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Psychological outreach programmes for the depressed elderly: a meta-analysis of effects and dropout

✍ Scribed by Pim Cuijpers


Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
132 KB
Volume
13
Category
Article
ISSN
0885-6230

No coin nor oath required. For personal study only.

✦ Synopsis


Utilization of psychiatric services by depressed elderly is low compared to younger adults. Outreach programmes in which treatment is actively oered to depressed elderly in the community can be used to improve access of these elderly to mental health care. In this study a meta-analysis is carried out to study the eectiveness of these outreach programmes. Fourteen studies were found in which psychological treatment is oered to depressed elderly in the community. The eect size is large (0.77), comparable to the eect sizes found in younger adults. In a regression analysis it was found that the eect sizes of cognitive behavioural therapies are larger than those of other therapies. The mean dropout rate is 23%. It was also found that dropout was larger in group interventions, in cognitive behavioural therapies, in interventions with more female participants and in interventions oering more sessions. Analyses of the dropout rate should be part of every meta-analysis of intervention studies. Future research is needed to examine the dierences between depressed persons who volunteer for a research programme and persons participating in an outreach programme. It is also necessary to examine if outreach programmes reach depressed persons who otherwise would not have sought help.


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