Goodarzi Zahra, Holroyd-Leduc Jayna, Seitz Dallas, Ismail Zahinoor, Kirkham Julia, Wu Pauline, Fox Loralee, Hykaway Wayne, Grossman Linda, Ewa Vivian, Veroniki Areti Angeliki, Tricco Andrea C, Straus Sharon, Watt Jennifer
Division of Geriatric Medicine, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Int Psychogeriatr. 2023 Mar;35(3):131-141. doi: 10.1017/S1041610222000412. Epub 2022 May 23.
Older adults experience symptoms of depression, leading to suffering and increased morbidity and mortality. Although we have effective depression therapies, physical distancing and other public health measures have severely limited access to in-person interventions.
To describe the efficacy of virtual interventions for reducing symptoms of depression in community-dwelling older adults.
Systematic review.
We searched MEDLINE, EMBASE, Cochrane Libraries, PsycINFO, and gray literature from inception to July 5, 2021.
We included randomized trials (RCTs) comparing the efficacy of virtual interventions to any other virtual intervention or usual care in community-dwelling adults ≥60 years old experiencing symptoms of depression or depression as an outcome.
The primary outcome was change in symptoms of depression measured by any depression scale.
We screened 12,290 abstracts and 830 full text papers. We included 15 RCTs (3100 participants). Five RCTs examined persons with depression symptoms at baseline and ten examined depression as an outcome only. Included studies demonstrated feasibility of interventions such as internet or telephone cognitive behavioral therapy with some papers showing statistically significant improvement in depressive symptoms.
There is a paucity of studies examining virtual interventions in older adults with depression. Given difficulty in accessing in-person therapies in a pandemic and poor access for people living in rural and remote regions, there is an urgent need to explore efficacy, effectiveness, and implementation of virtual therapies.
老年人会出现抑郁症状，导致痛苦以及发病率和死亡率上升。尽管我们有有效的抑郁症治疗方法，但物理距离措施和其他公共卫生措施严重限制了面对面干预的可及性。
描述虚拟干预对减轻社区居住老年人抑郁症状的疗效。
系统评价。
我们检索了MEDLINE、EMBASE、Cochrane图书馆、PsycINFO以及从创刊到2021年7月5日的灰色文献。
我们纳入了随机对照试验（RCT），比较虚拟干预与任何其他虚拟干预或常规护理对≥60岁有抑郁症状或抑郁作为结局的社区居住成年人的疗效。
主要结局是通过任何抑郁量表测量的抑郁症状变化。
我们筛选了12290篇摘要和830篇全文论文。我们纳入了15项随机对照试验（3100名参与者）。5项随机对照试验在基线时检查了有抑郁症状的人，10项仅将抑郁作为结局进行检查。纳入的研究证明了互联网或电话认知行为疗法等干预措施的可行性，一些论文显示抑郁症状有统计学上的显著改善。
研究老年人抑郁症虚拟干预措施的研究较少。鉴于在大流行期间难以获得面对面治疗，以及农村和偏远地区居民获得治疗的机会有限，迫切需要探索虚拟治疗的疗效、有效性和实施情况
