A pilot trial of acceptance and commitment therapy for symptoms of depression and anxiety in older adults residing in long-term care facilities

Journal article

Davison, Tanya E., Eppingstall, Barbara, Runci, Susannah, O'Connor and daniel.oconnor@acu.edu.au, Daniel W. O'Connor. (2017). A pilot trial of acceptance and commitment therapy for symptoms of depression and anxiety in older adults residing in long-term care facilities. Aging and Mental Health. 21(7), pp. 766 - 773. https://doi.org/10.1080/13607863.2016.1156051
AuthorsDavison, Tanya E., Eppingstall, Barbara, Runci, Susannah, O'Connor and daniel.oconnor@acu.edu.au, Daniel W. O'Connor
Abstract

Objectives: The aim of this study was to evaluate the efficacy and acceptability of a psychological intervention based on acceptance and commitment therapy (ACT) to improve symptoms of depression and anxiety among older adults living in long-term care. Method: Forty one residents aged between 63 and 97 years (M = 85.3 years) participated in this study. Residents were allocated to receive either a 12 session ACT intervention implemented by trainee psychology therapists or a wait-list control group. Measures of depression and anxiety were collected at baseline and 8 week post-intervention, and residents who received the intervention were tracked for three months. A treatment satisfaction questionnaire was administered to residents who received the intervention and a sample of 10 facility staff members. Results: Using an intention to treat approach and controlling for baseline scores, scores on depression measures were significantly lower after the ACT intervention than after the wait-list control. These outcomes were maintained at three-month follow-up. Treatment satisfaction was rated highly by both residents and their care staff. Conclusion: This preliminary trial suggests that ACT shows promise as a therapeutic approach to address symptoms of depression in long-term care.

Keywordsacceptance and commitment therapy; depression; anxiety; long-term care; psychotherapy
Year2017
JournalAging and Mental Health
Journal citation21 (7), pp. 766 - 773
PublisherRoutledge
ISSN1360-7863
Digital Object Identifier (DOI)https://doi.org/10.1080/13607863.2016.1156051
Scopus EID2-s2.0-84961214100
Page range766 - 773
Research GroupInstitute for Health and Ageing
Publisher's version
File Access Level
Controlled
Place of publicationUnited Kingdom
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