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Cited by 18Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and AccessDigital Mental Health Interventions

Effects of Home-Delivered Cognitive Behavioral Therapy (CBT) for Depression on Anxiety Symptoms among Rural, Ethnically Diverse Older Adults

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DiNapoli, Elizabeth A., Pierpaoli, Christina M., Shah, Avani, Yang, Xin, Scogin, Forrest·2017·Clinical Gerontologist
DOI 10.1080/07317115.2017.1288670PMC PMC6174534
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Abstract

BACKGROUND: We examined the effects of home-delivered cognitive-behavioral therapy (CBT) for depression on anxiety symptoms in an ethnically diverse, low resource, and medically frail sample of rural, older adults. METHOD: This was a secondary analysis of a randomized clincial trial with 134 rural-dwelling adults 65 years and older with decreased quality of life and elevated psychological symptomatology. Anxiety symptoms were assessed with the anxiety and phobic anxiety subscales of the Symptom Checklist-90-Revised (SCL-90-R). RESULTS: Compared to a minimal support control condition, CBT for depression resulted in significantly greater improvements in symptoms of anxiety and phobic anxiety from pre-treatment to post-treatment. CONCLUSION: Home-delivered CBT for depression can be an effective treatment for anxiety in a hard-to-reach older populations. CLINICAL IMPLICATIONS: Additional research should explore integrated anxiety and depression protocols and other treatment modalities, including bibliotherapy or telehealth models of CBT, to reduce costs associated with its in home delivery. Flexibility in administration and adaptations to the CBT protocol may be necessary for use with vulnerable, rural older adults.

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Cited by

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Authors
DiNapoli, E. A., Pierpaoli, C. M., Shah, A., Yang, X., & Scogin, F.
Affiliations
  • University of Pittsburgh (US)
  • University of Alabama (US)
Corresponding author
Scogin, Forrest
ORCID
Venue
Clinical Gerontologist
Publisher
Informa UK Limited
Published
2017-02
Volume
40
Issue
3
Pages
181-190
ISSN
  • 0731-7115 (ISSN-L)
  • 1545-2301
DOI
10.1080/07317115.2017.1288670
PMC
PMC6174534
OpenAlex
W2583122747
Cited by
18
References
17
Citations by year
2026: 2 · 2025: 1 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 4 · 2019: 1 · 2018: 2 · 2017: 2
FWCI
3.20
Type
journal article
Language
en
Open access
Locations
  • Clinical Gerontologist (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Aging (AG16311)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords
depression, anxiety symptoms, phobic anxiety, older adults, rural population, ethnic diversity, resource-limited settings, hard-to-reach populations, telemedicine
MeSH terms
Aged, Anxiety Disorders, Depressive Disorder, Ethnicity, Female, Humans, Male, Rural Population, Geriatric Assessment, Cognitive Behavioral Therapy, Treatment Outcome, Telemedicine

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