tailieunhanh - Báo cáo y học: " Psychological treatment of depressive symptoms in Chinese elderly inpatients with significant medical comorbidity: A meta-analysis"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Psychological treatment of depressive symptoms in Chinese elderly inpatients with significant medical comorbidity: A meta-analysis | Dai et al. BMC Psychiatry 2011 11 92 http 1471-244X 11 92 BMC Psychiatry 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 95 Confidence Intervals CI p . The relative risk of psychological intervention of being effective or not compared to control condition was 95 CI p . 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 Depression is a common mood disorder that can lead to considerable suffering by patients and their relatives physical cognitive and social dysfunction a significantly increased mortality rate and a massive economic burden 1-3 . It is well acknowledged that the prevalence of depression in late life is high with major depression ranging from 1 to 5 and clinically significant depressive symptoms varying between and 15 4 5 while it is even higher in older inpatients with significant medical comorbidity 6 . The prevalence of major depression among