The feasibility and effectiveness of brief interventions to prevent depression in older subjects: a systematic review

The feasibility and effectiveness of brief interventions to prevent depression in older subjects:... Objectives To explore the feasibility and effectiveness of brief interventions to prevent depression in older subjects. Method MEDLINE, PsycINFO and HealthStar were searched for potentially relevant articles published from January 1966 to June 2003, January 1974 to June 2003 and January 1975 to June 2003, respectively. The bibliographies of relevant articles were searched for additional references. Ten studies met the following five inclusion criteria: original research, subjects mean age 50 years or more, controlled trial of a brief ( < 12 weeks) intervention to prevent depression, determination of depression status 12 months or more after enrolment, use of an acceptable definition of depression. The validity of studies was assessed according to six criteria. To examine feasibility we tabulated study enrolment, completion and compliance rates. To examine effectiveness we tabulated differences in depression symptom outcome scores between intervention and control groups or, when possible, absolute (ARR) and relative (RRR) risk reductions for depression. Results Only two of the ten trials met all of the validity criteria. Study enrolment rates were 21 to 100% (median 72.5%); study completion rates were 46% to 100% (median 85%); compliance rates were 29% to 100% (median 87%). Five of the ten trials had positive results: in two trials there were statistically significant differences in depression symptom outcome scores favoring the intervention group; in three trials ARRs were 2.3% to 45% (median 17%); RRRs were 45% to 71% (median 61%). Conclusions Some types of brief interventions appear to have the potential to prevent depression in older subjects. Despite the methodologic limitations of the trials and this systematic review, these findings may guide efforts to develop and evaluate brief interventions to prevent depression in this population. Copyright © 2004 John Wiley & Sons, Ltd. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Geriatric Psychiatry Wiley

The feasibility and effectiveness of brief interventions to prevent depression in older subjects: a systematic review

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Publisher
Wiley
Copyright
Copyright © 2004 John Wiley & Sons, Ltd.
ISSN
0885-6230
eISSN
1099-1166
DOI
10.1002/gps.1200
Publisher site
See Article on Publisher Site

Abstract

Objectives To explore the feasibility and effectiveness of brief interventions to prevent depression in older subjects. Method MEDLINE, PsycINFO and HealthStar were searched for potentially relevant articles published from January 1966 to June 2003, January 1974 to June 2003 and January 1975 to June 2003, respectively. The bibliographies of relevant articles were searched for additional references. Ten studies met the following five inclusion criteria: original research, subjects mean age 50 years or more, controlled trial of a brief ( < 12 weeks) intervention to prevent depression, determination of depression status 12 months or more after enrolment, use of an acceptable definition of depression. The validity of studies was assessed according to six criteria. To examine feasibility we tabulated study enrolment, completion and compliance rates. To examine effectiveness we tabulated differences in depression symptom outcome scores between intervention and control groups or, when possible, absolute (ARR) and relative (RRR) risk reductions for depression. Results Only two of the ten trials met all of the validity criteria. Study enrolment rates were 21 to 100% (median 72.5%); study completion rates were 46% to 100% (median 85%); compliance rates were 29% to 100% (median 87%). Five of the ten trials had positive results: in two trials there were statistically significant differences in depression symptom outcome scores favoring the intervention group; in three trials ARRs were 2.3% to 45% (median 17%); RRRs were 45% to 71% (median 61%). Conclusions Some types of brief interventions appear to have the potential to prevent depression in older subjects. Despite the methodologic limitations of the trials and this systematic review, these findings may guide efforts to develop and evaluate brief interventions to prevent depression in this population. Copyright © 2004 John Wiley & Sons, Ltd.

Journal

International Journal of Geriatric PsychiatryWiley

Published: Nov 1, 2004

References

  • Meta‐Analysis of psychosocial interventions for caregivers of people with dementia
    Brodaty, Brodaty; Green, Green; Koschera, Koschera
  • Pathway to psychiatric care of the elderly with depression
    Cole, Cole; Yaffe, Yaffe
  • Diabetes support groups improve health care of older diabetic patients
    Gilden, Gilden; Hendryx, Hendryx; Clar, Clar; Casia, Casia; Singh, Singh
  • Depression and disability in the elderly: reciprocal relations and changes with age
    Gurland, Gurland; Wilkder, Wilkder; Berkman, Berkman
  • The prevention of depression and anxiety
    Seligman, Seligman; Schulman, Schulman; DeRubeis, DeRubeis; Hollon, Hollon

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