Effects of Home-Delivered Cognitive Behavioral Therapy (CBT) for Depression on Anxiety Symptoms among Rural, Ethnically Diverse Older Adults

DiNapoli, Elizabeth A.; Pierpaoli, Christina M; Shah, Avani; Yang, Xin; Scogin, Forrest

doi:10.1080/07317115.2017.1288670

Cited by 15 publications

(22 citation statements)

References 52 publications

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“…A survey of anxious and depressed patients used the Checklist-90-R to evaluate cognitive-behavioral therapy's effect on these disorders. The results suggested a beneficial effect of the therapy, corroborating the scale's usefulness in assessing depressive and anxious symptoms [30] .…”

Section: Discussionsupporting

confidence: 57%

Stress and serum cortisol levels in major depressive disorder: a cross-sectional study

Bertollo¹,

Grolli²,

Plissari³

et al. 2020

AIMS Neuroscience

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Major depressive disorder (MDD) is one of the disorders that most causes disability and affects about 265 million people worldwide, according to the World Health Organization (WHO). Chronic stress is one of the most prevalent factors that trigger MDD. Among the most relevant biological mechanisms that mediate stress and MDD are changes in the hypothalamic-pituitary-adrenal (HPA) axis function. Hypercortisolism is one of the relevant mechanisms involved in response to stress and is present in many people with MDD and in animals subjected to stress in the laboratory. This study aimed to investigate the levels of stress and cortisol in individuals diagnosed with MDD from the Basic Health Unit (BHU) in a small city in the western region of Santa Catarina, Brazil. Depression scores were assessed using Beck's inventory. For the investigation of stress, an adaptation with twenty-four questions of the Checklist-90-R manual was performed. The analysis of the cortisol levels in the individuals' serum was by the chemiluminescence method. Depression and stress scores were significantly higher in individuals with MDD than in control subjects (p < 0.001). Cortisol levels were also significantly higher in individuals with MDD (p < 0.05). Besides, depression scores were positively correlated with stress scores in individuals with MDD (Pearson's “r” = 0.70). Conclusion: Individuals with MDD had higher stress levels and cortisol than control subjects. The positive correlation between the levels of stress and depression in MDD individuals suggests that these conditions are related to a dysregulation of the HPA axis function.

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Section: Discussionsupporting

confidence: 57%

Stress and serum cortisol levels in major depressive disorder: a cross-sectional study

Bertollo¹,

Grolli²,

Plissari³

et al. 2020

AIMS Neuroscience

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“…For one, our sample was medically frail (i.e. self-reported fair health with multiple health conditions)—so associated complications and resultant cancellations may partially explain this study’s attrition rate, as it has in our previous research with a similar population (DiNapoli, Pierpaoli, Shah, Yang, & Scogin, 2017). Anecdotally, some participants also found the expense and time of weekly travel to the clinic burdensome, pointing to the role of convenience in maximizing attrition, particularly with older populations.…”

Section: Discussionmentioning

confidence: 96%

Effects of integrated telehealth-delivered cognitive-behavioral therapy for depression and insomnia in rural older adults.

Scogin

Lichstein

DiNapoli

et al. 2018

Journal of Psychotherapy Integration

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Background We examined the effects of integrated cognitive-behavioral therapy for depression and insomnia (CBT-D + CBT-I) delivered via videoconferening in rural, middle aged and older adults with depressive and insomnia symptoms. Method Forty patients with depressive and insomnia symptoms were randomized to receive either 10 sessions of CBT-D + CBT-I or usual care (UC). Patients in the integrated CBT condition were engaged in telehealth treatment through Skype at their primary care clinic. Assessments were conducted at baseline, post-treatment, and 3-month follow-up. Results CBT-D +CBT-I participants had significantly greater improvements in sleep at post-treatment and 3-month follow-up as compared to the UC participants. The time by group interaction for depression was not significant; both the CBT-D + CBT-I and UC conditions had a decrease in depressive symptoms over time. Conclusion While integrated CBT benefits both depression and insomnia symptoms, its effects on depression are more equivocal. Further research should consider expanding the depression treatment component of integrated CBT to enhance effectiveness.

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“…There is a large body of evidence that supports the efficacy of mental health interventions formulated with constructs from positive psychology (PP) and cognitive‐behavioral intervention (CBI) principles for vulnerable adult populations (DiNapoli, Pierpaoli, Shah, Yang, & Scogin, 2017; Weiss et al, 2016). The ILP was formulated based on PP and CBI models, whose principles and constructs have been extensively integrated and applied in several PPIs (Bolier et al, 2013; Friedman et al, 2017; Hendriks et al, 2019; Sin & Lyubomirsky, 2009).…”

Section: Discussionmentioning

confidence: 99%

Effects of a Community‐Based Multicomponent Positive Psychology Intervention on Mental Health of Rural Adults in Ghana

Appiah

Fadiji

Schutte

et al. 2020

Applied Psych Health & Well

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This study investigates the effectiveness of a 10-week multicomponent PPI, the Inspired Life Program (ILP), in promoting the mental health and reducing self-reported symptoms of depression and negative affect in a non-clinical, rural Ghanaian adult sample. Although previous research has examined group-based well-being interventions in developing countries (e.g. Bonthuys, Botha, Nienaber, Freeka, & Kruger, 2011; Rugira et al., 2015; Teodorczuk et al., 2019; Van Zyl & Rothmann, 2012), as far as can be established, there is a lack of research examining the effectiveness of a PPI group-based intervention model in Ghana. The ILP differs from the existing PPI programs in that it offers a multicomponent PPI (mPPI) at a group level for a rural poor, non-English speaking sample. Given that a group-based model is more cost-effective (since the costs of mental health professionals are distributed across several people, rather than a single individual), a successful intervention could have important policy implications, in that it would offer a cheaper alternative to delivering mental health improvements. Nonetheless, there is ample evidence to support both individualized (e.g.

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Effects of Home-Delivered Cognitive Behavioral Therapy (CBT) for Depression on Anxiety Symptoms among Rural, Ethnically Diverse Older Adults

Cited by 15 publications

References 52 publications

Stress and serum cortisol levels in major depressive disorder: a cross-sectional study

Stress and serum cortisol levels in major depressive disorder: a cross-sectional study

Effects of integrated telehealth-delivered cognitive-behavioral therapy for depression and insomnia in rural older adults.

Effects of a Community‐Based Multicomponent Positive Psychology Intervention on Mental Health of Rural Adults in Ghana

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