psychological treatment of depressive symptoms in chinese elderly inpatients with significant medical comorbidity a meta-analysis心理治疗在中国老年住院患者抑郁症状的重大医疗疾病荟萃分析.pdfVIP

Dai et al. BMC Psychiatry 2011, 11:92 /1471-244X/11/92 RESEARCH ARTICLE Open Access Psychological treatment of depressive symptoms in Chinese elderly inpatients with significant medical comorbidity: A meta-analysis Bibing Dai1,2, Juan Li1* and Pim Cuijpers3 Abstract Background: As it is uncertain whether psychological treatments for depressive symptoms are effective in elderly inpatients with significant medical comorbidity, we aimed to assess the treatment effectiveness not only on depressive symptoms but also on somatic symptoms in these inpatients. Methods: We performed a meta-analysis of randomized controlled studies assessing the effects of psychological treatments in Chinese older inpatients with significant medical comorbidity based upon extensive searches of the most comprehensive computerized Chinese academic database. Results: The overall effect size for depressive symptoms of twelve studies which compared psychological treatments with a care-as-usual control group was d = 0.80 (95% Confidence Intervals (CI) = 0.60-0.99; p 0.001). The relative risk of psychological intervention of being effective or not, compared to control condition, was 1.52 (95% CI = 1.25-1.85; p 0.001). Conclusions: We conclude that psychological treatments of depressive symptoms are effective for Chinese elderly inpatients with significant medical comorbidity which should receive more attention in medical settings. Background comorbidity may interact with depression [9,14]. On the Depression is a common mood disorder that can lead to one hand, depression in elderly inpatients often ampli- considerable suffering by patients and their relatives, fies their physical symptoms, impairs their ability to physical, cognitive and social