Meta-analysis of psychosocial interventions for people with dementia and anxiety or depression

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Meta-analysis of psychosocial interventions for people with dementia and anxiety or depression

Noone, D; Stott, J; Aguirre, E; Llanfear, K; Spector, A; (2019) Meta-analysis of psychosocial interventions for people with dementia and anxiety or depression. Aging & Mental Health , 23 (10) pp. 1282-1291. 10.1080/13607863.2018.1495177. Green open access

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Abstract

OBJECTIVES: Assess the effectiveness of psychosocial interventions for depression and anxiety in people with dementia (PWD) or mild cognitive impairment (MCI). METHOD: OvidMedline, PsychInfo and Embase were searched for studies on the 5th August 2017. The efficacy of the studies was estimated using meta-analyses. RESULTS: Eight RCTs were included. No RCTs were identified for people with MCI. Four RCTs found that psychosocial interventions (multicomponent intervention, Tai Chi, problem adaptation therapy and exercise/walking) were effective at reducing symptoms of depression in PWD who were depressed. One study (Tai Chi) found that these reductions were no longer evident at six-month follow-up. Another study, not included in the meta-analyses, found that pleasant events behaviour therapy and problem solving behaviour therapy improved depression symptoms and this effect remained significant at follow-up. Three RCTs found that psychosocial interventions (music therapy and cognitive behavioural therapy (CBT)) reduced symptoms of anxiety in PWD who were anxious. Evidence from two of these RCTs (music therapy and CBT) showed that these improvements were evident at three to six-month follow-up. CONCLUSION: The identified psychosocial interventions are effective at reducing symptoms of depression or anxiety in PWD experiencing these symptoms. This review is limited by the quality of studies, small sample sizes and the heterogeneity of the interventions, therefore high quality studies with larger sample sizes are required to test the efficacy of specific interventions such as CBT.

Type:	Article
Title:	Meta-analysis of psychosocial interventions for people with dementia and anxiety or depression
Location:	England
Open access status:	An open access version is available from UCL Discovery
DOI:	10.1080/13607863.2018.1495177
Publisher version:	https://doi.org/10.1080/13607863.2018.1495177
Language:	English
Additional information:	This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords:	Dementia, anxiety, depression, mild cognitive impairment, psychosocial interventions
UCL classification:	UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI:	https://discovery.ucl.ac.uk/id/eprint/10061028