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Centre for Policy on Ageing | |
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| A meta-analysis of third wave mindfulness-based cognitive behavioral therapies for older people | | Author(s) | Naoko Kishita, Yuko Takei, Ian Stewart |
| Journal title | International Journal of Geriatric Psychiatry, vol 32, no 12, December 2017 |
| Publisher | Wiley, December 2017 |
| Pages | pp 1352-1361 |
| Source | http://www.orangejournal.org |
| Keywords | Depression ; Anxiety ; Ageing process ; Psychiatric treatment ; Behaviour modification ; Therapy ; Self esteem ; Adjustment ; Evaluation ; Literature reviews. |
| Annotation | The aim of this study was to review the effectiveness of third wave mindfulness-based cognitive behavioural therapies (CBTs) for depression or anxiety in older adults across a wide range of physical and psychological conditions. Electronic databases were searched for articles and random-effects meta-analyses were conducted. Ten studies met the inclusion criteria, of which nine reported the efficacy of interventions on depression and seven on anxiety. Effect-size estimates suggested that mindfulness-based CBT is moderately effective for depression in older adults. The results demonstrated a similar level of overall effect size for anxiety. However there was a large heterogeneity and publication bias was evident in studies reporting outcomes on anxiety, hence this observed efficacy for late-life anxiety may not be robust. The quality of the included studies varied. Only one study used an active psychological control condition. There were a limited number of studies that used an intent-to-treat (last observation carried forward method) analysis and reported appropriate methods for clinical trials (e.g. treatment-integrity reporting). Third wave mindfulness-based CBT may be robust in particular for depression in older adults. It is recommended that future studies (i) conduct randomised controlled trials with intent-to-treat to compare mindfulness-based CBT with other types of psychotherapy in older people and (ii) improve study quality by using appropriate methods for checking treatment adherence, randomisation and blinding of assessors. (JL). |
| Accession Number | CPA-180119226 A |
| Classmark | ENR: ENP: BG: LP: LODM: LO: DPA: DR: 4C: 64A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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