Department of Translational Medicine (DIMET), Università del Piemonte Orientale, Novara, Italy.
Psychiatry Ward, Maggiore della Carità University Hospital, Novara, Italy.
Front Public Health. 2021 Jul 16;9:685860. doi: 10.3389/fpubh.2021.685860. eCollection 2021.
Compared to old people who live at home, depressive symptoms are more prevalent in those who live in long-term care facilities (LTCFs). Different kinds of non-pharmacological treatment approaches in LTCFs have been studied, including behavioral and cognitive-behavioral therapy, cognitive bibliotherapy, problem-solving therapy, brief psychodynamic therapy and life review/reminiscence. The aim of the current review was to systematically review non-pharmacological treatments used to treat depressed older adults with no or mild cognitive impairment (as described by a Mini Mental State Examination score > 20) living in LTCFs. A research was performed on PubMed and Scopus databases. Following the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA) flowchart, studies selection was made. The quality of each Randomized Controlled Trial was scored using the Jadad scale, Quasi-Experimental Design studies and Non-Experimental studies were scored based on the Newcastle-Ottawa Scale (NOS) The review included 56 full text articles; according to the type of intervention, studies were grouped in the following areas: horticulture/gardening ( = 3), pet therapy ( = 4), physical exercise ( = 9), psychoeducation/rehabilitation ( = 15), psychotherapy ( = 3), reminiscence and story sharing ( = 14), miscellaneous ( = 8). Despite mixed or negative findings in some cases, most studies included in this systematic review reported that the non-pharmacological interventions assessed were effective in the management of depressed elderly in the LTCFs context. Regrettably, the limitations and heterogeneity of the studies described above hinder the possibility to generalize and replicate results.
与居家老人相比，长期护理机构（LTCF）中的老年人更易出现抑郁症状。在 LTCF 中，已经研究了各种非药物治疗方法，包括行为和认知行为疗法、认知图书疗法、解决问题疗法、简短心理动力学疗法和生活回顾/怀旧疗法。本综述的目的是系统地综述用于治疗 LTCF 中无或轻度认知障碍（以 Mini 精神状态检查评分> 20 描述）的抑郁老年患者的非药物治疗方法。在 PubMed 和 Scopus 数据库上进行了一项研究。根据系统评价和荟萃分析的首选报告项目（PRISMA）流程图，进行了研究选择。使用 Jadad 量表对每个随机对照试验的质量进行评分，根据 Newcastle-Ottawa 量表（NOS）对准实验设计研究和非实验研究进行评分。该综述共纳入 56 篇全文文章；根据干预类型，研究分为以下几个领域：园艺/园艺（= 3）、宠物治疗（= 4）、体育锻炼（= 9）、心理教育/康复（= 15）、心理治疗（= 3）、怀旧和故事分享（= 14）、杂项（= 8）。尽管在某些情况下存在混合或负面结果，但本系统综述中纳入的大多数研究报告称，评估的非药物干预措施在 LTCF 环境中对老年抑郁症患者的管理是有效的。遗憾的是，上述研究的局限性和异质性阻碍了结果的推广和复制。
