Cognitive Behavioral Therapy for Depression in Older People: A Meta‐Analysis and Meta‐Regression of Randomized Controlled Trials

Gould, Rebecca L.; Coulson, Mark; Howard, Robert

doi:10.1111/j.1532-5415.2012.04166.x

Cited by 149 publications

(97 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The goal of CBT is to reduce depressive symptoms by challenging and reversing these beliefs and attitudes and encouraging people to change their maladaptive preconceptions and behaviours in real life [87]. Although CBT has been shown to reduce symptoms of anxiety and depression in elderly populations [88,89], the evidence in people with COPD is rather limited [90]. A review based on small studies in people with COPD suggests that there is only limited evidence that CBT is effective in reducing symptoms of anxiety and depression when added to exercise and education [91].…”

Section: Promoting Mental Healthmentioning

confidence: 99%

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

Hill¹,

Vogiatzis²,

Burtin³

2013

European Respiratory Review

View full text Add to dashboard Cite

Comprehensive pulmonary rehabilitation is an important component in the clinical management of people with chronic obstructive pulmonary disease (COPD). Although supervised exercise training is considered the cornerstone of effective pulmonary rehabilitation, there are many other components that should be considered to manage the impairments and symptom burden, as well as the psychosocial and lifestyle changes imposed by COPD. These include approaches designed to: 1) facilitate smoking cessation; 2) optimise pharmacotherapy; 3) assist with early identification and treatment of acute exacerbations; 4) manage acute dyspnoea; 5) increase physical activity; 6) improve body composition; 7) promote mental health; 8) facilitate advance care planning; and 9) establish social support networks. This article will describe these approaches, which may be incorporated within pulmonary rehabilitation, to optimise effective chronic disease self-management. @ERSpublications This paper describes several components of comprehensive pulmonary rehabilitation, other than simply exercise training http://ow.ly/mMNRp Pulmonary rehabilitation for chronic obstructive pulmonary diseaseChronic obstructive pulmonary disease (COPD) is characterised by persistent airflow limitation due to chronic inflammation within the airways and lung in response to noxious particles or gases [1]. People with this condition are limited by dyspnoea and have impaired exercise capacity and health-related quality of life [1]. The prevalence of COPD amongst adults aged o40 years is ,10% [2], and increases to 21% in those with a significant smoking history who are visiting their family physician for any reason [3]. The natural course of COPD is punctuated with episodes of acute worsening, known as exacerbations, which contribute

show abstract

Section: Promoting Mental Healthmentioning

confidence: 99%

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

Hill¹,

Vogiatzis²,

Burtin³

2013

European Respiratory Review

View full text Add to dashboard Cite

show abstract

“…Cognitive behavioural therapy (CBT) is an important and effective treatment approach for MDD [3,4,5,6,7,8,9]. It is a psychotherapeutic intervention aiming at the modification of cognitions to influence emotions and behaviour [10].…”

Section: Introductionmentioning

confidence: 99%

Cost-Utility Analyses of Cognitive-Behavioural Therapy of Depression: A Systematic Review

Brettschneider¹,

Djadran²,

Härter³

et al. 2014

Psychother Psychosom

View full text Add to dashboard Cite

Background: Major depressive disorder (MDD) causes a massive disease burden worldwide. Cognitive behavioural therapy (CBT) is an important treatment approach for depression. Cost-utility analysis (CUA) is a method to support decisions on efficient allocation of resources in health policy. The objective of our study was to systematically review CUA of CBT in the treatment of patients suffering from MDD. Methods: We conducted a systematic literature search in Medline, Embase, PsycINFO and National Health Service Economic Evaluation Database (NHS EED) to identify CUA of CBT for MDD. Cost data were inflated to the year 2011 and converted into USD using purchasing power parities (USD PPP) to ensure comparability of the data. Quality assessment of CUA was performed. Results: Twenty-two studies were included in this systematic review. No study employed a time horizon of more than 5 years. In most studies, individual and group CBT as well as CBT for maintenance showed acceptable incremental cost-utility ratios (<50,000 USD PPP/quality-adjusted life year). The CUA results of CBT for children and adolescents and of computerized CBT were inconsistent. Discussion: We found consistent evidence that individualized CBT is cost-effective from the perspective of a third-party payer for short-term treatment and for relapse prevention of MDD in the adult population.

show abstract

“…Les paramètres de résultats examinés ne sont pas présentés de façon détaillée et n'ont pas fait l'objet d'une méta-analyse. Les résultats de la mise à jour réalisée afin de compléter la revue australienne de référence incluaient 12 revues systématiques, y compris les méta-analyses, dont : -2 revues systématiques qui traitent à la fois des troubles dépressifs et des troubles anxieux (Cuijpers et al, 2013 ;Roshanaei-Moghaddam et al, 2011) (Bell & D'Zurilla, 2009 ;Cuijpers, Andersson, Donker, & Van Straten, 2011 ;Cuijpers, Reynolds, et al, 2012 ;Cuijpers, Van Straten, Warmerdam, & Andersson, 2009 ;Gould, Coulson, & Howard, 2012 ;Khan, Faucett, Lichtenberg, Kirsch, & Brown, 2012 ;Spielmans, Berman, & Usitalo, 2011 ;Van Hees, Rotter, Ellermann, & Evers, 2013) incluant environ 138 études avec 18 707 patients ; -et 1 revue systématique qui porte uniquement sur les troubles anxieux (Canton, Scott, & Glue, 2012) incluant 9 ECR totalisant environ 922 patients.…”

Section: Caractéristiques Des éTudes Inclusesunclassified

Efficacité de la psychothérapie comparativement à la pharmacothérapie dans le traitement des troubles anxieux et dépressifs chez l’adulte : une revue de la littérature

Fansi

Jehanno

Lapalme

et al. 2016

smq

View full text Add to dashboard Cite

Dans l’optique de l’amélioration d’une couverture de la psychothérapie au Québec, le ministère de la Santé et des Services sociaux a confié à l’Institut national d’excellence en santé et en services sociaux le mandat d’évaluer l’efficacité de la psychothérapie comparée à la pharmacothérapie dans le traitement des adultes souffrant de troubles anxieux et dépressifs. Une mise à jour d’une revue de la littérature récente et de bonne qualité a été effectuée grâce à une revue des revues systématiques traitant de la psychothérapie comparée à la pharmacothérapie dans le traitement des adultes anxieux et dépressifs avec un horizon temporel compris entre 2009 et 2013. Le niveau de l’ensemble de la preuve scientifique permet de dire que de manière générale, il n’y a pas de différence significative entre la psychothérapie et la pharmacothérapie sur le plan de la réduction des symptômes des patients souffrant de troubles anxieux ou dépressifs modérés, ce qui indique une efficacité comparable de ces deux modes de traitement. Cependant, les avantages de la psychothérapie sont maintenus plus longtemps après la fin du traitement que ceux des médicaments. La psychothérapie offre donc une meilleure protection contre la rechute. Par ailleurs, la combinaison de la psychothérapie et de la pharmacothérapie présente une efficacité supérieure à celle de la psychothérapie seule dans les cas chroniques ou graves.Introduction In Quebec, mental disorders affect one in five people in their lifetime. Anxiety and depressive disorders are the main common or moderate mental health disorders. They affect both the individuals with the disorder and the people around them and have substantial economic impact. Psychotropic drugs are the treatment option most often proposed to patients presenting with moderate mental health disorders. Psychotherapy is nevertheless a treatment that should be given consideration.Physical and financial access to psychotherapy remains limited because only one third of professionals qualified to offer it practise in the public sector, and the coverage and reimbursement policy for this service is very restricted. In order to improve such coverage, the Ministère de la Santé et des Services sociaux (MSSS) mandated the Institut national d’excellence en santé et en services sociaux (INESSS) to assess the evidence on the effectiveness of psychotherapy compared with those of pharmacotherapy for the treatment of adults with anxiety and depressive disorders.Methods An update of a review of recent and good quality literature was conducted through a review of systematic reviews dealing with psychotherapy compared to pharmacotherapy in the treatment of anxiety and depression in adults. The period covered included 2009 to 2013. The literature search strategy, modelled on that of the reference review, was applied to Medline, Cochrane Library, CINAHL, Web of Science and health technology assessment agencies. Exploration of the grey literature focused on information available on the websites of various health assessment organizations.Resu...

show abstract

Cognitive Behavioral Therapy for Depression in Older People: A Meta‐Analysis and Meta‐Regression of Randomized Controlled Trials

Cited by 149 publications

References 54 publications

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

Cost-Utility Analyses of Cognitive-Behavioural Therapy of Depression: A Systematic Review

Efficacité de la psychothérapie comparativement à la pharmacothérapie dans le traitement des troubles anxieux et dépressifs chez l’adulte : une revue de la littérature

Contact Info

Product

Resources

About