Characteristics of Cognitive Behavioral Therapy for Older Adults Living in Residential Care: Protocol for a Systematic Review

Chan, Phoebe; Bhar, Sunil; Davison, Tanya E.; Doyle, Colleen; Knight, Bob G.; Koder, Deborah; Laidlaw, Ken; Pachana, Nancy A.; Wells, Yvonne; Wuthrich, Viviana M.

doi:10.2196/resprot.9902

Cited by 11 publications

(6 citation statements)

References 22 publications

(25 reference statements)

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“…Cognitive behavioral therapy (CBT) as an evidence-based psychotherapy has been widely used in the treatment and prevention of physical and psychological distress in both the community (24,25) and inpatients (26,27). CBT is a series of methods, including cognitive reconstruction, behavioral change and social support, with aims to help individuals to identify stress levels and modify negative cognitive beliefs and behaviors (28), reduce or eliminate symptoms of psychological distress, and further help individuals back to their normal life in terms of psychological and social functions.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Cognitive Behavioral Therapy on Depression, Anxiety, and Stress in Patients With COVID-19: A Randomized Controlled Trial

Jiang

et al. 2020

Front. Psychiatry

112

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Background: As a public health emergency of international concern, the COVID-19 outbreak has had a tremendous impact on patients' psychological health. However, studies on psychological interventions in patients with COVID-19 are relatively rare.Objectives: This study examined the effectiveness of Cognitive Behavioral Therapy (CBT) in relieving patients' psychological distress during the COVID-19 epidemic.Methods: Ninety-three eligible participants selected by cluster sampling were randomized to an intervention group (N = 47) and a control group (N = 46). Participants in the control group received routine treatment according to the Chinese Management Guidelines for COVID-19, while participants in the intervention group received routine treatment with additional CBT. The Chinese Version of Depression Anxiety and Stress Scale-21 (DASS-21) was used to evaluate depression, anxiety, and stress for all participants at baseline and post-intervention. Two-sided t-test, and proportion tests were used to examine the differences between the intervention and control group for each DASS-21 indicator. Univariate linear regression was used to examine the association between chronic disease status and change in each DASS-21 indicator after intervention. Two-way scatter plots were generated to show the association of the length of hospital stay and the changes of each DASS-21 indicator by intervention and control groups.Results: Significant decreases in means were found for scales of depression, anxiety, stress and total DASS-21 in both intervention (p < 0.001) and control group (p = 0.001), with participants in the intervention group having a bigger reduction in means. After the intervention, more participants in the intervention group had no depression or anxiety symptoms than in the control group, but no statistical differences were found (p > 0.05). Compared with participants with chronic disease, participants with no chronic disease had a significantly larger reduction of total DASS-21 scale (coefficient = −4.74, 95% CI: −9.31; −0.17).The length of hospital stay was significantly associated with a greater increase in anxiety scale in the intervention group (p = 0.005), whilst no significant association was found in the control group (p = 0.29).Li et al. Psychological Intervention on COVID-19 PatientsConclusions: The patients with COVID-19 experienced high levels of anxiety, depression and stress. Our study result highlights the effectiveness of CBT in improving the psychological health among patients with COVID-19, also suggests that CBT should be focused on patients with chronic disease and those who have longer hospital stays. These results have important implications in clinical practice in improving psychological health in the context of COVID-19 pandemic. Trial Registration: ISRCTN68675756. Available at: http://www.isrctn.com/ ISRCTN68675756.

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Section: Introductionmentioning

confidence: 99%

The Effect of Cognitive Behavioral Therapy on Depression, Anxiety, and Stress in Patients With COVID-19: A Randomized Controlled Trial

Jiang

et al. 2020

Front. Psychiatry

112

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“…Cognitive Behavior Therapy is evidence-based psychotherapy, and it had been used globally in the prevention and treatment of psychological as well as physical issues [ 35 , 36 ]. Cognitive-behavioral therapy includes methods that aim to help a person to identify his stress levels and modify his beliefs and behaviors and such methods include cognitive restructuring, behavioral changes, and social support [ 37 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of cognitive behavioral therapy program on mental health status among medical student in Palestine during COVID pandemic

et al. 2022

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Background The COVID-19 pandemic had a profound psychological influence on everyone in society, and the impact it had on students, particularly medical students, cannot be underestimated. The main purpose of this study is to (1) determine the prevalence of mental disorders among medical students and their associated factors, and (2) examine the effectiveness of cognitive behavior therapy on mental health problems among medical students. Methods Between March and May 2021, we conducted a randomized controlled study on two phases among medical students at An-Najah National University. Data were collected using an online questionnaire and the Arabic version of the 12-item General Health Questionnaire (GHQ-12). We also used the MEDAS tool to assess their Mediterranean Diet (MD) adherence. In the second phase, sixty-six students were recruited and assigned randomly to control and intervention groups. Intervention impact was assessed using 12-item General Health Questionnaire at two-time points; baseline, and 8 weeks post-intervention. The interventional model used was cognitive behavioral therapy, and the control group received no treatment. Results A total of 329 students were included in the analysis of the first phase of the study. Approximately 28% of students had mental health problems. We found a significant relationship between good mental health status with a higher level of physical activity level, longer sleeping hours, and shorter entertainment time (p < 0.05). In the second phase of the study, a total of 91 students were included. Overall, using the CBT program showed a significant improvement in the outcome measures. At 8 weeks post-intervention, students had lower scores on total GHQ-12, depression, anxiety, and social dysfunction. Conclusion These findings propose that adequate attention must be paid to the mental health of medical students and that CBT programs can be used for the management of mental health problems among medical students.

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“…An evaluation of the effects of nonpharmacological interventions (similar to the one that was implemented at the CD-CC) on the mental health status of elderly persons represents an important field of investigations for many researchers worldwide. 21,22 A review of research on the impact of physical activity on mental and somatic status of elderly adults has indicated that the physical activity can be an alternative to pharmacological therapy for depressive disorders, and thus, it can affect the reduction of costs related to medical care for older persons. [23][24][25] Furthermore, regular physical exercises, physical therapy, and respiratory exercises cause the reduction of depressive symptoms, mental disorders, and anxiety states.…”

Section: Anxiety and Depressionmentioning

confidence: 99%

<p>The Influence of Nonpharmacological Complex Therapy Conducted at a Community Day-Care Center on Cognitive function and Mood in Older Adults</p>

Gorzkowska

Zacharska-Quaium²,

Cholewa

2020

RMHP

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Introduction: Nonpharmacological interventions in the elderly may lead to the reduction of cognitive and depressive symptoms. The aim of the study was to evaluate changes in cognitive functions and mood in older adults participating in therapy, conducted in the community day-care center (CD-CC). Patients and Methods: The study group (SG) included 46 elderly adults (21 M, 25 W), the control group (CG) included 45 adults (12 M, 33 W), who participated in the activities of the University of the Third Age. The following measuring tools were used: Mini-Mental State Examination, Clock-Drawing Test, Verbal Fluency Test, Digit Span Test, Stroop Color and Word Test, Beck's Depression Inventory, and Hospital Anxiety and Depression Scale. The intervention consisted of CD-CC 6-month nonpharmacological therapy. Results: In the SG, compared to the CG, the scores on all the cognitive tests were significantly lower, Beck's Depression Inventory was significantly higher. After intervention, the SG and the CG did not show substantial differences in their scores on the Mini-Mental State Examination, Clock-Drawing Test, and Beck's Depression Inventory. In the SG, a significant improvement was reported on the Verbal Fluency Test, Beck's Depression Inventory and Hospital Anxiety and Depression Scale scores. Conclusion: The CD-CC complex therapy can be helpful for cognitive and emotional elderly functioning.

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Characteristics of Cognitive Behavioral Therapy for Older Adults Living in Residential Care: Protocol for a Systematic Review

Cited by 11 publications

References 22 publications

The Effect of Cognitive Behavioral Therapy on Depression, Anxiety, and Stress in Patients With COVID-19: A Randomized Controlled Trial

The Effect of Cognitive Behavioral Therapy on Depression, Anxiety, and Stress in Patients With COVID-19: A Randomized Controlled Trial

Effect of cognitive behavioral therapy program on mental health status among medical student in Palestine during COVID pandemic

<p>The Influence of Nonpharmacological Complex Therapy Conducted at a Community Day-Care Center on Cognitive function and Mood in Older Adults</p>

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