Use this URL to cite or link to this record in EThOS: http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.676924
Title: A pilot randomised controlled trial examining the feasibility, acceptability and potential efficacy of transdiagnostic CBT for depression and anxiety in older people
Author: Marnoch, Siobhan Elizabeth
ISNI:       0000 0004 5367 9248
Awarding Body: King's College London
Current Institution: King's College London (University of London)
Date of Award: 2014
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Abstract:
Introduction: Anxiety and depression represent a common problem in later life and a growing challenge to society as the proportion of older people continues to rise. Despite this, the efficacy of evidence-based treatments to treat these disorders in older people has received little attention compared to working-age and youth populations. The current study examined the preliminary outcomes, feasibility and acceptability of a 12-session transdiagnostic Cognitive Behaviour Therapy (tCBT) intervention for older adults with symptoms of anxiety and depression. Methods: 16 older adults (aged 60 and above) were randomised to either an immediate (n=8) or 7-week delayed tCBT treatment condition (n=8). Change scores on the HADS (Hospital Anxiety and Depression Scale) and CORE-10 (Clinical Outcomes of Routine Evaluation-10) were used to evaluate efficacy; rates of attrition due to practical reasons were used to evaluate the feasibility of the intervention; and rates of attrition due to treatment dissatisfaction, homework compliance and feedback from a Discharge Satisfaction Questionnaire were used to evaluate the acceptability of the intervention. Results: Significant reductions in self-reported symptoms of anxiety and depression were reported pre- to post-treatment. Seventy-one percent of participants were classifiable as ‘reliably improved’ (n=10) and 64% as ‘recovered’ (n=9) in terms of their depression symptoms. Forty-three percent of participants were classifiable as ‘reliably improved’ (n=6) and 36% (n=5) as ‘recovered’ in terms of their anxiety symptoms following the intervention. Significant between-group differences were found in terms depression, but not anxiety symptoms. Satisfaction with the intervention and homework compliance was high, whilst rates of attrition low (n=3). Discussion: Preliminary data suggest that this burgeoning approach can produce efficacious outcomes for older people with comorbid emotional disorders, and it is both feasible and acceptable to apply tCBT interventions to older people. tCBT has the potential to address some of the shortcomings of disorder-specific CBT, through offering a more clinically and time-efficient approach to comorbidity and enabling much-needed improvements to the dissemination of and access to evidence-based psychological therapies for older people.
Supervisor: Gould, Rebecca Louise Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.676924  DOI: Not available
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