Psychological outreach programmes for the depressed elderly: a meta-analysis of effects and dropout.

Abstract:

:Utilization of psychiatric services by depressed elderly is low compared to younger adults. Outreach programmes in which treatment is actively offered to depressed elderly in the community can be used to improve access of these elderly to mental health care. In this study a meta-analysis is carried out to study the effectiveness of these outreach programmes. Fourteen studies were found in which psychological treatment is offered to depressed elderly in the community. The effect size is large (0.77), comparable to the effect sizes found in younger adults. In a regression analysis it was found that the effect sizes of cognitive behavioural therapies are larger than those of other therapies. The mean dropout rate is 23%. It was also found that dropout was larger in group interventions, in cognitive behavioural therapies, in interventions with more female participants and in interventions offering more sessions. Analyses of the dropout rate should be part of every meta-analysis of intervention studies. Future research is needed to examine the differences between depressed persons who volunteer for a research programme and persons participating in an outreach programme. It is also necessary to examine if outreach programmes reach depressed persons who otherwise would not have sought help.

authors

Cuijpers P

doi

10.1002/(sici)1099-1166(199801)13:1<41::aid-gps729

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

41-8

issue

1

eissn

0885-6230

issn

1099-1166

pii

10.1002/(SICI)1099-1166(199801)13:1<41::AID-GPS729

journal_volume

13

pub_type

临床试验,杂志文章,meta分析,随机对照试验
  • Clinical predictors of aggressive behaviour in Alzheimer's disease.

    abstract:OBJECTIVES:To examine the level and clinical correlates of aggressive behaviour in Alzheimer's disease (AD). METHOD:Seventy patients with probable AD were rated using validated assessment instruments including the Rating Scale for Aggressive Behaviour in the Elderly (RAGE). RESULTS:Thirty-one subjects were rated as a...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1166(199802)13:2<109::aid-gps74

    authors: Gormley N,Rizwan MR,Lovestone S

    更新日期:1998-02-01 00:00:00

  • The relationship of neuropsychological function to instrumental activities of daily living in mild cognitive impairment.

    abstract:OBJECTIVE:While activities of daily living are by definition preserved in mild cognitive impairment (MCI), there is evidence of poorer instrumental activities of daily living (IADL) functioning in MCI compared to normal ageing. The aims of the present study were to examine differences in IADL between individuals with M...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2612

    authors: Reppermund S,Sachdev PS,Crawford J,Kochan NA,Slavin MJ,Kang K,Trollor JN,Draper B,Brodaty H

    更新日期:2011-08-01 00:00:00

  • Predictors of institutionalization in patients with dementia in Korea.

    abstract:BACKGROUND:Many studies have sought to determine the predictors of institutionalization of patients with dementia. Such studies, performed in developed western societies, have come to various conclusions which may not be supported in an East Asian culture such as that found in Korea. OBJECTIVES:This study aimed to det...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.494

    authors: Kim JM,Shin IS,Jeong SJ,Gormley N,Yoon JS

    更新日期:2002-02-01 00:00:00

  • Temporal precedence of cognitive function and functional abilities: A latent difference score model of the Chinese community-dwelling elders.

    abstract:OBJECTIVES:Little research has explored how cognitive function and activities of daily living (ADL) affect each other over time. In addition, no current finding provides a clear hint to the temporal precedence between them. The present study tries to address these limitations of prior studies by utilizing a longitudina...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5206

    authors: Wang J,Zhu WH,Li YF,Zhu WW

    更新日期:2019-12-01 00:00:00

  • Depression and apathy affect functioning in community active subjects with questionable dementia and mild Alzheimer's disease.

    abstract:BACKGROUND:The relationships between apathy, depression and functional impairment in questionable dementia (QD) and Alzheimer's disease (AD) are complex. This study aimed to explore the interactions between severity of apathy, depression and functional performance; and to investigate the effects of apathy alone, depres...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1694

    authors: Lam LC,Tam CW,Chiu HF,Lui VW

    更新日期:2007-05-01 00:00:00

  • Clinical predictors of response to Acetyl Cholinesterase Inhibitors: experience from routine clinical use in Newcastle.

    abstract:BACKGROUND:Acetyl Cholinesterase Inhibitors (AChEIs) have been in clinical use for the past five years in the UK for the symptomatic treatment of Alzheimer's disease (AD). There are few data on the patterns and predictors of response to AChEI therapy in routine clinical practice. We therefore investigated clinical vari...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.928

    authors: Pakrasi S,Mukaetova-Ladinska EB,McKeith IG,O'Brien JT

    更新日期:2003-10-01 00:00:00

  • Social factors and depression in carers of people with dementia.

    abstract:BACKGROUND:Research has highlighted the influence of psychosocial factors on the wellbeing of carers of people with dementia. This study aimed to investigate the interrelationships between life events, depression and social support in carers of people with dementia. METHOD:Participants were 72 carers of people with de...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1136

    authors: Waite A,Bebbington P,Skelton-Robinson M,Orrell M

    更新日期:2004-06-01 00:00:00

  • An investigation of visual hallucinosis and visual sensory status in dementia.

    abstract:INTRODUCTION:Visual hallucinosis occurs frequently amongst patients with dementia and there is some evidence of an association between hallucinosis and impaired visual function. This study examined the association between objectively rated visual acuity, ambient illumination levels and hallucinosis in patients with dem...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.426

    authors: Murgatroyd C,Prettyman R

    更新日期:2001-07-01 00:00:00

  • Longitudinal stability of subsyndromal symptoms of depression in individuals with mild cognitive impairment: relationship to conversion to dementia after 3 years.

    abstract:OBJECTIVE:To evaluate the degree to which longitudinal stability of subsyndromal symptoms of depression (SSD) is associated with conversion to dementia in patients with mild cognitive impairment (MCI). METHODS:Data from 405 MCI participants from the Alzheimer's Disease Neuroimaging Initiative (ADNI) study were analyze...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2713

    authors: Mackin RS,Insel P,Aisen PS,Geda YE,Weiner MW,Alzheimer's Disease Neuroimaging Initiative.

    更新日期:2012-04-01 00:00:00

  • Quality of life in dementia patients in long-term care.

    abstract:OBJECTIVE:To evaluate variables associated with quality of life (QOL) in dementia residents in a long-term care facility using a recently standardized and validated dementia-specific QOL scale (ADRQL). METHOD:A cross-sectional, case-control design was employed using validated scales to assess dementia-related symptoma...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1166(200002)15:2<181::aid-gps96

    authors: González-Salvador T,Lyketsos CG,Baker A,Hovanec L,Roques C,Brandt J,Steele C

    更新日期:2000-02-01 00:00:00

  • Subnormal serum vitamin B12 and behavioural and psychological symptoms in Alzheimer's disease.

    abstract::The objective of this study was to examine whether patients with Alzheimer's disease (AD) with subnormal vitamin B12 levels show more frequent behavioural and psychological symptoms of dementia (BPSD) than AD patients with normal vitamin B12 levels. The design was a prospective case-control study. The study took place...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1166(200005)15:5<415::aid-gps12

    authors: Meins W,Müller-Thomsen T,Meier-Baumgartner HP

    更新日期:2000-05-01 00:00:00

  • Ageism in first episode psychosis.

    abstract:OBJECTIVE:To consider the characteristics of first episode psychosis in older adults in a county in North East England. METHOD/DESIGN:The present study used a naturalistic design to compare individuals aged 65 years and over with those under 65, with a first episode psychosis. Data were collected on demographics, diag...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2437

    authors: Mitford E,Reay R,McCabe K,Paxton R,Turkington D

    更新日期:2010-11-01 00:00:00

  • The MMSE orientation for time domain is a strong predictor of subsequent cognitive decline in the elderly.

    abstract:BACKGROUND:The mini-mental state exam (MMSE) has been used to address questions such as determination of appropriate cutoff scores for differentiation of individuals with intact cognitive function from patients with dementia and rate of cognitive decline. However, little is known about the relationship of performance i...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2282

    authors: Guerrero-Berroa E,Luo X,Schmeidler J,Rapp MA,Dahlman K,Grossman HT,Haroutunian V,Beeri MS

    更新日期:2009-12-01 00:00:00

  • Verbal repetition in patients with Alzheimer's disease who receive donepezil.

    abstract:BACKGROUND:Current outcome measures for Alzheimer's disease (AD) drugs have been criticized as insufficiently patient-centred. One commonly unmeasured goal of patients and caregivers is verbal repetition. OBJECTIVES:We examined how often reducing repetition (of questions, statements or stories) was set as treatment go...

    journal_title:International journal of geriatric psychiatry

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1002/gps.1486

    authors: Asp E,Cloutier F,Fay S,Cook C,Robertson ML,Fisk J,Dei DW,Rockwood K

    更新日期:2006-05-01 00:00:00

  • Recognizing and engaging depressed Chinese Americans in treatment in a primary care setting.

    abstract:OBJECTIVES:To examine the effectiveness of depression screening and the Engagement Interview Protocol (EIP) in identifying and engaging in treatment depressed Chinese Americans in a primary care setting. METHODS:Chinese American patients who attended a primary care clinic between 15 September, 2004 and 14 September, 2...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1566

    authors: Yeung A,Yu SC,Fung F,Vorono S,Fava M

    更新日期:2006-09-01 00:00:00

  • The relationship between perceived functional difficulties and the ability to live well with mild-to-moderate dementia: Findings from the IDEAL programme.

    abstract:OBJECTIVES:The objectives of the study are to investigate how different levels of functional ability relate to quality of life, well-being, and satisfaction with life, conceptualised as reflecting capability to "live well" in people with dementia. METHODS/DESIGN:Participants were 1496 people with mild-to-moderate deme...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5128

    authors: Martyr A,Nelis SM,Quinn C,Rusted JM,Morris RG,Clare L,IDEAL programme team.

    更新日期:2019-08-01 00:00:00

  • Caregiver burden, health utilities, and institutional service use in Alzheimer's disease.

    abstract:OBJECTIVE:This study examined the moderating effect of caregiver burden on the relationship between the health status of Alzheimer's disease (AD) patients and their use of institutional services (i.e., hospitalization, nursing home, and residential care). METHODS:Data were obtained at baseline and at 3, 6, and 9 month...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2730

    authors: Miller EA,Rosenheck RA,Schneider LS

    更新日期:2012-04-01 00:00:00

  • Longitudinal investigation of wandering behavior in Department of Veterans Affairs nursing home care units.

    abstract:OBJECTIVES:To explore the extent of and factors associated with male residents who change wandering status post nursing home admission. DESIGN:Longitudinal design with secondary data analyses. Admissions over a 4-year period were examined using repeat assessments with the Minimum Data Set (MDS) to formulate a model un...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2316

    authors: King-Kallimanis B,Schonfeld L,Molinari VA,Algase D,Brown LM,Kearns WD,Davis DM,Werner DH,Beattie ER,Nelson AL

    更新日期:2010-02-01 00:00:00

  • Reliability and validity of the Spanish version of the IDEAL Schedule for assessing care needs in dementia: Cross-sectional, multicenter study.

    abstract:OBJECTIVE:The IDEAL Schedule was developed for staging "care needs" in patients with dementia. We here aim to validate the Spanish version, further test its psychometric properties and explore a latent construct for "care needs". METHODS:A multicenter study was done in 8 dementia care facilities across Spain. Patients...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,多中心研究

    doi:10.1002/gps.4781

    authors: López-Antón R,Barrada JR,Santabárbara J,Posadas-de Miguel M,Agüera L,Burillo C,Franco M,López-Álvarez J,Mesa P,Petidier R,Quintanilla MÁ,Robles-Del Olmo B,Ventura T,Semrau M,Sartorius N,Lobo A,the members of the IDEAL Spa

    更新日期:2018-03-01 00:00:00

  • An association between belief in life after death and serum oxytocin in older people in rural Japan.

    abstract:OBJECTIVE:Previous research suggests that spirituality/religiosity has benefits for both mental and physical health, measured using biological indices such as cortisol and IL-6. However, there have been few studies concerning the association of religious beliefs with oxytocin, a neuropeptide hormone secreted by the pit...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4453

    authors: Imamura Y,Mizoguchi Y,Nabeta H,Haraguchi Y,Matsushima J,Kojima N,Kawashima T,Yamada S,Monji A

    更新日期:2017-01-01 00:00:00

  • Cost effectiveness of using cognitive screening tests for detecting dementia and mild cognitive impairment in primary care.

    abstract:INTRODUCTION:We estimated the cost effectiveness of different cognitive screening tests for use by General Practitioners (GPs) to detect cognitive impairment in England. METHODS:A patient-level cost-effectiveness model was developed using a simulated cohort that represents the elderly population in England (65 years a...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4626

    authors: Tong T,Thokala P,McMillan B,Ghosh R,Brazier J

    更新日期:2017-12-01 00:00:00

  • A multinational, randomised, 12-week study comparing the effects of donepezil and galantamine in patients with mild to moderate Alzheimer's disease.

    abstract:OBJECTIVES:To compare directly, in the same patient cohort, the ease of use and tolerability of donepezil and galantamine in the treatment of Alzheimer's disease (AD), and investigate the effects of both treatments on cognition and activities of daily living (ADL). METHODS:Patients with mild to moderate AD from 14 Eur...

    journal_title:International journal of geriatric psychiatry

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1002/gps.1038

    authors: Jones RW,Soininen H,Hager K,Aarsland D,Passmore P,Murthy A,Zhang R,Bahra R

    更新日期:2004-01-01 00:00:00

  • Statins and cognition in late-life bipolar disorder.

    abstract:OBJECTIVES:Recent data suggests that statins have positive effects on cognition in older adults. Studies in patients with mood disorders have found contradicting positive and negative effects of statins on mood and cognition, with limited data in bipolar disorder (BD). The objective of this study was to assess the asso...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4956

    authors: Rej S,Schulte SW,Rajji TK,Gildengers AG,Miranda D,Menon M,Butters MA,Mulsant BH

    更新日期:2018-10-01 00:00:00

  • Does the HoNOS 65+ meet the criteria for a clinical outcome indicator for mental health services for older people?

    abstract:BACKGROUND:A clinical indicator should demonstrate clinically meaningful change, be relevant, allow comparisons between services, be acceptable to clinicians, and have acceptable validity, reliability and sensitivity to change. The HoNOS 65+ has been suggested as a clinical outcome indicator. The sensitivity to change ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.592

    authors: Spear J,Chawla S,O'Reilly M,Rock D

    更新日期:2002-03-01 00:00:00

  • Length of hospital stay and dementia: A systematic review of observational studies.

    abstract:OBJECTIVE:Hospitalizations of people with dementia (PWD) are often accompanied by complications or functional loss and can lead to adverse outcomes. Unsystematic findings suggest an influence of comorbidities on the extent of differences in the length of hospital stay (LOS). This systematic review aimed to identify and...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4993

    authors: Möllers T,Stocker H,Wei W,Perna L,Brenner H

    更新日期:2019-01-01 00:00:00

  • Psychogeriatrics in South-East Asia.

    abstract::A common phenomenon in South-East Asia is ageing of the population. This article describes the various stages of development of psychogeriatrics in Hong Kong, Singapore, Malaysia, Thailand, Indonesia and the Philippines. It is only in the last few years that more systematic development of psychogeriatric services has ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1166(199710)12:10<989::aid-gps6

    authors: Chiu HF,Ng LL,Nivataphand R,Yong KC,Lengkong Y,Buenaventura RD,Li SW

    更新日期:1997-10-01 00:00:00

  • The relative stress scale, a useful instrument to identify various aspects of carer burden in dementia?

    abstract:OBJECTIVE:To identify carer and patient characteristics associated with various aspects of burden of care. METHOD:The burden on 196 carers, each caring for one patient with dementia, was rated by means of the Relative Stress Scale (RSS). Patients were assessed with the Mini Mental State Examination (MMSE), the Disabil...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1654

    authors: Ulstein I,Bruun Wyller T,Engedal K

    更新日期:2007-01-01 00:00:00

  • Is vascular depression a distinct sub-type of depressive disorder? A review of causal evidence.

    abstract:BACKGROUND:Vascular depression is an important conceptual and clinical concept. OBJECTIVE:To apply criteria which, in an ideal world, should be satisfied before an association between depression and vascular disease can be considered robust. METHOD:A literature review with discussion of findings in the light of recen...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,评审

    doi:10.1002/gps.1255

    authors: Baldwin RC

    更新日期:2005-01-01 00:00:00

  • A comparison of the clock drawing test and the Pfeiffer Short Portable Mental Status Questionnaire in a geropsychiatry clinic.

    abstract::Wolf-Klein and colleagues' clock drawing test (CDT) performance was compared with Pfeiffer's Short Portable Mental Status Questionnaire (Pfeiffer) scores in 145 outpatient geropsychiatry patients. Although normal CDT results were almost always associated with normal Pfeiffer scores, 21% of Pfeiffer normal individuals ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1166(199705)12:5<526::aid-gps53

    authors: Gruber NP,Varner RV,Chen YW,Lesser JM

    更新日期:1997-05-01 00:00:00

  • Verbal fluency in a national sample: Telephone administration methods.

    abstract:OBJECTIVES:Describe novel methods for ascertaining verbal fluency in a large national sample of adults, examine demographic factors influencing performance, and compare scores to studies using in-person assessment. METHODS/DESIGN:Participants were from the Reasons for Geographic and Racial Differences in Stroke (REGAR...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5054

    authors: Marceaux JC,Prosje MA,McClure LA,Kana B,Crowe M,Kissela B,Manly J,Howard G,Tam JW,Unverzagt FW,Wadley VG

    更新日期:2019-04-01 00:00:00