OBJECTIVE: Depression is a major problem in long-term care (LTC) as is the lack of related empirically supported psychological treatments. This small study addressed a variant of cognitive behavioral therapy, GIST (group, individual, and staff therapy), against treatment as usual (TAU) in long-term care. METHOD: 25 residents with depression were randomized to GIST (n = 13) or TAU (n = 12). Outcome measures included geriatric depression scale-short form (GDS-S), life satisfaction index Z (LSI-Z), and subjective ratings of treatment satisfaction. The GIST group participated in 15 group sessions. TAU crossed over to GIST at the end of the treatment trial. RESULTS: There were significant differences between GIST and TAU in favor of GIST on the GDS-S and LSI-Z. The GIST group maintained improvements over another 14 sessions. After crossover to GIST, TAU members showed significant improvement from baseline. Participants also reported high subjective ratings of treatment satisfaction. DISCUSSION: This trial demonstrated GIST to be more effective for depression in LTC than standard treatments.
RCT Entities:
OBJECTIVE:Depression is a major problem in long-term care (LTC) as is the lack of related empirically supported psychological treatments. This small study addressed a variant of cognitive behavioral therapy, GIST (group, individual, and staff therapy), against treatment as usual (TAU) in long-term care. METHOD: 25 residents with depression were randomized to GIST (n = 13) or TAU (n = 12). Outcome measures included geriatric depression scale-short form (GDS-S), life satisfaction index Z (LSI-Z), and subjective ratings of treatment satisfaction. The GIST group participated in 15 group sessions. TAU crossed over to GIST at the end of the treatment trial. RESULTS: There were significant differences between GIST and TAU in favor of GIST on the GDS-S and LSI-Z. The GIST group maintained improvements over another 14 sessions. After crossover to GIST, TAU members showed significant improvement from baseline. Participants also reported high subjective ratings of treatment satisfaction. DISCUSSION: This trial demonstrated GIST to be more effective for depression in LTC than standard treatments.
Authors: Suzanne Meeks; Kimberly Van Haitsma; Ben Schoenbachler; Stephen W Looney Journal: J Gerontol B Psychol Sci Soc Sci Date: 2014-04-01 Impact factor: 4.077
Authors: Ulf Jonsson; Göran Bertilsson; Per Allard; Harald Gyllensvärd; Anne Söderlund; Anne Tham; Gerhard Andersson Journal: PLoS One Date: 2016-08-18 Impact factor: 3.240
Authors: Johan Gustav Lundgren; Örjan Dahlström; Gerhard Andersson; Tiny Jaarsma; Anita Kärner Köhler; Peter Johansson Journal: J Med Internet Res Date: 2016-08-03 Impact factor: 5.428
Authors: Carla Gramaglia; Eleonora Gattoni; Debora Marangon; Diego Concina; Elena Grossini; Carmela Rinaldi; Massimiliano Panella; Patrizia Zeppegno Journal: Front Public Health Date: 2021-07-16