Evidence map›Paper›PMID 39765978›Full record

ReviewHealthcare (Basel, Switzerland)2024

Psychotherapeutic Interventions for Depressive Symptoms in Community-Dwelling Older Adults: A Systematic Review with Meta-Analysis.

Bruno Morgado, Celso Silva, Inês Agostinho, Filipe Brás, Pedro Amaro, Leonel Lusquinhos, Maria Revés Silva, Cesar Fonseca, Núria Albacar-Riobóo, Lara Guedes de Pinho

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. 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

10 authors.

Bruno MorgadoEscola de Doctorat, Universitat Rovira y Virgili, 43005 Tarragona, Spain.ORCID 0000-0002-9931-3677
Celso SilvaHigher School of Health, Polytechnic Institute of Beja, 7800-295 Beja, Portugal.ORCID 0000-0002-4258-8629
Inês AgostinhoLisbon West Local Health Unit, 2770-219 Lisbon, Portugal.ORCID 0000-0002-9570-3926
Filipe BrásAlto Alentejo Local Health Unit, 7300-853 Portalegre, Portugal.
Pedro AmaroHigher School of Health, Polytechnic University of Portalegre, 7300-110 Portalegre, Portugal.ORCID 0000-0002-0342-8892
Leonel LusquinhosNursing Department, University of Évora, 7000-811 Évora, Portugal.ORCID 0000-0001-9144-2629
Maria Revés SilvaLA-REAL, Comprehensive Health Research Centre (CHRC), University of Évora, 7000-811 Évora, Portugal.
Cesar FonsecaLA-REAL, Comprehensive Health Research Centre (CHRC), University of Évora, 7000-811 Évora, Portugal.ORCID 0000-0001-6975-612X
Núria Albacar-RiobóoEscola de Doctorat, Universitat Rovira y Virgili, 43005 Tarragona, Spain.ORCID 0000-0001-8306-8702
Lara Guedes de PinhoLA-REAL, Comprehensive Health Research Centre (CHRC), University of Évora, 7000-811 Évora, Portugal.ORCID 0000-0003-1174-0744

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The global ageing population faces rising depression rates due to social, economic, and health changes. Depression in older adults, often linked to isolation and health issues, requires comprehensive care. Psychotherapeutic interventions could be effective in reducing symptoms, offering personalized and holistic support. Particularly low-threshold interventions, such as those offered in community-dwelling older adults, which older adults can easily access and which may reduce stigma, promise to close the treatment gap. This review examines community-based psychotherapeutic interventions for older adults with depression.

methodsThis review investigates psychotherapeutic interventions for reducing depressive symptoms in older adults in a community setting. RCTs were assessed using Joanna Briggs Institute tools. The following databases were searched: CINAHL Plus with Full Text, MedicLatina, MEDLINE with Full Text, and the Psychology and Behavioral Sciences Collection.

resultsA meta-analysis of 13 studies with 1528 participants showed a medium, significant pooled effect size at post-intervention (Hedges' DISCUSSION: This systematic review and meta-analysis found that in community-dwelling older adults' group psychotherapeutic interventions, particularly the "reminiscence protocol" and "modified behavioral activation treatment" are most effective for reducing depressive symptoms. Individual psychotherapeutic interventions like "prevention of suicide in primary care elderly" and "behavioral activation" also show effectiveness, with group psychotherapeutic interventions being generally more effective than when these treatments are offered in individual psychotherapeutic interventions.

conclusionGroup and individual psychotherapeutic interventions reduce depressive symptoms in community-dwelling older adults, with group psychotherapeutic interventions being more effective.

Indexed as

community settingdepressiongeriatric psychiatrygeriatric psychologynon-pharmacological therapynon-pharmacological treatmentolder adultspsychotherapies

Identifiers

PMID39765978
PMCPMC11675262

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Registered trials

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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.