Cognitive behavioural therapy for older adults with depression: a review

Jayasekara, Rasika; Procter, Nicholas; Harrison, Julie P.; Skelton, Kerim; Hampel, Sally; Draper, Russell S.; Deuter, Kate

doi:10.3109/09638237.2014.971143

Cited by 36 publications

(29 citation statements)

References 47 publications

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“…Therefore, when treating depression among older adults, it is recommended that medication with antidepressants be accompanied by a course of psychosocial therapy as well (Blackburn, Wilkins, & Wiese, 2017;Lill, 2015). The effectiveness of methods such as problem-solving therapy, interpersonal therapy, cognitive behavioural therapy, spiritual reminiscence therapy and mindful yoga has been reported (Jayasekara et al, 2015;Jonsson et al, 2016;Lee, Tang, & Bressington, 2019;Syed Elias et al, 2019). It has also been reported that experienced nurses sometimes monitor depressive symptoms by engaging their patients in conversation to properly address depression among older adults (Waterworth, Arroll, Raphael, Parsons, & Gott, 2015).…”

mentioning

confidence: 99%

Depression‐linked beliefs in older adults with depression

Tanaka

2019

Journal of Clinical Nursing

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Aims and objectives To clarify beliefs linked with depression among older adults with depression in Japan. Background As a result of global population ageing, caring for older adults with depression has become an important issue worldwide. In this paper, the concept of “beliefs” pertains to phenomena that lead to distress about disease and can be alleviated through talk therapy. While previous studies focused on illness beliefs in people with mental illness and depression, no studies have yet focused on such beliefs among older adults with depression. Design Qualitative, narrative‐research‐based method. Methods Observation and 1–5 narrative interviews lasting 60–90 min were conducted with each of 19 older adults with depression in a Japanese psychiatric ward. The resulting narratives were thematically analysed to derive relevant themes and subthemes. Reporting of this research adheres to COREQ guidelines. Results Four themes and twelve subthemes were revealed. Depression‐linked beliefs among older adults with depression were (1) “guilt and regret,” (2) “pessimism,” (3) “futility of treatment” and (4) “desire to be needed by loved ones and society.” Conclusion Depression‐linked beliefs among older adults with depression constituted spiritual pain reflecting character tendencies, including experiences of loss and developmental challenges related to ageing as well as subjects' natural diligence and consideration for others. Relevance to clinical practice (1) Helping nurses better understand distress experienced by older adults with depression, who are prone to feel guilt and regret when reflecting on the past and to alleviate distress through dialogue and providing positive affirmation for patients. (2) To understand and assuage distress over experiences of loss in old age. (3) To help older adults with depression form a more relaxed attitude towards life, so that even if they have experienced loss as a result of old age, they can maintain their self‐esteem and existential sense of self‐worth.

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confidence: 99%

Depression‐linked beliefs in older adults with depression

Tanaka

2019

Journal of Clinical Nursing

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“…Such intervention studies could demonstrate the causal role of hedonic well‐being in promoting more advantageous disability trajectories over time. Some such interventions have been previously developed (Friedman et al., ; Ho, Yeung, & Kwok, ) and may prove to be beneficial clinical and preventative tools for preventing disability progression (Friedman et al., ; Jayasekara et al., ). Since both the medium increasing disability class and the high stable disability class show lower mean levels of hedonic well‐being compared to the normative class, interventions increasing hedonic well‐being can benefit both these vulnerable classes and ultimately lead to better health in the aging population.…”

Section: Discussionmentioning

confidence: 99%

“…Examination of these factors will help identify subgroups at greatest risk for increases in functional limitations (or disability) as well as those at reduced risk due to protective factors such as psychological well‐being , thereby broadly informing future efforts aimed at preserving the quality of life in aging adults. From our evaluation, if we find that both eudaimonic and hedonic well‐being are protective for disability progression, then cognitive behavior therapies targeting eudaimonic well‐being (Friedman et al., ) and hedonic well‐being (Friedman et al., ; Jayasekara et al., ) that have shown effectiveness in improving psychological well‐being could be implemented to forestall functional declines over time.…”

Section: Introductionmentioning

confidence: 91%

The Association of Psychological Well‐Being with Disablement Processes in a National Sample

Mishra

Friedman

Christ

et al. 2019

Applied Psych Health & Well

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Objective: Objectives were to explore subgroups of individuals with differential disability trajectories and evaluate the protective effects of psychological wellbeing (i.e. hedonic and eudaimonic) in the presence of multiple disease conditions (or multimorbidity) and sociodemographic disadvantages. Methods: Data come from the prospective longitudinal cohort study the Midlife Development in the United States (n = 3,904). Three waves of data spanning a 20-year period were used to identify subgroups with different disability trajectories. Subgroup membership was then modelled as a function of psychological well-being assessed at wave 1 of the study using multinomial logistic regression. Results: Three unique groups were identified: a normative group with initially low and slowly increasing levels of disability; a group with high levels of disability that was stable over time; and a group with moderate initial levels of disability that increased over time. Hedonic well-being at wave 1 was associated with membership in the risk groups relative to the normative group. Conclusion: Individuals may follow one of three disability pathways mostly as a function of multimorbidity. However, hedonic well-being was associated with having an advantageous disability trajectory regardless of multimorbidity status. Cultivating psychological well-being may improve disability outcomes in aging individuals.

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“…A moderator may be a variable that is not manipulated such as gender or age. For example it is possible that CBT for depression is more or less effective for different age groups (Jayasekara et al, 2015) as age may change the efficacy of CBT. Moderators may also be experimentally manipulated.…”

Section: Moderationmentioning

confidence: 99%