Psychosocial interventions for the promotion of mental health and the prevention of depression among older adults
Psychosocial interventions for the promotion of mental health and the prevention of depression among older adults
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DOI：
10.1093/heapro/dar074
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发表时间：
2011-12-01
影响因子：
2.7
通讯作者：
Wahlbeck, Kristian
中科院分区：
文献类型：
--
作者：
Forsman, Anna K.;Nordmyr, Johanna;Wahlbeck, Kristian
本次审查的目的是评估社会心理干预措施对于促进老年人心理健康和预防抑郁症的有效性。对前瞻性对照试验进行了系统回顾，其中包括 69 项研究。这些研究分为体育锻炼、技能训练、回忆、社交活动、团体支持和多成分干预。 44 项试验的数据有助于对有效性进行荟萃分析。总体而言，心理社会干预对生活质量和积极的心理健康产生积极影响。综合干预措施对于减少抑郁症状也具有统计学上显着的效果。社交活动显着改善积极的心理健康、生活满意度和生活质量，并减少抑郁症状。根据这项研究的结果，干预措施的持续时间很重要，因为与较短的干预措施相比，持续超过 3 个月的干预措施表现出更积极的效果。应考虑根据老年人的能力和偏好开展有意义的社会活动，以改善老年人的心理健康。
The aim of this review was to assess the effectiveness of psychosocial interventions for the promotion of mental health and prevention of depression among older people. A systematic review of prospective controlled trials was conducted including 69 studies. The studies were divided into physical exercise, skill training, reminiscence, social activities, group support and multicomponent interventions. Data from 44 trials contributed to a meta-analysis of effectiveness. Overall, psychosocial interventions had a positive effect on quality of life and positive mental health. The pooled interventions also had a statistically significant effect on reduction in depressive symptoms. Social activities significantly improved positive mental health, life satisfaction and quality of life and reduced depressive symptoms. Based on the results of this study, duration of interventions is of importance, since interventions lasting for >3 months exhibited more positive effects compared with shorter interventions. Meaningful social activities, tailored to the older individual's abilities and preferences should be considered in aiming to improve mental health among older people.