Internet-based cognitive behavioral therapy for psychological distress in older adults without cognitive impairment living in nursing homes during the COVID-19 pandemic: A feasibility study.
Internet Interv
; 26: 100461, 2021 Dec.
Article
in English
| MEDLINE | ID: covidwho-1446738
ABSTRACT
BACKGROUND:
The COVID-19 pandemic has had a detrimental effect on the mental health of older adults living in nursing homes. Very few studies have examined the effects of Internet-based Cognitive Behavioral Therapy (ICBT) on older adults living in nursing homes during the pandemic. We conducted a feasibility study using a single-group design, to explore the effectiveness of ICBT on psychological distress in 137 older adults (without cognitive impairment) from 8 nursing homes in 4 southeast cities in China, between January and March 2020.METHODS:
Symptoms of depression, anxiety, general psychological distress, and functional disability were measured at baseline, post-treatment (5 weeks) and at a 1-month follow-up. Mixed-effects model was used to assess the effects of ICBT.RESULTS:
Statistically significant changes with large effect sizes were observed from pre- to post-treatment on the PHQ-9 (p < .001, Cohen's d = 1.74), GAD-7 (p < .001, d = 1.71), GDS (p < .001, d = 1.30), K-10 (p < .001, d = 1.93), and SDS (p < .001, d = 2.03). Furthermore, improvements in treatment outcomes were sustained at 1-month follow-up, and high levels of adherence and satisfaction were indicated.CONCLUSION:
ICBT was effective in reducing psychological distress in older adults without cognitive impairments living in nursing homes during the COVID-19 pandemic. Thus, it could be applied in improving the mental health of this vulnerable group during the pandemic.
CBT, cognitive behavioral therapy; CIs, confidence intervals; COVID-19; DSM-IV, The Diagnostic and Statistical Manual of Mental Disorders-4th edition; Feasibility study; GAD-7, Generalized Anxiety Disorder 7-item; GDS, Geriatric Depression Scale; ICBT, Internet-based cognitive behavioral therapy; ITT, intention-to-treat; Internet-based cognitive behavioral therapy; K-10, 10-item Kessler Psychological Distress Scale; LOCF, last observation carried forward; MMRM, mixed-effects model for repeated measure; Mental health; Older adults; PHQ-9, Patient Health Questionnaire 9-item; Psychological distress; RCT, randomized controlled trials; REML, restricted maximum likelihood; SD, standard deviation; SDS, Sheehan Disability Scales; UN, unstructured
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Cohort study
/
Experimental Studies
/
Prognostic study
Language:
English
Journal:
Internet Interv
Year:
2021
Document Type:
Article
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