A meta-analysis of third wave mindfulness-based cognitive behavioral therapies for older people

Kishita, Naoko ORCID: https://orcid.org/0000-0001-8453-2714, Takei, Yuko and Stewart, Ian (2017) A meta-analysis of third wave mindfulness-based cognitive behavioral therapies for older people. International Journal of Geriatric Psychiatry, 32 (12). 1352–1361. ISSN 0885-6230

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Objectives: The aim of this study is to review the effectiveness of third wave mindfulness-based cognitive behavioral therapies (CBTs) for depressive or anxiety symptomatology in older adults across a wide range of physical and psychological conditions. Methods: Electronic literature databases were searched for articles, and random-effects meta-analysis was conducted. Results: Ten studies met the inclusion criteria, of which nine reported the efficacy of interventions on depressive symptoms and seven on anxiety symptoms. Effect-size estimates suggested that mindfulness-based CBT is moderately effective on depressive symptoms in older adults (g = 0.55). The results demonstrated a similar level of overall effect size for anxiety symptoms (g = 0.58). However, there was a large heterogeneity, and publication bias was evident in studies reporting outcomes on anxiety symptoms, and thus, this observed efficacy for late-life anxiety may not be robust. The quality of the included studies varied. Only one study used an active psychological control condition. There were a limited number of studies that used an intent-to-treat (last observation carried forward method) analysis and reported appropriate methods for clinical trials (e.g., treatment-integrity reporting). Conclusions: Third wave mindfulness-based CBT may be robust in particular for depressive symptoms in older adults. We recommend that future studies (i) conduct randomized controlled trials with intent-to-treat to compare mindfulness-based CBT with other types of psychotherapy in older people and (ii) improve study quality by using appropriate methods for checking treatment adherence, randomization, and blinding of assessors. Copyright © 2016 John Wiley & Sons, Ltd.

Item Type: Article
Uncontrolled Keywords: acceptance and commitment therapy,mindfulness,mindfulness-based cognitive therapy,depression,anxiety
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Dementia & Complexity in Later Life
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
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Depositing User: Pure Connector
Date Deposited: 21 Oct 2016 14:00
Last Modified: 19 Oct 2023 01:48
URI: https://ueaeprints.uea.ac.uk/id/eprint/61027
DOI: 10.1002/gps.4621


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