Effects of a mutual recovery intervention on mental health in depressed elderly community-dwelling adults: a pilot studyReport as inadecuate




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BMC Public Health

, 17:4

Health behavior, health promotion and society

Abstract

BackgroundThe prevalence of depression in the elderly is growing worldwide, and the population aging in China makes depression a major health problem for the elderly adults and a tremendous burden to the society. Effective interventions should be determined to provide an approach solving the problem and improving the situation. This study examined the effectiveness of a mutual recovery program intervention on depressive symptom, sleep quality, and well-being in community-dwelling elderly adults with depressive symptom in Shanghai.

MethodsRecruitment was performed between July 2012 and August 2012. Using a cluster randomized wait-list controlled design, we randomized 6 communities n = 237 into either the intervention group 3 communities, n = 105 or to a wait-list control group 3 communities, n = 132. All participants met the inclusion criteria for depression, which were defined by The Geriatric Depression Scale GDS-15. From March to May of 2013, participants in the intervention group underwent a 2-month mutual recovery program intervention. The intervention included seven 90-min, weekly sessions that were based on a standardized self-designed schedule. Depression was used as primary outcome at three measurement moments: baseline T1, before intervention at 24 weeks T2, and immediately after intervention at 32 weeks T3. Well-being and sleep quality were used as the secondary outcomes, and were evaluated based on the WHO-5 Well-being Index WHO-5 and the Self-administered Sleep Questionnaire SSQ. Finally, a total of 225 participants who completed all the sessions and the three measurements entered the final analysis. Mixed-model repeated measures ANOVAs were performed to estimate the intervention effects.

ResultsThere was no significant difference in gender, marriage, age structure, post-work type, and education background between the intervention and control group at baseline. Multivariate ANOVAs showed that there was no significant difference within the groups in terms of sleep, well-being, and depression at baseline and before the intervention. Mixed-model repeated measures ANOVAs detected a group × time interaction on depression, sleep, and well-being and showed a favorable intervention effect within groups immediately after the intervention.

ConclusionsThe mutual recovery program could be a creative and effective approach to improve mental health in older community-dwelling adults with depressive symptom.

KeywordsMental health Depression Well-being Intervention Elderly population AbbreviationsANOVAAnalysis of Variance

CBTCognitive behavior therapy

GDS-15The Geriatric Depression Scale 15

HRSDThe Hamilton Rating Scale for Depression

PASWPredictive Analytics Software

SSQThe Self-administered Sleep Questionnaire

WHO-5The WHO-5 Well-being Index

Electronic supplementary materialThe online version of this article doi:10.1186-s12889-016-3930-z contains supplementary material, which is available to authorized users.

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Author: Chao Wang - Yujie Hua - Hua Fu - Longfeng Cheng - Wen Qian - Junyang Liu - Paul Crawford - Junming Dai

Source: https://link.springer.com/







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