Preventing depression in older people with multimorbidity: 24-month follow-up of a trial of internet-delivered cognitive behaviour therapy.
Background older people coping with the impacts of living with multimorbidity are at increased risk of developing a depressive disorder. Objective this article reports the 24-month results of a randomised controlled trial of an internet-delivered cognitive behaviour therapy, which aimed to test whet...
| Publicado en: | Age & Ageing Vol. 50; no. 6; pp. 2254 - 2259 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Nov2021
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=153609861&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 153609861 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Nov2021 vid: 50 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 153609861 10.1093/ageing/afab145 ppf: 2254 ppct: 5 formats: tig: atl: Preventing depression in older people with multimorbidity: 24-month follow-up of a trial of internet-delivered cognitive behaviour therapy. aug: au: Read, Jennifer R Sharpe, Louise Burton, Amy L Areán, Patricia A Raue, Patrick J McDonald, Sarah Titov, Nickolai Gandy, Milena Dear, Blake F affil: School of Psychology , University of Sydney, Sydney, Australia Department of Psychiatry and Behavioral Sciences , University of Washington, Seattle, United States Department of Psychology , Macquarie Unversity, Sydney, Australia su: Australia Prevention of mental depression Therapeutics Patient participation Health services accessibility Internet Attitude (Psychology) Randomized controlled trials Patients' attitudes Mental depression Cognitive therapy Old age Confidence intervals Treatment effectiveness Pre-tests & post-tests Comparative studies Descriptive statistics Chi-squared test Statistical sampling Odds ratio Comorbidity Longitudinal method Evaluation sug: subj: Prevention of mental depression Therapeutics Patient participation Health services accessibility Internet Attitude (Psychology) Randomized controlled trials Patients' attitudes Mental depression Cognitive therapy Old age Australia Internet Publishing and Broadcasting and Web Search Portals Wired Telecommunications Carriers Marketing Research and Public Opinion Polling Confidence intervals Treatment effectiveness Pre-tests & post-tests Comparative studies Descriptive statistics Chi-squared test Statistical sampling Odds ratio Comorbidity Longitudinal method Evaluation keyword: depression internet multimorbidity older people prevention psychotherapy depression internet multimorbidity older people prevention psychotherapy ab: Background older people coping with the impacts of living with multimorbidity are at increased risk of developing a depressive disorder. Objective this article reports the 24-month results of a randomised controlled trial of an internet-delivered cognitive behaviour therapy, which aimed to test whether depressive disorders could be prevented in this population. Participants community-based participants aged 65 years and over, who had two or more chronic physical health conditions and were assessed as having no current depressive disorder. Methods in total, 302 participants were randomised to an 8-week, five-lesson, internet-delivered intervention program (n = 150) or treatment as usual (TAU, n = 152). The primary outcomes were cases of depressive disorder, assessed post-intervention and at 3-month intervals throughout the trial, and depressive symptoms, assessed at pre-intervention, post-intervention, 6, 12 and 24 months following the intervention. Results there were significantly fewer cases of depressive disorder in the intervention group (n = 23, 15%) compared with the TAU group (n = 41, 27%) during the 24 months after the intervention (χ(1, N = 302) = 6.13, P = 0.013, odds ratio = 0.490 [95% confidence interval: 0.277, 0.867]), representing a 44% reduction in cases of depressive disorder. No differences were found on depressive symptoms at 24-month follow-up. Internet-delivered cognitive behaviour therapy had high engagement and acceptability. Conclusions the results provide support that depressive disorders can be prevented in older people with multimorbidity through participation in internet-delivered cognitive behaviour therapy. With access to internet-delivered interventions in clinical care settings increasing, this has implications for older patient care where multimorbidity is extremely common. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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