Cognitive therapy for depression in the elderly

Koder, Deborah; Brodaty, Henry; Anstey, Kaarin J.

doi:10.1002/(sici)1099-1166(199602)11:2<97::aid-gps310>3.0.co;2-w

Cited by 83 publications

(23 citation statements)

References 58 publications

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“…Previous studies have identified gains from courses of 15 to 18 sessions, 6,19 and a review of 7 empirical studies of cognitive therapy in elderly people with depression found the average length of treatment to be 16.5 weeks. 20 This suggests we may not have offered sufficient treatment. However, the pilot study had suggested an improvement in mood with an average of 8.4 sessions per patient.…”

Section: Discussionmentioning

confidence: 99%

Cognitive Behavioral Psychotherapy for Depression Following Stroke

Lincoln

Flannaghan

2003

Stroke

195

136

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Background and Purpose-There is inconclusive evidence of the effectiveness of psychological interventions for depression after stroke. We report the results from a randomized controlled trial of cognitive behavioral therapy (CBT). Methods-Stroke patients admitted to hospital were invited to complete mood questionnaires 1, 3 and 6 months after stroke. Patients who were depressed were invited to take part in a trial and randomly allocated to receive CBT (nϭ39), an attention placebo intervention (nϭ 43), or standard care (nϭ41). Outcome assessments were undertaken at 3 and 6 months after recruitment, on the Beck Depression Inventory, Wakefield Depression Inventory, Extended Activities of Daily Living scale, London Handicap Scale, and a rating of satisfaction with care. Results-There were no significant differences between the groups in patients' mood, independence in instrumental activities of daily living, handicap, or satisfaction with care. Conclusions-CBT in the treatment of depression following stroke was found to be ineffective in this study. However, because of the small sample size, method of recruitment, and selection criteria, further randomized trials are required.

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Section: Discussionmentioning

confidence: 99%

Cognitive Behavioral Psychotherapy for Depression Following Stroke

Lincoln

Flannaghan

2003

Stroke

195

136

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“…In a systematic review of meta-analyses of psychological treatments for depression in all age groups (Cuijpers and Dekker, 2005), we identified six meta-analyses of psychological treatments for depression in late life (Scogin and McElreath, 1994;Koder et al, 1996;Engels and Vermey, 1997;Cuijpers, 1998;McCusker et al, 1998;Gerson et al, 1999). None of these meta-analyses, however, has focused on randomized controlled trials only, and all also included studies in which the respondents were not allocated randomly to conditions, while this is known to be the most crucial element of being sure that a treatment effect can actually be attributed to the treatment (Higgins and Green, 2005).…”

Section: Introductionmentioning

confidence: 99%

Psychological treatment of late‐life depression: a meta‐analysis of randomized controlled trials

Cuijpers

Straten

Smit

2006

Int J Geriat Psychiatry

211

162

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SUMMARYBackground Older meta-analyses of the effects of psychological treatments for depression in older adults have found that these treatments have large effects. However, these earlier meta-analyses also included non-randomized studies, and did not include newer high-quality randomized controlled trials. Methods We conducted a meta-analysis of randomized studies on psychological treatments for depression in older adults. Results Twenty-five studies were included, of which 17 compared a psychological intervention to a control condition (mainly waiting list and care-as-usual control groups). The quality of the included studies varied. Psychological treatments have moderate to large effects on depression in older adults (standardized mean effect size d ¼ 0.72). Heterogeneity was very low. No differences were found between individual, group or bibliotherapy format, or between cognitive behavioral therapy and other types of psychological treatment. The effects were comparable in studies where depression was defined according to diagnostic criteria, and those in which depression was measured with self-rating questionnaires.Conclusion Although the quality of many studies was not optimal, the results of this meta-analysis support the results of earlier meta-analyses, which also included non-randomized studies. Psychological treatments are effective in the treatment of depression in older adults.

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“…A more focused meta-analysis was published by Koder, Brodaty & Anstey (1996) evaluating cognitive therapy for the treatment of depression in older adults. They identified seven treatment comparison studies published from 1981 to 1994.…”

Section: Meta-analytic Review Of Psychological Treatment For Late-lifmentioning

confidence: 99%

“…Three of these seven studies favoured CT over other treatment modalities, three failed to find significant treatment differences between modalities and one study was positive for some aspects of cognitive treatment. Out of the seven studies included in the Koder, Brodaty & Anstey (1996) analyses, only four provided sufficient BDI information to permit effect size comparisons across treatment modality. Koder, Brodaty & Anstey (1996) report mean effect sizes of 0.41 in favour of cognitive therapy compared to psychodynamic psychotherapy in four studies.…”

Section: Meta-analytic Review Of Psychological Treatment For Late-lifmentioning

confidence: 99%

Psychological Therapy for Depression and Anxiety in Older Adults

Laidlaw

2007

Handbook of Evidence‐based Psychotherapies

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Cognitive therapy for depression in the elderly

Cited by 83 publications

References 58 publications

Cognitive Behavioral Psychotherapy for Depression Following Stroke

Cognitive Behavioral Psychotherapy for Depression Following Stroke

Psychological treatment of late‐life depression: a meta‐analysis of randomized controlled trials

Psychological Therapy for Depression and Anxiety in Older Adults

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