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Titolo:
PSYCHOLOGICAL OUTREACH PROGRAMS FOR THE DEPRESSED ELDERLY - A METAANALYSIS OF EFFECTS AND DROPOUT
Autore:
CUIJPERS P;
Indirizzi:
NETHERLANDS INST MENTAL HLTH & ADDICT,TRIMBOS INST,POB 725 NL-3500 ASUTRECHT NETHERLANDS
Titolo Testata:
International journal of geriatric psychiatry
fascicolo: 1, volume: 13, anno: 1998,
pagine: 41 - 48
SICI:
0885-6230(1998)13:1<41:POPFTD>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
LATE-LIFE DEPRESSION; OLDER ADULTS; OUTCOME RESEARCH; GERIATRIC DEPRESSION; UNIPOLAR DEPRESSION; PSYCHOTHERAPY; EFFICACY; THERAPY; BIBLIOTHERAPY;
Keywords:
DEPRESSION; ELDERLY; OUTREACH PROGRAMS; METAANALYSIS; DROPOUT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Physical, Chemical & Earth Sciences
Citazioni:
40
Recensione:
Indirizzi per estratti:
Citazione:
P. Cuijpers, "PSYCHOLOGICAL OUTREACH PROGRAMS FOR THE DEPRESSED ELDERLY - A METAANALYSIS OF EFFECTS AND DROPOUT", International journal of geriatric psychiatry, 13(1), 1998, pp. 41-48

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 largerin 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 isalso necessary to examine if outreach programmes reach depressed persons who otherwise would not have sought help. (C) 1998 John Wiley & Sons, Ltd.

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Documento generato il 31/03/20 alle ore 16:20:39