Meta-analysis for the effects of problem solving therapy on the elderly patients with depression
10.3760/cma.j.cn211501-20200716-03191
- VernacularTitle:问题解决疗法对老年抑郁患者干预效果的Meta分析
- Author:
Xiaoqi WU
1
;
Qian SUN
;
Yinglong DUAN
;
Siyuan TANG
;
Jianfei XIE
;
Cheng SK ANDY
Author Information
1. 中南大学湘雅护理学院，长沙 410013
- Keywords:
Aged;
Depression;
Meta-analysis;
Problem solving therapy
- From:
Chinese Journal of Practical Nursing
2022;38(2):154-161
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effects of problem solving therapy on the elderly patients with depression by Meta-analysis.Methods:Randomized controlled trials articles regarding the effects of problem solving therapy on the elderly patients with depression were searched from the database of PubMed, EMbase, Medline, Cochrane Library, China National Knowledge Infrastructure, Chinese Biomedical Database and Wanfang Data electronically. SMD was used as the post merger response, and its 95% CI was calculated. Results:Ten articles were recruited and a total of 1 005 patients were included, 501 patients in the intervention group and 504 patients in the control group. Meta-analysis showed that problem solving therapy was significantly better than the control group in the treatment of depressive symptoms in the elderly patients with depression ( SMD =-0.64, 95% CI -0.98 - -0.31, P<0.05); during the follow-up within 3 months and 6 months after the intervention, the improvement of depression in the intervention group was better than that in the control group ( SMD=-0.62, 95% CI -1.00 - -0.25, P<0.05) and ( SMD =-0.79, 95% CI -1.03 - -0.55, P<0.05), respectively. Compared with the control group, the intervention group had an effect on the improvement of dysfunction ( SMD=-1.28, 95% CI -2.22 - -0.35, P<0.05). Conclusions:Problem solving therapy can improve the depressive symptoms of the elderly patients with depression and the clinical effect remains stable for a certain period of time; problem solving therapy has an improvement effect on the dysfunction of the elderly patients with depression.
