Psychological treatment of late-life depression: a meta-analysis of randomized controlled trials
Article first published online: 5 SEP 2006
Copyright © 2006 John Wiley & Sons, Ltd.
International Journal of Geriatric Psychiatry
Volume 21, Issue 12, pages 1139–1149, December 2006
How to Cite
Cuijpers, P., van Straten, A. and Smit, F. (2006), Psychological treatment of late-life depression: a meta-analysis of randomized controlled trials. Int. J. Geriat. Psychiatry, 21: 1139–1149. doi: 10.1002/gps.1620
- Issue published online: 23 NOV 2006
- Article first published online: 5 SEP 2006
- Manuscript Accepted: 25 APR 2006
- Manuscript Received: 6 MAR 2006
- major depressive disorder;
- psychological treatment;
- older adults
Older meta-analyses of the effects of psychological treatments for depression in older adults have found that these treatments have large effects. However, these earlier meta-analyses also included non-randomized studies, and did not include newer high-quality randomized controlled trials.
We conducted a meta-analysis of randomized studies on psychological treatments for depression in older adults.
Twenty-five studies were included, of which 17 compared a psychological intervention to a control condition (mainly waiting list and care-as-usual control groups). The quality of the included studies varied. Psychological treatments have moderate to large effects on depression in older adults (standardized mean effect size d = 0.72). Heterogeneity was very low. No differences were found between individual, group or bibliotherapy format, or between cognitive behavioral therapy and other types of psychological treatment. The effects were comparable in studies where depression was defined according to diagnostic criteria, and those in which depression was measured with self-rating questionnaires.
Although the quality of many studies was not optimal, the results of this meta-analysis support the results of earlier meta-analyses, which also included non-randomized studies. Psychological treatments are effective in the treatment of depression in older adults. Copyright © 2006 John Wiley & Sons, Ltd.