The effectiveness of behavioural therapy for the treatment of depression in older adults: a meta‐analysis
Abstract
Objective: To systematically review the effectiveness of behavioural therapy in depressed older adults. Methods: Electronic databases were searched to July 2009. Reference lists of systematic reviews and identified studies from the search strategy were also screened. Randomised controlled trials (RCTs) of behavioural therapy compared with waiting list controls or other psychotherapies in older adults (aged ≥55 years) with clinical depression were included. One author independently identified studies for inclusion. Two authors extracted data and assessed the included studies for risk of bias. Estimates of depression were combined using a random effects model and the I2 statistic to examine heterogeneity. Results: Four RCTs were included in the meta‐analysis. For post‐treatment self‐rated depression symptoms, behavioural therapy was not significantly more effective than a waiting list control [standardised mean difference (SMD) of −0.52, 95% confidence interval (CI) −1.35 to 0.30, p = 0.21, n = 117], cognitive therapy (SMD of 0.23, 95% CI −0.24 to 0.70, p = 0.33, n = 134) or brief psychodynamic therapy (SMD of −0.37, 95% CI −0.84 to 0.11, p = 0.13, n = 69). For post‐treatment clinician‐rated depression, behavioural therapy was not significantly more effective than cognitive therapy or brief psychodynamic therapy but was significantly more effective than a waiting list control (weighted mean difference (WMD) of −5.68, 95% CI −7.71 to −3.66, p < 0.001, n = 117). Conclusions: Behavioural therapy in depressed older adults appears to have comparable effectiveness with alternative psychotherapies. Further research is recommended with the need for larger sample sizes, more clarity on trial design and the intervention, longer term follow‐up and concomitant economic evaluations. Copyright © 2011 John Wiley & Sons, Ltd.
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Behavioural therapies have been shown to be effective in older people.
“Behavioural therapies have been shown to be effective in older people [36, 37].”
From Can support workers from AgeUK deliver an intervention to support older people with anxiety and depression? A qualitative evaluation (2019) · cites this paper as [36]
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- Authors
- Samad, Z., Brealey, S., & Gilbody, S.
- Affiliations
- Humber Teaching NHS Foundation Trust (GB)
- University of York (GB)
- Corresponding author
- Brealey, Stephen
- Venue
- International Journal of Geriatric Psychiatry
- Publisher
- Wiley
- Published
- 2011-02-09
- Volume
- 26
- Issue
- 12
- Pages
- 1211-1220
- ISSN
- 0885-6230 (ISSN-L)
- 1099-1166
- OpenAlex
- W1999857385
- Cited by
- 57
- References
- 46
- Citations by year
- 2025: 3 · 2024: 6 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 6 · 2018: 3 · 2017: 4 · 2016: 5 · 2015: 5 · 2014: 8 · 2013: 4 · 2012: 3
- FWCI
- 0.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- behavior therapy, depression, older adults, psychotherapy, cognitive therapy, brief psychodynamic therapy, waitlist control, treatment effectiveness, self-rated depression
- MeSH terms
- Aged, Aged, 80 and over, Behavior Therapy, Depressive Disorder, Female, United Kingdom, Humans, Male, Waiting Lists, Randomized Controlled Trials as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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