Abstract:Objectives: The future of psychotherapy research lies in the development of easy-to-use, efficient treatments that target specific characteristics and needs of patients with a given disorder. Meeting this aim will involve understanding why people seek psychotherapy and the therapeutic features that they feel are most helpful in their recovery. Identifying key features of treatment that patients feel lead to improvement may help identify the active ingredients of psychotherapy and further refine treatment. Desi… Show more
“…Focusing on those interactional skills related to better outcome may be helpful in both training and research (van Os et al ., 2019). Furthermore, including patients in the evaluation of treatments may help to enhance efficacy and to identify what is helpful, less helpful, or even harmful (Dakin and Arean, 2013). In this way, treatment manuals may be improved on the basis of systematic patient feedback.…”
Section: Improving Available Treatments: Tailoring the Treatment Morementioning
Mental disorders are common and represent a significant and worldwide public health concern (Smith, 2011; Vigo et al., 2016; Patel et al., 2018). The global burden of disease due to mental illness accounts for 21-32% of years lived with disability and 7-13% of disability-adjusted life-years (Vigo et al., 2016). The Lancet commission on global mental health and sustainable development just recently estimated a loss of US$16 trillion to the global economy due to mental disorders in the period 2010-2030 (Patel et al., 2018). Psychotherapy and pharmacotherapy are the two key available treatments presently offered to millions of subjects with mental disorders around the world. However, recent evidence suggests that their effects are overestimated due to several factors, such as publication bias,
“…Focusing on those interactional skills related to better outcome may be helpful in both training and research (van Os et al ., 2019). Furthermore, including patients in the evaluation of treatments may help to enhance efficacy and to identify what is helpful, less helpful, or even harmful (Dakin and Arean, 2013). In this way, treatment manuals may be improved on the basis of systematic patient feedback.…”
Section: Improving Available Treatments: Tailoring the Treatment Morementioning
Mental disorders are common and represent a significant and worldwide public health concern (Smith, 2011; Vigo et al., 2016; Patel et al., 2018). The global burden of disease due to mental illness accounts for 21-32% of years lived with disability and 7-13% of disability-adjusted life-years (Vigo et al., 2016). The Lancet commission on global mental health and sustainable development just recently estimated a loss of US$16 trillion to the global economy due to mental disorders in the period 2010-2030 (Patel et al., 2018). Psychotherapy and pharmacotherapy are the two key available treatments presently offered to millions of subjects with mental disorders around the world. However, recent evidence suggests that their effects are overestimated due to several factors, such as publication bias,
“…La psychothérapie du sujet âgé peut néanmoins nécessiter quelques adaptations dans le sens d'une plus grande flexibilité du cadre thérapeutique [27]. Les thérapies de groupe s'avèrent particulièrement adaptées, car elles permettent au sujet âgé déprimé, centré sur ses difficultés, de prendre un certain recul vis-à-vis de luimême, de se décentrer, tout en favorisant une reprise de contact avec ses pairs.…”
“…Older adults’ positive therapy engagement experiences have been found to be associated with the perceived benefits provided by psychological therapies that have specific working mechanisms (Camacho et al., 2018; Choi et al., 2013; Dakin & Areán, 2013; Nance, 2012; Simmonds et al., 2013; Williams et al., 2018). Older adults thought that self‐help groups were beneficial because the groups provided opportunities to interact with other older adults with depression (Stark et al., 2018).…”
Section: Resultsmentioning
confidence: 99%
“…In studies that used PST and counselling, older adults reported the benefits of developing specific coping strategies to address mental health problems (Barg et al., 2010; Camacho et al., 2018; Choi et al., 2013; Dakin & Areán, 2013). These strategies enabled older adults to manage their depressive symptoms in daily life, as described in the following quotes:It [problem‐solving therapy] helped me get a greater understanding of my depression and how to work on it.…”
Accessible summary
What is known on the subject?
The utilization rate of psychological therapies is low in older adults with depression.
The barriers and facilitators to engaging in psychological therapies experienced by older adults with depression are unclear.
What does the paper add to existing knowledge?
Personal suitability for therapy engagement, practical abilities, personal therapy preferences, and familiarity with psychological therapies are associated with psychological therapy engagement.
Psychological therapists can also impact psychological therapy engagement among older adults with depression.
What are the implications for practice?
Proving the effectiveness and suitability of chosen psychological therapies is important for improving therapy engagement.
Strategies for handling functional impairments among older adults with depression are necessary for engaging this population in psychological therapies.
Although in‐home psychological therapies are accessible, barriers to handling the technologies used for delivering the therapies should be addressed.
More methods of accessing information about psychological therapies should be available to older adults in order for them to increase their knowledge on the topic.
Psychological therapists should have positive attitudes and the competence to treat depression in older adults.
Abstract
Introduction
Although psychological therapies are preferred by older adults, the utilization rate of these therapies is significantly low in older adults with depression. Understanding the barriers and facilitators to engaging in psychological therapies experienced by older adults is important for improving utilization rates.
Aim
This review aimed to explore the barriers and facilitators to engaging in psychological therapies experienced by older adults with depression.
Methods
A systematic review of qualitative studies on psychological therapy engagement among older adults with depression. Relevant published studies and grey literature were searched. The Critical Appraisal Skills Programme tool was used to assess the quality of the included studies. The results of the included studies were synthesized using thematic synthesis.
Results
Personal suitability for therapy engagement, practical abilities, personal therapy preferences and familiarity with psychological therapies was associated with therapy engagement. Therapists’ competencies also affected therapy engagement.
Discussion
Older adult's personal health status and requirements for psychological therapy should be considered.
Implications for practice
Mental health practitioners should consider whether specific psychological therapies are beneficial and acceptable for older adults. Improvements are needed in older adult's familiarity with psychological therapies and the ability of therapists to address the mental problems of older adults.
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