Group, individual, and staff therapy: an efficient and effective cognitive behavioral therapy in long-term care
Open accessAbstract
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.
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Six studies reported quality of life or psychological well-being data, and two reported anxious symptomatology; no studies reported physical functioning, agitation, or adverse events.
“Six studies reported data on quality of life or psychological wellbeing (Abraham 1992;Bailey 2017;Hyer 2009;Luo 2020;Sales 2015;Travers 2017), and two studies reported data on level of anxious symptomatology (Dozeman 2011;Sales 2015).No studies reported outcomes for physical functioning, agitation, or adverse events.”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Hyer 2009
In seven studies, authors limited detection bias by blinding personnel collecting outcome measures and were at low risk.
“In seven studies, authors limited the risk of detection bias by blinding personnel collecting outcome measures and were at low risk of detection bias (Abraham 1992;Dozeman 2011;Hyer 2009;Karimi 2010;Meeks 2008;Meeks 2015;Tsai 2008).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Hyer 2009
Two studies were at high risk of selection bias: one due to replacing participants who terminated, and one due to randomizing based on presence or absence of MDD diagnosis.
“Two studies were at high risk of selection bias: one due to the use of additional participants to replace those who terminated the trial (Hussian 1979), and one study randomized participants based on the presence or absence of a diagnosis of MDD (Hyer 2009).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Hyer 2009
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- Authors
- Hyer, L., Yeager, C. A., Hilton, N., & Sacks, A.
- Affiliations
- Georgia Neurosurgical Institute, Macon, Georgia, Robert Wood Johnson Medical School, Piscataway, New Jersey
- Essex County Hospital Center, Institute for Mental Health Policy, Research, and Treatment, Cedar Grove, New Jersey, , Robert Wood Johnson Medical School, Piscataway, New Jersey
- Rutgers, The State University of New Jersey (US)
- Robert Wood Johnson Medical School, Piscataway, New Jersey
- Corresponding author
- Yeager, Catherine A.
- ORCID
- Yeager, Catherine A.
- Venue
- American Journal of Alzheimer's Disease & Other Dementias®
- Publisher
- SAGE Publications
- Published
- 2008-11-10
- Volume
- 23
- Issue
- 6
- Pages
- 528-539
- ISSN
- 0888-4897 (ISSN-L)
- 1533-3175
- 1938-2731
- PMC
- PMC10846160
- OpenAlex
- W2160553873
- Cited by
- 41
- References
- 78
- Citations by year
- 2024: 1 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 6 · 2015: 1 · 2014: 4 · 2012: 3
- FWCI
- 4.51
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Alzheimer s Disease & Other Dementias® (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- gastrointestinal stromal tumor, cognitive behavioral therapy, depression, long-term care, nursing home residents, life satisfaction, treatment satisfaction, maintenance therapy, geriatric depression
- MeSH terms
- Aged, Aged, 80 and over, Depressive Disorder, Female, Humans, Long-Term Care, Male, Quality of Life, Severity of Illness Index, Cognitive Behavioral Therapy, Treatment Outcome, Patient Satisfaction
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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