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Non-pharmacological depression therapies for older Chinese adults : A systematic review & meta-analysis
Gill, Baljit Kaur Cant, Robyn Lam, Louisa Cooper, Simon Lou, Vivian Wei Qun
Gill, Baljit Kaur
Cant, Robyn
Lam, Louisa
Cooper, Simon
Lou, Vivian Wei Qun
Abstract
Purpose
To conduct a systematic review of randomized controlled trials to evaluate the evidence for the use of non-pharmacological depression therapies in older Chinese adults.
Materials and methods
The population was individuals of Chinese extraction over the age of 60 who meet the criteria for depression. The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). Six healthcare databases were systematically searched for publications to the end date July 2018. Included study variables were extracted and methodological quality assessments were performed. Ten studies reported sufficient data for meta-analysis.
Results
Fifteen experimental and quasi-experimental studies fulfilled the selection criteria (N = 904 participants). Twelve studies provided sufficient data to evaluate the therapies using Effect Size (ES) (Cohen’sd); ranged from low to high. In the Qigong studies ES varied d = 0.31–0.81, Reminiscence d = 0.20–2.37, and for single studies of Tai Chi d = 1.7 and for Life Story d = 1.46. From the meta-analyses, Qigong was the only treatment that had a significant effect on the severity of depression (Z = −4.47, p < 0.01) with acceptable statistical heterogeneity between studies (I2 = 52 %).
Conclusion
Overall, there was a large methodological heterogeneity between studies attributed to differing treatments, duration and designs. Reminiscence and Life Story showed an overall effect from a range of measures, as did the exercise therapies Qigong and Tai Chi. Qigong was the only therapy having a significant effect on depression. This therapy may be useful to alleviate depression due to the group and social interaction.
Keywords
Chinese older adult, depression, health outcome, non-pharmacological therapy, systematic review
Date
2020
Type
Journal article
Journal
Archives of Gerontology and Geriatrics
Book
Volume
88
Issue
Page Range
1-8
Article Number
Article 104037
ACU Department
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled