Evidence map›Paper›PMID 37620805›Full record

ArticleBMC nursing2023

Effects of rational emotive behavior therapy on alexithymia, anxiety, depression and sleep quality of older people in nursing homes: a quasi-experimental study.

Ning Qin, Jie Li, Xiaoqi Wu, Chun Zhang, Yating Luo, Xiaoqian Dong, Huan Cao, Sha Wang, Min Liu, Jianfei Xie and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Ning Qin *Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, China.
Jie Li *Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, China.
Xiaoqi WuXiang Ya Nursing School, Central South University, Changsha, Hunan, 410013, China.
Chun ZhangXiang Ya Nursing School, Central South University, Changsha, Hunan, 410013, China.
Yating LuoXiang Ya Nursing School, Central South University, Changsha, Hunan, 410013, China.
Xiaoqian DongXiang Ya Nursing School, Central South University, Changsha, Hunan, 410013, China.
Huan CaoXiang Ya Nursing School, Central South University, Changsha, Hunan, 410013, China.
Sha WangNursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, China.
Min LiuNursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, China.
Jianfei XieNursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, China. xiejianfei@csu.edu.cn.
Andy Sk ChengDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, 999077, China.
Central South University · CNThird Xiangya Hospital · CNHong Kong Polytechnic University · HK

Funding

the special funds for the construction of innovative provinces in Hunan 2019SK2143the Wisdom Accumulation and Talent Cultivation Project of the Third Xiangya Hospital of Central South University BJ202205
6 · The paper itself

Abstract

backgroundAlexithymia, a subclinical cognitive-affective impairment, is prevalent in older people and increases the risk of mental disorders. There is a vast alexithymia treatment gap, with majority of older people in nursing homes lacking access to adequate mental health care. The study aimed to evaluate the effects of rational emotive behavior therapy (REBT) on alexithymia, anxiety, depression and sleep quality of older people in nursing homes.

methodsThis quasi-experimental study was conducted with two groups (the control group and intervention) from March to November 2021. This study enrolled 86 participants, two of whom were lost to follow-up; 42 received usual care (control group) and 42 received REBT based on usual care (intervention group) in nursing homes. The older people in both groups were evaluated at baseline (T0), within one-week post-intervention (T1), and at 3-month follow-up (T3). Generalized estimating equations were used by SPSS version 26 to assess the differential change in the outcomes between the two groups.

resultsThe intervention group shows significantly greater improvement in alexithymia than the control group at both T1 (β = -8.167, 95%CI= -10.965, -5.368, P < 0.001) and T2 (β=-4.119, 95%CI= -7.171, -1.067, P = 0.008). The two groups showed significant differences at both T1 and T2 in both difficulty identifying feelings and difficulty describing feelings. Compared to the control group, the intervention group shows a significant improvement in sleep quality at T2 (β = -2.048, 95%CI=-4.004, -0.091, P = 0.040). The two groups showed significant differences at both T1 and T2 in both sleep disturbance and daytime dysfunction. For depression and anxiety, no significant differences were found between the intervention and control groups.

conclusionsREBT showed to be an effective method for improving alexithymia and sleep quality of older people in nursing homes. However, it failed to significantly alleviate anxiety and depression at least in a short-term trial. Refining this intervention may have a broader, more substantial impact on future research.

Indexed as

AlexithymiaAnxietyDepressionNursing homeOlder peopleRational emotive behavior therapySleep quality

Identifiers

PMID37620805
PMCPMC10463404
OpenAlexW4386120833

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.