Evan Plys1, Cynthia D Morrow2, Jennifer D Portz3, Christine D Jones4, Christi Piper5, Rebecca S Boxer6. 1. Department of Psychiatry, University of Colorado School of Medicine. 2. Health Systems Management and Policy, Colorado School of Public Health. 3. Division of General Internal Medicine, University of Colorado School of Medicine. 4. Denver/Seattle Center of Innovation for Veteran-Centered and Value Driven Care, VHA Eastern Colorado Healthcare System. 5. Strauss Health Sciences Library, University of Colorado Anschutz Medical Campus. 6. Institute for Health Research, Kaiser Permanente of Colorado.
Abstract
Objective: Older adults in inpatient postacute care settings report high rates of depression and anxiety. Psychological interventions address these symptoms through educational, cognitive, behavioral, relaxation, and/or psychosocial approaches. The purpose of this study was to systematically evaluate the quality of existing literature on psychological interventions for depression and/or anxiety among older adults during an inpatient postacute care stay. Method: Medline, Embase, Cochrane Library, CINAHL, PsycINFO, and Google Scholar were searched for key concepts. Studies were included that (a) sampled skilled nursing facility or inpatient rehabilitation facility patients, (b) evaluated a psychological intervention, (c) measured depression and/or anxiety symptoms before and after interventions, and (d) had a mean or median age of 65+. Two raters assessed articles for inclusion and risk of bias. Results: Search strategies identified 7,506 articles for screening; nine met inclusion criteria. Included studies varied by study design, intervention type, and methodological quality. Only one study had low overall risk of bias. Four studies demonstrated preliminary treatment benefits for depression symptoms; none reported benefits for anxiety symptoms. Conclusions: Most of the included studies were limited by small sample size and high risk of bias. Thus, currently, there is insufficient evidence to support the effectiveness of psychological interventions for depression or anxiety among older adults during an inpatient postacute care stay. The authors offer a detailed discussion of methodological limitations, empirical gaps, and future directions to develop this body of literature. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Objective: Older adults in inpatient postacute care settings report high rates of depression and anxiety. Psychological interventions address these symptoms through educational, cognitive, behavioral, relaxation, and/or psychosocial approaches. The purpose of this study was to systematically evaluate the quality of existing literature on psychological interventions for depression and/or anxiety among older adults during an inpatient postacute care stay. Method: Medline, Embase, Cochrane Library, CINAHL, PsycINFO, and Google Scholar were searched for key concepts. Studies were included that (a) sampled skilled nursing facility or inpatient rehabilitation facility patients, (b) evaluated a psychological intervention, (c) measured depression and/or anxiety symptoms before and after interventions, and (d) had a mean or median age of 65+. Two raters assessed articles for inclusion and risk of bias. Results: Search strategies identified 7,506 articles for screening; nine met inclusion criteria. Included studies varied by study design, intervention type, and methodological quality. Only one study had low overall risk of bias. Four studies demonstrated preliminary treatment benefits for depression symptoms; none reported benefits for anxiety symptoms. Conclusions: Most of the included studies were limited by small sample size and high risk of bias. Thus, currently, there is insufficient evidence to support the effectiveness of psychological interventions for depression or anxiety among older adults during an inpatient postacute care stay. The authors offer a detailed discussion of methodological limitations, empirical gaps, and future directions to develop this body of literature. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Authors: Robert E Burke; Elizabeth Juarez-Colunga; Cari Levy; Allan V Prochazka; Eric A Coleman; Adit A Ginde Journal: JAMA Intern Med Date: 2015-02 Impact factor: 21.873
Authors: Peter Knapp; C Alexia Campbell Burton; John Holmes; Jenni Murray; David Gillespie; C Elizabeth Lightbody; Caroline L Watkins; Ho-Yan Y Chun; Sharon R Lewis Journal: Cochrane Database Syst Rev Date: 2017-05-23
Authors: Allison M Gustavson; Jason R Falvey; Jeri E Forster; Jennifer E Stevens-Lapsley Journal: J Geriatr Phys Ther Date: 2019 Jul/Sep Impact factor: 3.381
Authors: George S Alexopoulos; Jo Anne Sirey; Patrick J Raue; Dora Kanellopoulos; Timothy E Clark; Richard S Novitch Journal: Am J Geriatr Psychiatry Date: 2006-05 Impact factor: 4.105
Authors: Beth A Springate; Geoffrey Tremont; George Papandonatos; Brian R Ott Journal: J Geriatr Psychiatry Neurol Date: 2014-02-26 Impact factor: 2.680