Physical fitness exercise versus cognitive behavior therapy on reducing the depressive symptoms among community-dwelling elderly adults: A randomized controlled trial

Huang, Tzu Ting; Liu, Chiu Bi; Tsai, Yu‐Hsia; Chin, Yen Fan; Wong, Ching Hsiang

doi:10.1016/j.ijnurstu.2015.05.013

Cited by 80 publications

(81 citation statements)

References 36 publications

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“…(Table 1/2). Besides, 1 point of change in 15-item GDS corresponds approximately to effect of 12-weekly-sessions cognitive behavioral therapy (Huang et al, 2015). Notably, disruption of access to psychiatric care was associated a substantial increase in GDS scores, over 2 points of change in GDS, and was in fact even larger in its impact than property damage (Table 3).…”

Section: Discussionmentioning

confidence: 99%

Predictors of depressive symptoms following the Great East Japan earthquake: A prospective study

Tsuboya

Aida

Hikichi

et al. 2016

Social Science & Medicine

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We sought to investigate prospectively the association between exposure to disaster (the 2011 East Japan Earthquake) and change in depressive symptoms among community-dwelling older adult survivors. We used two waves of data from the Japan Gerontological Evaluation Study (JAGES), an ongoing population-based, prospective cohort study in Japan. A unique feature of our study was the availability of information about mental health status pre-dating the disaster. Our sample comprised community-dwelling survivors aged 65 and older, who responded to surveys in 2010 (i.e. one year before the disaster) and in 2013 (n= 3,464). We categorized disaster exposure according to three types of experiences: loss of family/friends, property damage, and disruption in access to medical service. Our main outcome was change in depressive symptoms, measured by the 15-item geriatric depression scale (GDS). Among the participants, 917(26.5%) reported losing a family member to the disaster, while a further 537(15.5%) reported losing a friend. More than half of the participants reported some damage to their homes. After adjusting for demographics and baseline mental health, people whose homes were completely destroyed had significantly elevated depressive symptom scores three years later (+1.22 points, 95%CI: 0.80, 1.64, p<.0001). Disruption of psychiatric care was also associated with change in GDS scores (+2.51 points, 95%CI: 1.28, 3.74, p<.0001). By contrast, loss of family/friends was no longer associated with GDS after 3 years; +0.18 points (95%CI: -0.018, 0.37, p=0.08) for loss of family, and −0.045 points (95%CI: -0.28, 0.19, p=0.71) for loss of friends. Three years after the disaster, survivors of the 2011 earthquake and tsunami appeared to have recovered from loss of loved ones. By contrast, property loss and disruption of psychiatry care were associated with persistent adverse impact on mental health.

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Section: Discussionmentioning

confidence: 99%

Predictors of depressive symptoms following the Great East Japan earthquake: A prospective study

Tsuboya

Aida

Hikichi

et al. 2016

Social Science & Medicine

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“…A GDS‐S score ≥6 is 92% sensitive and 81% specific for clinical depression, as defined by the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM‐IIIR) . “The GDS‐S improves in response to a therapeutic intervention and changes in the GDS‐S are associated with temporally corresponding changes in the ability to perform Activities of Daily Living and Instrumental Activities of Daily Living …”

Section: Methodsmentioning

confidence: 99%

Incidence and Prognostic Significance of Depressive Symptoms in Peripheral Artery Disease

McDermott

Guralnik

Tian

et al. 2016

JAHA

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Background We compared the incidence of depression, defined by a Geriatric Depression Score ( GDS ) ≥6, between people with versus without peripheral artery disease ( PAD ). We determined whether depressive symptoms were associated with increased mortality in people with and without PAD . Methods and Results Nine hundred and fifty‐one PAD patients and 478 non‐ PAD patients were recruited from Chicago medical centers and followed prospectively. At baseline and annually, participants completed the GDS (0–15 scale, score ≥6=depression) and 6‐minute walk. Cause of death was confirmed with death certificates. The prevalence of a GDS ≥6 at baseline was 186/951 (19.6%) among PAD versus 63/478 (13.2%) among non‐ PAD participants ( P =0.003). During a mean follow‐up of 2.7±1.2 years, 122/712 (17.1%) of participants with PAD versus 51/403 (12.7%) without PAD developed a GDS ≥6 ( P =0.047). Adjusting for age, sex, race, comorbidities, and other confounders, PAD participants had an increased rate of developing a GDS ≥6 compared to non‐ PAD participants (hazard ratio=1.54 (95% CI =1.05–2.25, P =0.026). This association was not statistically significant after adjusting for 6‐minute walk ( P =0.258). Among PAD participants, a baseline GDS ≥6 was associated with increased all‐cause mortality, adjusting for confounders (hazard ratio=1.57, 95% CI =1.12–2.21, P =0.009). This association was not significant after adjusting for 6‐minute walk ( P =0.224). Conclusions People with PAD have a higher incidence of depressive symptoms than people without PAD . In PAD , depressive symptoms are associated with increased all‐cause and cardiovascular mortality. These associations are explained in part by poorer 6‐minute walk among people with PAD and among depressed people with PAD , respectively.

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“…The sample size was determined based on the main outcome measures (GDS-15) of previous depression intervention studies, and the effect size of Cohen’s d =0.83 [10]. The G*Power 3 program was used to calculate the sample size [27].…”

Section: Methodsmentioning

confidence: 99%

“…CBT is based on Beck’s (1979) cognitive theory of depression and aims to correct the faulty or maladaptive cognitive thinking and lead to changes in both behavior and affect. Other strategies such as exercise program, social interaction promotion, and relaxing techniques are often integrated into the CBT, which could help decrease depressive symptoms [10]. Studies have shown that CBT can effectively improve the symptoms of depression and is comparable in effectiveness to antidepressants and interpersonal or psychodynamic therapy [11].…”

Section: Introductionmentioning

confidence: 99%

Effects of a mutual recovery intervention on mental health in depressed elderly community-dwelling adults: a pilot study

Wang

Hua

et al. 2017

BMC Public Health

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BackgroundThe prevalence of depression in the elderly is growing worldwide, and the population aging in China makes depression a major health problem for the elderly adults and a tremendous burden to the society. Effective interventions should be determined to provide an approach solving the problem and improving the situation. This study examined the effectiveness of a mutual recovery program intervention on depressive symptom, sleep quality, and well-being in community-dwelling elderly adults with depressive symptom in Shanghai.MethodsRecruitment was performed between July 2012 and August 2012. Using a cluster randomized wait-list controlled design, we randomized 6 communities (n = 237) into either the intervention group (3 communities, n = 105) or to a wait-list control group (3 communities, n = 132). All participants met the inclusion criteria for depression, which were defined by The Geriatric Depression Scale (GDS-15). From March to May of 2013, participants in the intervention group underwent a 2-month mutual recovery program intervention. The intervention included seven 90-min, weekly sessions that were based on a standardized self-designed schedule. Depression was used as primary outcome at three measurement moments: baseline (T1), before intervention at 24 weeks (T2), and immediately after intervention at 32 weeks (T3). Well-being and sleep quality were used as the secondary outcomes, and were evaluated based on the WHO-5 Well-being Index (WHO-5) and the Self-administered Sleep Questionnaire (SSQ). Finally, a total of 225 participants who completed all the sessions and the three measurements entered the final analysis. Mixed-model repeated measures ANOVAs were performed to estimate the intervention effects.ResultsThere was no significant difference in gender, marriage, age structure, post-work type, and education background between the intervention and control group at baseline. Multivariate ANOVAs showed that there was no significant difference within the groups in terms of sleep, well-being, and depression at baseline and before the intervention. Mixed-model repeated measures ANOVAs detected a group × time interaction on depression, sleep, and well-being and showed a favorable intervention effect within groups immediately after the intervention.ConclusionsThe mutual recovery program could be a creative and effective approach to improve mental health in older community-dwelling adults with depressive symptom.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3930-z) contains supplementary material, which is available to authorized users.

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Physical fitness exercise versus cognitive behavior therapy on reducing the depressive symptoms among community-dwelling elderly adults: A randomized controlled trial

Cited by 80 publications

References 36 publications

Predictors of depressive symptoms following the Great East Japan earthquake: A prospective study

Predictors of depressive symptoms following the Great East Japan earthquake: A prospective study

Incidence and Prognostic Significance of Depressive Symptoms in Peripheral Artery Disease

Effects of a mutual recovery intervention on mental health in depressed elderly community-dwelling adults: a pilot study

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