Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/28743
Title: Treating late-life depression: Comparing the effects of internet-delivered cognitive behavior therapy across the adult lifespan
Contributor(s): Hobbs, Megan J  (author)orcid ; Joubert, Amy E (author); Mahoney, Alison E J (author); Andrews, Gavin (author)
Publication Date: 2018-01-15
Early Online Version: 2017-09-23
DOI: 10.1016/j.jad.2017.09.026
Handle Link: https://hdl.handle.net/1959.11/28743
Abstract: Background: The burden attributable to late-life depression is set to increase with the ageing population. The size of the workforce trained to deliver psychogeriatric medicine is limited. Internet-delivered cognitive behavioral therapy (iCBT) is an efficacious and scalable treatment option for depression. Yet older adults are underrepresented in iCBT research. This study examines the effects of iCBT for depression across the adult lifespan among patients seeking help in routine clinical care (N = 1288). Methods: Regression analyses were used to examine the relationship between age group (e.g., 18-24years (n = 141); 25-34years (n = 289); 35-44years (n = 320); 45-54years (n = 289); 55-64years (n = 180); 65 +years (n = 69)) and presenting demographic and clinical characteristics, adherence to treatment, and rates of remission, recovery and reliable improvement. Linear mixed models were used to examine whether reductions in symptom severity, distress and impairment varied as a function of age. Results: Patients aged 65+ years were more likely to be male compared to those aged 18–34 years and have been prescribed iCBT by their GP compared to those aged 55–64 years. Patients experiencing late-life depression experienced moderate to large effect size reductions in depressive symptom severity, psychological distress, and impairment, as did all other age groups. Rates of remission, recovery or reliable improvement were comparable across the adult lifespan. Conclusions: iCBT is an effective treatment option for depression including in later life, and can be used to scale evidenced-based medicine in routine clinical care. Limitations: No follow-up data were collected. The long-term effects of treatment, particularly for those who did not experience remission, are unclear.
Publication Type: Journal Article
Grant Details: NHMRC/1093083
Source of Publication: Journal of Affective Disorders, v.226, p. 58-65
Publisher: Elsevier BV
Place of Publication: Netherlands
ISSN: 1573-2517
0165-0327
Fields of Research (FoR) 2008: 110319 Psychiatry (incl. Psychotherapy)
111717 Primary Health Care
170102 Developmental Psychology and Ageing
Fields of Research (FoR) 2020: 420319 Primary health care
320221 Psychiatry (incl. psychotherapy)
520106 Psychology of ageing
Socio-Economic Objective (SEO) 2008: 920410 Mental Health
920209 Mental Health Services
920204 Evaluation of Health Outcomes
Socio-Economic Objective (SEO) 2020: 200202 Evaluation of health outcomes
200409 Mental health
200305 Mental health services
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article

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