PURPOSE: This study was a systematic review and meta-analysis of randomized controlled trials of telephonedelivered cognitive behavioral therapy (T-CBT) among patients with chronic physical health conditions and has been conducted to evaluate its effectiveness on depression. METHODS: A literature search was conducted of electronic databases published from the journal inception to December 2017. Thirteen of 1,609 studies met the inclusion criteria. Selected studies were rated for quality assessment by two independent reviewers using Cochrane's collaboration tool. RESULTS: Meta-analysis showed that T-CBT significantly reduces depression. The effect size of T-CBT was small (d=−0.20, 95% CI: −0.29~−0.10, Z=4.09, p < .001) and showed low heterogeneity (I2=0.0%). The effect of T-CBT at the 12-month follow-up was not sustained (d=−0.19, 95% CI:−0.42~0.03, Z=1.66, p=.10). CONCLUSION: The current findings indicate that T-CBT for patients with chronic physical health conditions has a significant post-treatment effect on depression. T-CBT can be a useful intervention reducing barriers to treatment and improving depression in patients with chronic physical health conditions.
Chronic Disease ; Cognitive Therapy ; Cooperative Behavior ; Depression ; Follow-Up Studies ; Humans ; Population Characteristics ; Telephone

BACKGROUND: As aging is a process that everyone must experience, life expectancy is getting longer and living standards are getting better. But aging can be successful or unsuccessful. Middle-aged adults experience an existential crisis of physical burdens and middle-aged crises, thereby changing the quality of life in old age. The purpose of this study was to identify the factors affecting successful aging in middle-aged adults. METHODS: This is a cross sectional descriptive study design was used to examine the association among middle-age crisis, perceived health status, self-esteem, social support and successful aging in late middle-aged adults. RESULTS: Perceived health status and social support had a statistically significant effect on successful aging, and middle-aged crisis and self-esteem were not significant. The factors' determination value was 63.6%. CONCLUSIONS: The perceived health status and social support of middle-aged adults may help the successful aging of middle-aged adults. Therefore, it is necessary to develop education for health promoting activities and social support programs with various materials.
Adult ; Aging ; Education ; Humans ; Life Change Events ; Quality of Life ; Socioeconomic Factors

BACKGROUND: As aging is a process that everyone must experience, life expectancy is getting longer and living standards are getting better. But aging can be successful or unsuccessful. Middle-aged adults experience an existential crisis of physical burdens and middle-aged crises, thereby changing the quality of life in old age. The purpose of this study was to identify the factors affecting successful aging in middle-aged adults. METHODS: This is a cross sectional descriptive study design was used to examine the association among middle-age crisis, perceived health status, self-esteem, social support and successful aging in late middle-aged adults. RESULTS: Perceived health status and social support had a statistically significant effect on successful aging, and middle-aged crisis and self-esteem were not significant. The factors' determination value was 63.6%. CONCLUSIONS The perceived health status and social support of middle-aged adults may help the successful aging of middle-aged adults. Therefore, it is necessary to develop education for health promoting activities and social support programs with various materials.