS: There is some evidence that cognitive-behavioural self-help interventions may reduce depressive symptoms in older adults with subclinical depression. However, no study examined whether the intervention had a preventative effect in reducing the likelihood of a subsequent diagnosis of major depression.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2022 The Authors. |
Keywords: | Aged,Cognition,Cognitive Behavioral Therapy,Depression/prevention & control,Depressive Disorder, Major/therapy,Health Behavior,Humans |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Hull York Medical School (York) |
Depositing User: | Pure (York) |
Date Deposited: | 03 Mar 2023 16:50 |
Last Modified: | 16 Oct 2024 18:21 |
Published Version: | https://doi.org/10.1016/j.jad.2022.04.085 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1016/j.jad.2022.04.085 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:197014 |
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Description: Cognitive, behavioural or cognitive-behavioural self-help interventions for subclinical depression in older adults: A systematic review and meta-analysis
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