Understanding the Effectiveness of Psychosocial Services for Anxiety and Depression in Chinese Older Adults: A Systematic Review and Meta-Analysis of Controlled Trials
Abstract Background and Objectives There exists an imperative need to comprehensively evaluate the effectiveness of psychosocial interventions for Chinese geriatric populations’ mental wellbeing. This study conducted a systematic review and meta-analysis of psychosocial services for Chinese older ad...
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| Veröffentlicht in: | The Gerontologist 2020-01, Vol.60 (1), p.e76-e92 |
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| creator | Zhang, Anao Kong, Dexia Jiang, Lin Sun, Fei Dunkle, Ruth E Liu, Chun |
| description | Abstract
Background and Objectives
There exists an imperative need to comprehensively evaluate the effectiveness of psychosocial interventions for Chinese geriatric populations’ mental wellbeing. This study conducted a systematic review and meta-analysis of psychosocial services for Chinese older adults’ depression and anxiety.
Research Design and Methods
A search of nine electronic databases, five geriatric mental health journals, and reference lists was conducted for studies published between 1980 and April. 2018. Thirty-three studies (including totally 3,478 participants, 107 effect sizes) of true and quasiexperimental controlled trials were eligible and included for meta-analysis using robust variance estimation in meta-regression. Outcome indicators were geriatric depression and anxiety.
Results
An overall significant treatment effect was identified for geriatric depression and anxiety (d = 0.577, 95% confidence interval [CI]: 0.288, 0.867, p < .001). Outcomes, geographic area, participants’ marriage, service setting, and types of control group were moderators for treatment effects. Subgroup analysis observed statistically significant effect size among studies in Taiwan, used innovative service methods and small group interventions. Both in-person, home-based interventions and interventions provided by nurse practitioners and specially trained providers were statistically significant.
Discussion and Implications
Psychosocial services can benefit Chinese geriatric populations. Innovative and culturally relevant programs received strongest research supports. Future research should incorporate social interaction as an important component for serving Chinese older adults’ mental wellbeing. |
| doi_str_mv | 10.1093/geront/gny185 |
| format | Article |
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Background and Objectives
There exists an imperative need to comprehensively evaluate the effectiveness of psychosocial interventions for Chinese geriatric populations’ mental wellbeing. This study conducted a systematic review and meta-analysis of psychosocial services for Chinese older adults’ depression and anxiety.
Research Design and Methods
A search of nine electronic databases, five geriatric mental health journals, and reference lists was conducted for studies published between 1980 and April. 2018. Thirty-three studies (including totally 3,478 participants, 107 effect sizes) of true and quasiexperimental controlled trials were eligible and included for meta-analysis using robust variance estimation in meta-regression. Outcome indicators were geriatric depression and anxiety.
Results
An overall significant treatment effect was identified for geriatric depression and anxiety (d = 0.577, 95% confidence interval [CI]: 0.288, 0.867, p < .001). Outcomes, geographic area, participants’ marriage, service setting, and types of control group were moderators for treatment effects. Subgroup analysis observed statistically significant effect size among studies in Taiwan, used innovative service methods and small group interventions. Both in-person, home-based interventions and interventions provided by nurse practitioners and specially trained providers were statistically significant.
Discussion and Implications
Psychosocial services can benefit Chinese geriatric populations. Innovative and culturally relevant programs received strongest research supports. Future research should incorporate social interaction as an important component for serving Chinese older adults’ mental wellbeing.</description><identifier>ISSN: 0016-9013</identifier><identifier>EISSN: 1758-5341</identifier><identifier>DOI: 10.1093/geront/gny185</identifier><identifier>PMID: 30753474</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Anxiety ; Geriatric psychology ; Intervention ; Mental depression ; Mental health care ; Mental health services ; Meta-analysis ; Older people ; Psychiatric-mental health nursing ; Quality of care ; Quasi-experimental methods ; Social interaction ; Systematic review ; Well being</subject><ispartof>The Gerontologist, 2020-01, Vol.60 (1), p.e76-e92</ispartof><rights>The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2019</rights><rights>The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>Copyright Oxford University Press Feb 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-3180eb9f86f74978884ad42d794a7a5151d6f165d2270df61298aa11475d1c423</citedby><cites>FETCH-LOGICAL-c354t-3180eb9f86f74978884ad42d794a7a5151d6f165d2270df61298aa11475d1c423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902,33751</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30753474$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Anao</creatorcontrib><creatorcontrib>Kong, Dexia</creatorcontrib><creatorcontrib>Jiang, Lin</creatorcontrib><creatorcontrib>Sun, Fei</creatorcontrib><creatorcontrib>Dunkle, Ruth E</creatorcontrib><creatorcontrib>Liu, Chun</creatorcontrib><title>Understanding the Effectiveness of Psychosocial Services for Anxiety and Depression in Chinese Older Adults: A Systematic Review and Meta-Analysis of Controlled Trials</title><title>The Gerontologist</title><addtitle>Gerontologist</addtitle><description>Abstract
Background and Objectives
There exists an imperative need to comprehensively evaluate the effectiveness of psychosocial interventions for Chinese geriatric populations’ mental wellbeing. This study conducted a systematic review and meta-analysis of psychosocial services for Chinese older adults’ depression and anxiety.
Research Design and Methods
A search of nine electronic databases, five geriatric mental health journals, and reference lists was conducted for studies published between 1980 and April. 2018. Thirty-three studies (including totally 3,478 participants, 107 effect sizes) of true and quasiexperimental controlled trials were eligible and included for meta-analysis using robust variance estimation in meta-regression. Outcome indicators were geriatric depression and anxiety.
Results
An overall significant treatment effect was identified for geriatric depression and anxiety (d = 0.577, 95% confidence interval [CI]: 0.288, 0.867, p < .001). Outcomes, geographic area, participants’ marriage, service setting, and types of control group were moderators for treatment effects. Subgroup analysis observed statistically significant effect size among studies in Taiwan, used innovative service methods and small group interventions. Both in-person, home-based interventions and interventions provided by nurse practitioners and specially trained providers were statistically significant.
Discussion and Implications
Psychosocial services can benefit Chinese geriatric populations. Innovative and culturally relevant programs received strongest research supports. Future research should incorporate social interaction as an important component for serving Chinese older adults’ mental wellbeing.</description><subject>Anxiety</subject><subject>Geriatric psychology</subject><subject>Intervention</subject><subject>Mental depression</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Meta-analysis</subject><subject>Older people</subject><subject>Psychiatric-mental health nursing</subject><subject>Quality of care</subject><subject>Quasi-experimental methods</subject><subject>Social interaction</subject><subject>Systematic review</subject><subject>Well being</subject><issn>0016-9013</issn><issn>1758-5341</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>BHHNA</sourceid><recordid>eNqFkc1u1DAUhS1ERaeFJVtkiQ2bUP8lTthFQwtIrYpou45c-3rGVcYebGcgT8Rr4nZakNiwurL0nXN870HoNSXvKen4yQpi8Plk5Wfa1s_Qgsq6rWou6HO0IIQ2VUcoP0RHKd2R8mZMvkCHnMiCSLFAv268gZiy8sb5Fc5rwKfWgs5uBx5SwsHir2nW65CCdmrEVxB3TkPCNkTc-58O8oyLGn-EbSwCFzx2Hi_XrsgBX47FHvdmGnP6gHt8NacMG5Wdxt9g5-DHg_YCsqp6r8Y5uYfIZdkphnEEg69jiU0v0YEtA149zmN0c3Z6vfxcnV9--rLszyvNa5ErTlsCt51tGytFJ9u2FcoIZmQnlFQ1ralpLG1qU-5AjG0o61qlKBWyNlQLxo_Ru73vNobvE6Q8bFzSMI7KQ5jSwBjrSCebhhf07T_oXZhiWaJQXJRozmpaqGpP6RhSimCHbXQbFeeBkuG-wWHf4LBvsPBvHl2n2w2YP_RTZX9_GKbtf7x-A_hzqFY</recordid><startdate>20200124</startdate><enddate>20200124</enddate><creator>Zhang, Anao</creator><creator>Kong, Dexia</creator><creator>Jiang, Lin</creator><creator>Sun, Fei</creator><creator>Dunkle, Ruth E</creator><creator>Liu, Chun</creator><general>Oxford University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>ASE</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20200124</creationdate><title>Understanding the Effectiveness of Psychosocial Services for Anxiety and Depression in Chinese Older Adults: A Systematic Review and Meta-Analysis of Controlled Trials</title><author>Zhang, Anao ; Kong, Dexia ; Jiang, Lin ; Sun, Fei ; Dunkle, Ruth E ; Liu, Chun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-3180eb9f86f74978884ad42d794a7a5151d6f165d2270df61298aa11475d1c423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anxiety</topic><topic>Geriatric psychology</topic><topic>Intervention</topic><topic>Mental depression</topic><topic>Mental health care</topic><topic>Mental health services</topic><topic>Meta-analysis</topic><topic>Older people</topic><topic>Psychiatric-mental health nursing</topic><topic>Quality of care</topic><topic>Quasi-experimental methods</topic><topic>Social interaction</topic><topic>Systematic review</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Anao</creatorcontrib><creatorcontrib>Kong, Dexia</creatorcontrib><creatorcontrib>Jiang, Lin</creatorcontrib><creatorcontrib>Sun, Fei</creatorcontrib><creatorcontrib>Dunkle, Ruth E</creatorcontrib><creatorcontrib>Liu, Chun</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>The Gerontologist</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Anao</au><au>Kong, Dexia</au><au>Jiang, Lin</au><au>Sun, Fei</au><au>Dunkle, Ruth E</au><au>Liu, Chun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Understanding the Effectiveness of Psychosocial Services for Anxiety and Depression in Chinese Older Adults: A Systematic Review and Meta-Analysis of Controlled Trials</atitle><jtitle>The Gerontologist</jtitle><addtitle>Gerontologist</addtitle><date>2020-01-24</date><risdate>2020</risdate><volume>60</volume><issue>1</issue><spage>e76</spage><epage>e92</epage><pages>e76-e92</pages><issn>0016-9013</issn><eissn>1758-5341</eissn><abstract>Abstract
Background and Objectives
There exists an imperative need to comprehensively evaluate the effectiveness of psychosocial interventions for Chinese geriatric populations’ mental wellbeing. This study conducted a systematic review and meta-analysis of psychosocial services for Chinese older adults’ depression and anxiety.
Research Design and Methods
A search of nine electronic databases, five geriatric mental health journals, and reference lists was conducted for studies published between 1980 and April. 2018. Thirty-three studies (including totally 3,478 participants, 107 effect sizes) of true and quasiexperimental controlled trials were eligible and included for meta-analysis using robust variance estimation in meta-regression. Outcome indicators were geriatric depression and anxiety.
Results
An overall significant treatment effect was identified for geriatric depression and anxiety (d = 0.577, 95% confidence interval [CI]: 0.288, 0.867, p < .001). Outcomes, geographic area, participants’ marriage, service setting, and types of control group were moderators for treatment effects. Subgroup analysis observed statistically significant effect size among studies in Taiwan, used innovative service methods and small group interventions. Both in-person, home-based interventions and interventions provided by nurse practitioners and specially trained providers were statistically significant.
Discussion and Implications
Psychosocial services can benefit Chinese geriatric populations. Innovative and culturally relevant programs received strongest research supports. Future research should incorporate social interaction as an important component for serving Chinese older adults’ mental wellbeing.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>30753474</pmid><doi>10.1093/geront/gny185</doi></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection; Sociological Abstracts |
| subjects | Anxiety Geriatric psychology Intervention Mental depression Mental health care Mental health services Meta-analysis Older people Psychiatric-mental health nursing Quality of care Quasi-experimental methods Social interaction Systematic review Well being |
| title | Understanding the Effectiveness of Psychosocial Services for Anxiety and Depression in Chinese Older Adults: A Systematic Review and Meta-Analysis of Controlled Trials |
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