Treating the aged in rural communities: the application of cognitive‐behavioral therapy for depression

Crowther, Martha R.; Scogin, Forrest; Norton, Misti Johnson

doi:10.1002/jclp.20678

Cited by 17 publications

(11 citation statements)

References 19 publications

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“…Furthermore, suicide rates are higher in rural counties, and rural-dwelling older adults' suicide rates increase as the rurality of their residence increases (Fiske et al, 2006). It has been suggested that the increased risk for this group is due to a number of factors including the isolating effects of neighborhood stability, lack of community resources and health services, and decreased social support due to younger cohorts migrating to urban areas (Crowther et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Treatment of depressive symptoms in diverse, rural, and vulnerable older adults

Scogin

Moss

Harris

et al. 2013

Int J Geriat Psychiatry

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BACKGROUND/OBJECTIVES We examined the effects of home-delivered CBT on depressive symptoms among rural, diverse and vulnerable older adults. Furthermore, we differentiated depression into its two salient aspects: psychological and somatic. METHOD Data came from a randomized controlled experiment of cognitive-behavior therapy (CBT) on 134 individuals residing in rural Alabama. RESULTS CBT resulted in significantly lower depressive symptom severity scores. When depressive symptoms were categorized as psychological or somatic, CBT was found to significantly improve the former but not the latter. Notably, there was a trend toward somatic symptom improvement. CONCLUSION CBT can be an effective treatment for depression in a hard-to-reach group of older adults. Home-delivery affords advantages but is also an expensive delivery modality. Diverse older adults responded to the CBT intervention.

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Section: Introductionmentioning

confidence: 99%

Treatment of depressive symptoms in diverse, rural, and vulnerable older adults

Scogin

Moss

Harris

et al. 2013

Int J Geriat Psychiatry

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“…This was attributed to the characteristics of rural areas. The functional ability of stroke survivors in rural areas was more important than that in urban areas because a rural area has poor environmental conditions (e.g., lack of public transport and facilities) for locomotion [29,30]. Zhang and Yan [31] reported that physical and service barriers were dominant barriers to the activity and participation and stroke survivors in the rural areas of China.…”

Section: ⅳ Discussionmentioning

confidence: 99%

Participation and Activities of Daily Living, Cognition, And Motor Function According to Residential Area in Stroke Survivors

young

Kim

2021

KSPM

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PURPOSE: Social participation is essential for stroke survivors. Although participation restrictions are affected by several factors, a few studies have focused on the effects of living in a particular residential area (urban versus rural) on the participation restrictions after a stroke. This study examined the factors affecting participation restrictions in stroke survivors according to the residential area. METHODS: One hundred sixty-six stroke patients (including 130 living in urban areas and 36 living in rural areas) were recruited for this study. The Korean Modified Barthel Index (K-MBI) was used to assess the activities of daily living (ADL). The Korean Mini-Mental Examination Status (MMSE-K) was used to assess cognition. The motor function was evaluated using the Fugl-Meyer function assessment (FMA). Path analysis was used to test the hypothesized model of participation restriction.

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“…In the context of renqing , the elders are not likely to refuse the intervention. This unique interpersonal relationship in Chinese culture facilitates elders’ access to mental health services, which is normally one of the key barriers experienced by rural older adults [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Advantages and Challenges of A Village Doctor-Based Cognitive Behavioral Therapy for Late-Life Depression in Rural China: A Qualitative Study

et al. 2015

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BackgroundThe delivery of mental health services in rural China has been notably limited due to lack of qualified mental health professionals among other impeding factors. A village doctor-based cognitive behavioral therapy intervention may be one way of improving accessibility. The purpose of this study was to explore the advantages and challenges of implementing this intervention, as delivered by trained village doctors, to treat late-life depression in rural China.MethodsWe conducted one focus group discussion with 10 village doctors, 10 individual interviews with each of the village doctors, and individual interviews with 19 older adults. The topic guides were advantages and challenges of the intervention program from the perspective of the village doctors and older adults. Interviews were audio-recorded, transcribed, coded using NVivo 8, and analyzed using thematic analysis.ResultsThe village doctors stressed the importance of role-playing and using instructive manuals in the training. Proper supervision was also a key component of the program. The benefits received from the intervention for the village doctors and the elders were positive such that both the doctors and the older adults were willing to implement/receive this intervention. Cultural and political factors (renqing and perceived policy consideration) facilitated the elders’ access to mental health services. Challenges included a lack of real therapy (in contrast to role-playing) demonstrated in the training and lack of a step-by-step manual based on different types of problems encountered. Other impediments to the successful implementation of the intervention included the time constraints of village doctors and the presence of other people when conducting the intervention.ConclusionsThe present study has demonstrated that the intervention program is likely to be an acceptable geriatric depression intervention in rural China if several challenges are appropriately addressed.

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Treating the aged in rural communities: the application of cognitive‐behavioral therapy for depression

Cited by 17 publications

References 19 publications

Treatment of depressive symptoms in diverse, rural, and vulnerable older adults

Treatment of depressive symptoms in diverse, rural, and vulnerable older adults

Participation and Activities of Daily Living, Cognition, And Motor Function According to Residential Area in Stroke Survivors

Advantages and Challenges of A Village Doctor-Based Cognitive Behavioral Therapy for Late-Life Depression in Rural China: A Qualitative Study

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