Cognitive Impairment in Depression a Systematic Review and Meta-analysis

Review

doi: 10.1192/bjp.bp.114.148130.

Psychological treatments for depression and anxiety in dementia and mild cognitive impairment: systematic review and meta-analysis

Affiliations

• PMID: 26429684
• PMCID: PMC4589662
• DOI: 10.1192/bjp.bp.114.148130

Gratuitous PMC article

Review

Psychological treatments for depression and anxiety in dementia and balmy cognitive impairment: systematic review and meta-analysis

Vasiliki Orgeta  et al. Br J Psychiatry. 2015 Oct .

Free PMC article

Abstract

Groundwork: Anxiety and low are common in people with dementia and mild cognitive harm (MCI), but at that place is doubtfulness about the effectiveness of both pharmacological and psychological therapies.

Aims: To evaluate the evidence of effectiveness of psychological treatments in treating depression and anxiety in people with dementia and MCI.

Method: We carried out a systematic review and meta-analysis of randomised controlled trials (RCTs) of psychological handling versus usual intendance in people with dementia and MCI. Principal outcomes were symptoms of feet and depression. Secondary outcomes were quality of life, ability to perform daily activities, neuropsychiatric symptoms, knowledge and caregivers' self-rated depressive symptoms.

Results: We included half dozen RCTs, involving 439 participants with dementia, which used cognitive-behavioural therapy, interpersonal therapy, counselling or multimodal interventions including a specific psychological therapy. We establish beneficial effects for both depression and anxiety. Overall, the quality of the evidence was moderate for depression and low for anxiety, due to the methodological limitations of the studies nosotros identified and the limited number of trials.

Conclusions: The prove from vi RCTs suggests that psychological treatments are effective in reducing symptoms of depression and anxiety for people with dementia. There is a need for loftier-quality, multicentre trials including standardised, well-defined interventions.

© The Royal College of Psychiatrists 2015.

Disharmonize of interest statement

Declarations of interest

A.Q., A.S. and Yard.O. are investigators in one of the included studies.

Figures

Fig. 1

Review and meta-assay flow diagram.

Fig. 2

Forest plot of psychological treatment versus treatment as usual. Outcome: ane.1 Depression.

Fig. iii

Forest plot of psychological treatment versus treatment as usual. Result: ane.2 Anxiety RAID. RAID, Rating Anxiety in Dementia scale.

Fig. iv

Forest plot of psychological treatment versus handling every bit usual. Event: 1.3 Anxiety (self-ratings).

Fig. 5

Forest plot of psychological treatment versus treatment equally usual. Consequence: 1.four Anxiety NPI-A. NPI-A, Neuropsychiatric Inventory-Anxiety.

Similar manufactures

• Psychological treatments for depression and feet in dementia and mild cognitive damage.

  Orgeta V, Qazi A, Spector AE, Orrell M. Orgeta 5, et al. Cochrane Database Syst Rev. 2014 Jan 22;2014(1):CD009125. doi: x.1002/14651858.CD009125.pub2. Cochrane Database Syst Rev. 2014. PMID: 24449085 Free PMC article. Review.

• Psychological interventions to improve psychological well-being in people with dementia or mild cognitive impairment: systematic review and meta-analysis protocol.

  Farrand P, Matthews J, Dickens C, Anderson Thousand, Woodford J. Farrand P, et al. BMJ Open. 2016 Jan 27;half dozen(one):e009713. doi: ten.1136/bmjopen-2015-009713. BMJ Open. 2016. PMID: 26817638 Free PMC commodity.

• Meta-analysis of psychosocial interventions for people with dementia and feet or depression.

  Noone D, Stott J, Aguirre Eastward, Llanfear Yard, Spector A. Noone D, et al. Aging Ment Wellness. 2019 October;23(ten):1282-1291. doi: ten.1080/13607863.2018.1495177. Epub 2018 Oct 17. Aging Ment Health. 2019. PMID: 30328711

• Psychological, social and welfare interventions for psychological wellness and well-being of torture survivors.

  Patel N, Kellezi B, Williams Air conditioning. Patel N, et al. Cochrane Database Syst Rev. 2014 Nov 11;(11):CD009317. doi: 10.1002/14651858.CD009317.pub2. Cochrane Database Syst Rev. 2014. PMID: 25386846 Review.

• Psychological treatment for low and anxiety associated with dementia and mild cognitive harm.

  Ford AH, Almeida OP. Ford AH, et al. Br J Psychiatry. 2015 October;207(iv):286-vii. doi: ten.1192/bjp.bp.115.166595. Br J Psychiatry. 2015. PMID: 26429681

Cited by 45 manufactures

• Cyclopedia of self- and informant-rated depressive symptoms in nursing home residents with Dementia: cross-sectional findings.

  O'Sullivan JL, Schweighart R, Lech South, Kessler EM, Tegeler C, Teti A, Nordheim J, Gellert P. O'Sullivan JL, et al. BMC Psychiatry. 2022 April 5;22(ane):241. doi: 10.1186/s12888-022-03876-5. BMC Psychiatry. 2022. PMID: 35382790 Free PMC article.

• A Single-Case Blueprint Investigation for Measuring the Efficacy of Gestalt Therapy to Treat Low in Older Adults with Dementia in Italian republic and in Mexico: A Enquiry Protocol.

  Merizzi A, Biasi R, Zamudio JFÁ, Spagnuolo Lobb G, Di Rosa M, Santini S. Merizzi A, et al. Int J Environ Res Public Health. 2022 Mar 10;19(6):3260. doi: 10.3390/ijerph19063260. Int J Environ Res Public Wellness. 2022. PMID: 35328948 Free PMC article.

• Psychotherapeutic Interventions for Dementia: a Systematic Review.

  Sukhawathanakul P, Crizzle A, Tuokko H, Naglie G, Rapoport MJ. Sukhawathanakul P, et al. Can Geriatr J. 2021 Sep ane;24(3):222-236. doi: 10.5770/cgj.24.447. eCollection 2021 Sep. Tin can Geriatr J. 2021. PMID: 34484505 Free PMC article.

• Neuropsychiatric Symptoms in Mild Cognitive Harm and Dementia Due to AD: Relation With Disease Stage and Cerebral Deficits.

  Wiels WA, Wittens MMJ, Zeeuws D, Baeken C, Engelborghs Southward. Wiels WA, et al. Front Psychiatry. 2021 Aug 17;12:707580. doi: 10.3389/fpsyt.2021.707580. eCollection 2021. Front Psychiatry. 2021. PMID: 34483998 Gratuitous PMC article.

• Comparative efficacy of non-pharmacological interventions on behavioural and psychological symptoms in elders with dementia: A network meta-analysis.

  Li W, Xu Ten, Wu F, Ni Y, Lan J, Hu X. Li Westward, et al. Nurs Open. 2021 Nov;8(half-dozen):2922-2931. doi: ten.1002/nop2.1049. Epub 2021 Sep two. Nurs Open. 2021. PMID: 34472717 Gratis PMC commodity. Review.

References

1. 1. Enache D, Winblad B, Aarsland D. Depression in dementia: epidemiology, mechanisms, and treatment. Curr Opin Psychiatry 2011; 24: 461–72. - PubMed
2. 1. Weiner MF, Doody RS, Sairam R, Foster B, Liao TY. Prevalence and incidence of major depressive disorder in Alzheimer's disease: findings from two databases. Dement Geriatr Cogn Disord 2002; xiii: 8–12. - PubMed
3. 1. Palmer One thousand, Berger AK, Monastero R, Winblad B, Bäckman L, Fratiglioni Fifty. Predictors of progression from balmy cerebral impairment to Alzheimer disease. Neurology 2007; 68: 1596–602. - PubMed
4. 1. Solfrizzi Five, D'Introno A, Colacicco AM, Capurso C, Del Parigi A, Caselli RJ, et al. Incident occurrence of depressive symptoms among patients with mild cerebral impairment: the Italian longitudinal written report on aging. Bewilder Geriatr Cogn Disord 2007; 24: 55–64. - PubMed
5. 1. Ballard C, Neill D, O'Brien J, McKeith IG, Ince P, Perry R. Feet, depression and psychosis in vascular dementia: prevalence and associations. J Touch Disord 2000; 59: 97–106. - PubMed

Publication types

MeSH terms

LinkOut - more resources

• Total Text Sources

  • Cambridge University Press
  • Europe PubMed Central
  • Ovid Technologies, Inc.
  • PubMed Central

• Other Literature Sources

  • scite Smart Citations

• Medical

  • Genetic Brotherhood
  • MedlinePlus Consumer Health Information
  • MedlinePlus Health Information

brookscaloque.blogspot.com

Source: https://pubmed.ncbi.nlm.nih.gov/26429684/

Share this post