Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-10T08:20:31.949Z Has data issue: false hasContentIssue false
  • English
  • Français

Culturally adapted and lay-delivered cognitive behaviour therapy for older adults with depressive symptoms in rural China: a pilot trial

Published online by Cambridge University Press:  29 October 2020

Jiaqi Yuan ,
Yi Yin ,
Xinfeng Tang ,
Tan Tang ,
Qinshu Lian ,
Xuemei Yang ,
Yun Xiao ,
Fahui Yang  and
Zhiyong Qu
Jiaqi Yuan
Affiliation:
Center for Behavioral Health & School of Social Development and Public Policy, Beijing Normal University, Beijing, China
Yi Yin
Affiliation:
Peking University HuiLongGuan Clinical Medical School & Beijing Huilongguan Hospital, Beijing, China
Xinfeng Tang
Affiliation:
Department of Psychology, Renmin University of China, Beijing, China
Tan Tang
Affiliation:
Department of Social Work, The Chinese University of Hong Kong, Hong Kong, China
Qinshu Lian
Affiliation:
School of Public Health, University of Minnesota, MN, USA
Xuemei Yang
Affiliation:
Mental Health Education Center of College Student, Sichuan Normal University, Chengdu, Sichuan, China
Yun Xiao
Affiliation:
Mianzhu Maternal and Child Health Hospital, Mianzhu, Sichuan, China
Fahui Yang
Affiliation:
Faculty of Psychology, Southwest University, Chongqing, China
Zhiyong Qu*
Affiliation:
Center for Behavioral Health & School of Social Development and Public Policy, Beijing Normal University, Beijing, China
*
*Corresponding author. Email: qzy@bnu.edu.cn
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Late-life depression issues in developing countries are challenging because of understaffing in mental health. Cognitive behavioural therapy (CBT) is effective for treating depression.

Aim:

This pilot trial examined the adherence and effectiveness of an eight-session adapted CBT delivered by trained lay health workers for older adults with depressive symptoms living in rural areas of China, compared with the usual care.

Method:

Fifty with screen-positive depression were randomly assigned to the CBT arm or the care as usual (CAU) arm. The primary outcomes were the session completion of older adults and changes in depressive symptoms, assessed using the Geriatric Depression Scale (GDS).

Results:

The majority (19/24) of participants in the CBT arm completed all sessions. Mixed-effect linear regression showed that the CBT reduced more GDS scores over time compared with CAU.

Conclusion:

Lay-delivered culturally adapted CBT is potentially effective for screen-positive late-life depression.

Keywords

community-based treatmentlay health workerprimary carepsychological therapypublic mental health
Type
Brief Clinical Report
Information
Behavioural and Cognitive Psychotherapy , Volume 49 , Issue 4 , July 2021 , pp. 508 - 512
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

‡

First authors: Jiaqi Yuan, Yi Yin and Xinfeng Tang contributed equally to this paper.

References

Jayasekara, R., Procter, N., Harrison, J., Skelton, K., Hampel, S., Draper, R., & Deuter, K. (2015). Cognitive behavioural therapy for older adults with depression: a review. Journal of Mental Health, 24, 168–171. doi: 10.3109/09638237.2014.971143 CrossRefGoogle ScholarPubMed
Li, D., Zhang, D. J., Shao, J. J., Qi, X. D., & Tian, L. (2014). A meta-analysis of the prevalence of depressive symptoms in Chinese older adults. Archives of Gerontology and Geriatrics, 58, 1–9. doi: 10.1016/j.archger.2013.07.016 CrossRefGoogle ScholarPubMed
Tang, X., Yang, F., Tang, T., Yang, X., Zhang, W., Wang, X., … & Qu, Z. (2015). Advantages and challenges of a village doctor-based cognitive behavioral therapy for late-life depression in rural China: a qualitative study. PLoS One, 10, e0137555. doi: 10.1371/journal.pone.0137555 CrossRefGoogle ScholarPubMed
Xie, J., He, G., Ding, S., Pan, C., Zhang, X., Zhou, J., & Iennaco, J. D. (2017). A randomized study on the effect of modified behavioral activation treatment for depressive symptoms in rural left-behind elderly. Psychotherapy Research, 29, 372–382. doi: 10.1080/10503307.2017.1364444 CrossRefGoogle Scholar
Yin, Y., Yuan, J., & Qu, Z. (2020). Associations between hassles, coping styles, and depressive symptoms among older adults [Chinese]. Journal of Chinese Mental Health, 34, 39–44.Google Scholar
Supplementary material: PDF

Yuan et al. supplementary material

Yuan et al. supplementary material

Download Yuan et al. supplementary material(PDF)
PDF 495.7 KB
Submit a response

Comments

No Comments have been published for this article.