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Cited by 17Digital Mental Health InterventionsDementia and Cognitive Impairment ResearchTelemedicine and Telehealth Implementation

Which cognitive behavioral therapy delivery formats work for depressive symptoms in dementia caregivers? A systematic review and network meta-analysis of randomized controlled trials

Sun, Yue, Ji, Mengmeng, Leng, Minmin, Wang, Zhiwen·2022·Journal of Affective Disorders
DOI 10.1016/j.jad.2022.04.055
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Abstract

Background Cognitive behavioral therapy (CBT) has been shown to be effective to improve depressive symptoms by changing their cognitive processes and concepts for dementia caregivers (DCs). However, whether CBT can be effectively delivered in individual, group, telephone-administered, internet, combine formats remains unclear. We aimed to examine the most effective delivery format for CBT via a network meta-analysis (NMA). Methods An exhaustive literature search was conducted based on Pubmed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, the Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure database, Chinese Biomedical Literature Database, Wan Fang database, and unpublished data. RCTs were identified from their inception to January 15, 2022. We conducted pairwise and NMA to evaluate the relative effectiveness and rank probability (rank P-score) for different CBT delivery formats. A series of analyses and assessments, such as the risk of bias, and GRADE were performed concurrently. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) were used for abstracting data. Results A total of 37 studies were included in our analysis based on a series of rigorous screenings, which comprised 4191 DCs. Compared with controls, internet (SMD = -1.33, confidence interval (CI): -2.18, -0.66, GRADE low), telephone (SMD = -1.29, CI: -1.89, -0.61, GRADE moderate), and individual (S…

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  • Existing systematic reviews and meta-analyses on psychological interventions for older adults tend to focus on people with specific health conditions, such as dementia, stroke caregivers, or subclinical depressive symptoms.

    “While existing systematic reviews and meta-analyses provide some evidence on psychological interventions for older adults, these reviews tend to focus on people with specific health conditions, such as dementia (Cheng 2020; Sun 2022), stroke caregivers (Panzeri 2019), or subclinical depressive symptoms (Corpas 2022).”

    From Psychotherapeutic treatments for depression in older adults (2024) · cites this paper as Sun 2022

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Authors
Sun, Y., Ji, M., Leng, M., & Wang, Z.
Affiliations
Peking University (CN)
Corresponding author
Wang, Zhiwen
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2022-07
Volume
308
Pages
181-187
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2022.04.055
OpenAlex
W4223928337
Cited by
17
References
11
Citations by year
2026: 2 · 2025: 7 · 2024: 4 · 2023: 1 · 2022: 3
FWCI
0.66
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
cognitive behavioral therapy, dementia caregivers, caregiver depression, depressive symptoms, online therapy, telephone-delivered therapy, individual psychotherapy, group therapy
MeSH terms
Network Meta-Analysis, Dementia, Depression, Humans, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Caregivers

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