Problem-solving therapy for major depressive disorders in older adults: an updated systematic review and meta-analysis of randomized controlled trials
Background Major depressive disorder is a global public health problem among older adults. Many studies show that problem-solving therapy (PST) is a cognitive behavioral approach that can effectively treat late-life depression. Aim To summarize and assess the effects of PST on major depressive disor...
Gespeichert in:
| Veröffentlicht in: | Aging clinical and experimental research 2021-06, Vol.33 (6), p.1465-1475 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1475 |
|---|---|
| container_issue | 6 |
| container_start_page | 1465 |
| container_title | Aging clinical and experimental research |
| container_volume | 33 |
| creator | Shang, Pingping Cao, Xuelian You, Simiao Feng, Xuezhu Li, Na Jia, Yong |
| description | Background
Major depressive disorder is a global public health problem among older adults. Many studies show that problem-solving therapy (PST) is a cognitive behavioral approach that can effectively treat late-life depression.
Aim
To summarize and assess the effects of PST on major depressive disorders in older adults.
Methods
We searched the PubMed, Web of Science, Cochrane Library, EMBASE, MEDLINE, UpToDate, and PsycINFO databases and three Chinese databases (CNKI, CBM, and Wan Fang Data) to identify articles written in English or Chinese that were published until Feb 1, 2020. Randomized controlled trials were included if they evaluated the impact of PST on major depression disorder (MDD) in older adults. Two authors of this review independently selected the studies, assessed the risk of bias, and extracted the data from all the included studies. We calculated the standard mean differences (SMDs) with 95% confidence intervals (CIs) for continuous data. We assessed heterogeneity using the
I
2
statistic.
Results
Ten studies with a total of 892 participants met the inclusion criteria. Subgroup analyses and quality ratings were performed. After problem-solving therapy, the depression scores in the intervention group were significantly lower than those in the control group (SMD = − 1.06, 95% CI − 1.52 to − 0.61,
p
|
| doi_str_mv | 10.1007/s40520-020-01672-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2431826860</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2431826860</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-3996105277bee67b95edb4a8230528541353833432dbd1636a3e621daea203583</originalsourceid><addsrcrecordid>eNp9UU1r3DAQNaWFpmn_QE-CXHJxqw9b9uZWlvQDFppDcjayNZtokS1nRt6w_SH9vZllCy059DCaN6P3Bh6vKD4q-UlJ2XymStZalvJYyja6NK-KM9Xw2Bq1ev0Pflu8I9pJWSkezorfN5j6CGNJKe7DdC_yA6CbD2KbUIxux6-HGYEo7EH4QAk9IIkwiRQZCeeXmOlKuEkss3cZvKADZRhdDoNA2Ad44k8vRsiudJOLBwok0lYgb9MYfrFiSFPGFCPDjMFFel-82XKDD3_6eXH39fp2_b3c_Pz2Y_1lUw6m1rk0q5VV7LxpegDb9KsafF-5VhtetjV7rE1rTGW0772yxjoDVivvwGlp6tacF5enuzOmxwUod2OgAWJ0E6SFOl0Z1WrbWsnUixfUXVqQ_TCrrmRlm6ayzNIn1oCJCGHbzRhGh4dOye4YVXeKqpPHOkbVGRaZk4iYPN0D_j39H9UzRraYhg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2540467746</pqid></control><display><type>article</type><title>Problem-solving therapy for major depressive disorders in older adults: an updated systematic review and meta-analysis of randomized controlled trials</title><source>Springer Nature - Complete Springer Journals</source><creator>Shang, Pingping ; Cao, Xuelian ; You, Simiao ; Feng, Xuezhu ; Li, Na ; Jia, Yong</creator><creatorcontrib>Shang, Pingping ; Cao, Xuelian ; You, Simiao ; Feng, Xuezhu ; Li, Na ; Jia, Yong</creatorcontrib><description>Background
Major depressive disorder is a global public health problem among older adults. Many studies show that problem-solving therapy (PST) is a cognitive behavioral approach that can effectively treat late-life depression.
Aim
To summarize and assess the effects of PST on major depressive disorders in older adults.
Methods
We searched the PubMed, Web of Science, Cochrane Library, EMBASE, MEDLINE, UpToDate, and PsycINFO databases and three Chinese databases (CNKI, CBM, and Wan Fang Data) to identify articles written in English or Chinese that were published until Feb 1, 2020. Randomized controlled trials were included if they evaluated the impact of PST on major depression disorder (MDD) in older adults. Two authors of this review independently selected the studies, assessed the risk of bias, and extracted the data from all the included studies. We calculated the standard mean differences (SMDs) with 95% confidence intervals (CIs) for continuous data. We assessed heterogeneity using the
I
2
statistic.
Results
Ten studies with a total of 892 participants met the inclusion criteria. Subgroup analyses and quality ratings were performed. After problem-solving therapy, the depression scores in the intervention group were significantly lower than those in the control group (SMD = − 1.06, 95% CI − 1.52 to − 0.61,
p
< 0.05;
I
2
= 88.4%).
Discussion
Compared with waitlist (WL), PST has a significant effect on elderly patients with depression, but we cannot rank the therapeutic effects of all the treatment methods used for MDD.
Conclusions
Our meta-analysis and systematic review suggest that problem-solving therapy may be an effective approach to improve major depressive disorders in older adults.</description><identifier>ISSN: 1720-8319</identifier><identifier>ISSN: 1594-0667</identifier><identifier>EISSN: 1720-8319</identifier><identifier>DOI: 10.1007/s40520-020-01672-3</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Clinical trials ; Geriatrics/Gerontology ; Medicine ; Medicine & Public Health ; Mental depression ; Meta-analysis ; Older people ; Problem solving ; Review ; Systematic review</subject><ispartof>Aging clinical and experimental research, 2021-06, Vol.33 (6), p.1465-1475</ispartof><rights>Springer Nature Switzerland AG 2020</rights><rights>Springer Nature Switzerland AG 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-3996105277bee67b95edb4a8230528541353833432dbd1636a3e621daea203583</citedby><cites>FETCH-LOGICAL-c352t-3996105277bee67b95edb4a8230528541353833432dbd1636a3e621daea203583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40520-020-01672-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40520-020-01672-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids></links><search><creatorcontrib>Shang, Pingping</creatorcontrib><creatorcontrib>Cao, Xuelian</creatorcontrib><creatorcontrib>You, Simiao</creatorcontrib><creatorcontrib>Feng, Xuezhu</creatorcontrib><creatorcontrib>Li, Na</creatorcontrib><creatorcontrib>Jia, Yong</creatorcontrib><title>Problem-solving therapy for major depressive disorders in older adults: an updated systematic review and meta-analysis of randomized controlled trials</title><title>Aging clinical and experimental research</title><addtitle>Aging Clin Exp Res</addtitle><description>Background
Major depressive disorder is a global public health problem among older adults. Many studies show that problem-solving therapy (PST) is a cognitive behavioral approach that can effectively treat late-life depression.
Aim
To summarize and assess the effects of PST on major depressive disorders in older adults.
Methods
We searched the PubMed, Web of Science, Cochrane Library, EMBASE, MEDLINE, UpToDate, and PsycINFO databases and three Chinese databases (CNKI, CBM, and Wan Fang Data) to identify articles written in English or Chinese that were published until Feb 1, 2020. Randomized controlled trials were included if they evaluated the impact of PST on major depression disorder (MDD) in older adults. Two authors of this review independently selected the studies, assessed the risk of bias, and extracted the data from all the included studies. We calculated the standard mean differences (SMDs) with 95% confidence intervals (CIs) for continuous data. We assessed heterogeneity using the
I
2
statistic.
Results
Ten studies with a total of 892 participants met the inclusion criteria. Subgroup analyses and quality ratings were performed. After problem-solving therapy, the depression scores in the intervention group were significantly lower than those in the control group (SMD = − 1.06, 95% CI − 1.52 to − 0.61,
p
< 0.05;
I
2
= 88.4%).
Discussion
Compared with waitlist (WL), PST has a significant effect on elderly patients with depression, but we cannot rank the therapeutic effects of all the treatment methods used for MDD.
Conclusions
Our meta-analysis and systematic review suggest that problem-solving therapy may be an effective approach to improve major depressive disorders in older adults.</description><subject>Clinical trials</subject><subject>Geriatrics/Gerontology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Meta-analysis</subject><subject>Older people</subject><subject>Problem solving</subject><subject>Review</subject><subject>Systematic review</subject><issn>1720-8319</issn><issn>1594-0667</issn><issn>1720-8319</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9UU1r3DAQNaWFpmn_QE-CXHJxqw9b9uZWlvQDFppDcjayNZtokS1nRt6w_SH9vZllCy059DCaN6P3Bh6vKD4q-UlJ2XymStZalvJYyja6NK-KM9Xw2Bq1ev0Pflu8I9pJWSkezorfN5j6CGNJKe7DdC_yA6CbD2KbUIxux6-HGYEo7EH4QAk9IIkwiRQZCeeXmOlKuEkss3cZvKADZRhdDoNA2Ad44k8vRsiudJOLBwok0lYgb9MYfrFiSFPGFCPDjMFFel-82XKDD3_6eXH39fp2_b3c_Pz2Y_1lUw6m1rk0q5VV7LxpegDb9KsafF-5VhtetjV7rE1rTGW0772yxjoDVivvwGlp6tacF5enuzOmxwUod2OgAWJ0E6SFOl0Z1WrbWsnUixfUXVqQ_TCrrmRlm6ayzNIn1oCJCGHbzRhGh4dOye4YVXeKqpPHOkbVGRaZk4iYPN0D_j39H9UzRraYhg</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Shang, Pingping</creator><creator>Cao, Xuelian</creator><creator>You, Simiao</creator><creator>Feng, Xuezhu</creator><creator>Li, Na</creator><creator>Jia, Yong</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20210601</creationdate><title>Problem-solving therapy for major depressive disorders in older adults: an updated systematic review and meta-analysis of randomized controlled trials</title><author>Shang, Pingping ; Cao, Xuelian ; You, Simiao ; Feng, Xuezhu ; Li, Na ; Jia, Yong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-3996105277bee67b95edb4a8230528541353833432dbd1636a3e621daea203583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Clinical trials</topic><topic>Geriatrics/Gerontology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Meta-analysis</topic><topic>Older people</topic><topic>Problem solving</topic><topic>Review</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shang, Pingping</creatorcontrib><creatorcontrib>Cao, Xuelian</creatorcontrib><creatorcontrib>You, Simiao</creatorcontrib><creatorcontrib>Feng, Xuezhu</creatorcontrib><creatorcontrib>Li, Na</creatorcontrib><creatorcontrib>Jia, Yong</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Aging clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shang, Pingping</au><au>Cao, Xuelian</au><au>You, Simiao</au><au>Feng, Xuezhu</au><au>Li, Na</au><au>Jia, Yong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Problem-solving therapy for major depressive disorders in older adults: an updated systematic review and meta-analysis of randomized controlled trials</atitle><jtitle>Aging clinical and experimental research</jtitle><stitle>Aging Clin Exp Res</stitle><date>2021-06-01</date><risdate>2021</risdate><volume>33</volume><issue>6</issue><spage>1465</spage><epage>1475</epage><pages>1465-1475</pages><issn>1720-8319</issn><issn>1594-0667</issn><eissn>1720-8319</eissn><abstract>Background
Major depressive disorder is a global public health problem among older adults. Many studies show that problem-solving therapy (PST) is a cognitive behavioral approach that can effectively treat late-life depression.
Aim
To summarize and assess the effects of PST on major depressive disorders in older adults.
Methods
We searched the PubMed, Web of Science, Cochrane Library, EMBASE, MEDLINE, UpToDate, and PsycINFO databases and three Chinese databases (CNKI, CBM, and Wan Fang Data) to identify articles written in English or Chinese that were published until Feb 1, 2020. Randomized controlled trials were included if they evaluated the impact of PST on major depression disorder (MDD) in older adults. Two authors of this review independently selected the studies, assessed the risk of bias, and extracted the data from all the included studies. We calculated the standard mean differences (SMDs) with 95% confidence intervals (CIs) for continuous data. We assessed heterogeneity using the
I
2
statistic.
Results
Ten studies with a total of 892 participants met the inclusion criteria. Subgroup analyses and quality ratings were performed. After problem-solving therapy, the depression scores in the intervention group were significantly lower than those in the control group (SMD = − 1.06, 95% CI − 1.52 to − 0.61,
p
< 0.05;
I
2
= 88.4%).
Discussion
Compared with waitlist (WL), PST has a significant effect on elderly patients with depression, but we cannot rank the therapeutic effects of all the treatment methods used for MDD.
Conclusions
Our meta-analysis and systematic review suggest that problem-solving therapy may be an effective approach to improve major depressive disorders in older adults.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><doi>10.1007/s40520-020-01672-3</doi><tpages>11</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1720-8319 |
| ispartof | Aging clinical and experimental research, 2021-06, Vol.33 (6), p.1465-1475 |
| issn | 1720-8319 1594-0667 1720-8319 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2431826860 |
| source | Springer Nature - Complete Springer Journals |
| subjects | Clinical trials Geriatrics/Gerontology Medicine Medicine & Public Health Mental depression Meta-analysis Older people Problem solving Review Systematic review |
| title | Problem-solving therapy for major depressive disorders in older adults: an updated systematic review and meta-analysis of randomized controlled trials |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T20%3A11%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Problem-solving%20therapy%20for%20major%20depressive%20disorders%20in%20older%20adults:%20an%20updated%20systematic%20review%20and%20meta-analysis%20of%20randomized%20controlled%20trials&rft.jtitle=Aging%20clinical%20and%20experimental%20research&rft.au=Shang,%20Pingping&rft.date=2021-06-01&rft.volume=33&rft.issue=6&rft.spage=1465&rft.epage=1475&rft.pages=1465-1475&rft.issn=1720-8319&rft.eissn=1720-8319&rft_id=info:doi/10.1007/s40520-020-01672-3&rft_dat=%3Cproquest_cross%3E2431826860%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2540467746&rft_id=info:pmid/&rfr_iscdi=true |