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Effects of a mutual recovery intervention on mental health in depressed elderly community-dwelling adults: a pilot study

Wang, Chao; Hua, Yujie; Fu, Hua; Cheng, Longfeng; Qian, Wen; Liu, Junyang; Crawford, Paul; Dai, Junming

Authors

Chao Wang

Yujie Hua

Hua Fu

Longfeng Cheng

Wen Qian

Junyang Liu

Paul Crawford

Junming Dai



Abstract

Background

The prevalence of depression in the elderly is growing worldwide, and the population aging in China makes depression a major health problem for the elderly adults and a tremendous burden to the society. Effective interventions should be determined to provide an approach solving the problem and improving the situation. This study examined the effectiveness of a mutual recovery program intervention on depressive symptom, sleep quality, and well-being in community-dwelling elderly adults with depressive symptom in Shanghai.

Methods

Recruitment was performed between July 2012 and August 2012. Using a cluster randomized wait-list controlled design, we randomized 6 communities (n = 237) into either the intervention group (3 communities, n = 105) or to a wait-list control group (3 communities, n = 132). All participants met the inclusion criteria for depression, which were defined by The Geriatric Depression Scale (GDS-15). From March to May of 2013, participants in the intervention group underwent a 2-month mutual recovery program intervention. The intervention included seven 90-min, weekly sessions that were based on a standardized self-designed schedule. Depression was used as primary outcome at three measurement moments: baseline (T1), before intervention at 24 weeks (T2), and immediately after intervention at 32 weeks (T3). Well-being and sleep quality were used as the secondary outcomes, and were evaluated based on the WHO-5 Well-being Index (WHO-5) and the Self-administered Sleep Questionnaire (SSQ). Finally, a total of 225 participants who completed all the sessions and the three measurements entered the final analysis. Mixed-model repeated measures ANOVAs were performed to estimate the intervention effects.

Results

There was no significant difference in gender, marriage, age structure, post-work type, and education background between the intervention and control group at baseline. Multivariate ANOVAs showed that there was no significant difference within the groups in terms of sleep, well-being, and depression at baseline and before the intervention. Mixed-model repeated measures ANOVAs detected a group × time interaction on depression, sleep, and well-being and showed a favorable intervention effect within groups immediately after the intervention.

Conclusions

The mutual recovery program could be a creative and effective approach to improve mental health in older community-dwelling adults with depressive symptom.

Journal Article Type Article
Publication Date Jan 3, 2017
Journal BMC Public Health
Electronic ISSN 1471-2458
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 17
Article Number 4
APA6 Citation Wang, C., Hua, Y., Fu, H., Cheng, L., Qian, W., Liu, J., …Dai, J. (2017). Effects of a mutual recovery intervention on mental health in depressed elderly community-dwelling adults: a pilot study. BMC Public Health, 17, https://doi.org/10.1186/s12889-016-3930-z
DOI https://doi.org/10.1186/s12889-016-3930-z
Keywords Mental health, Depression, Well-being, Intervention, Elderly population
Publisher URL http://dx.doi.org/10.1186/s12889-016-3930-z
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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