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Psychiatr Prax 2014; 41(08): 415-423
DOI: 10.1055/s-0034-1370113
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Ist Psychotherapie bei depressiven Erkrankungen im Alter wirksam?

Ein systematischer ÜberblickAre Psychotherapeutic Interventions Effective in Late-Life Depression?A Systematic Review
Uta Gühne
1   Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Universität Leipzig
,
Melanie Luppa
1   Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Universität Leipzig
,
Hans-Helmut König
2   Institut für Gesundheitsökonomie und Versorgungsforschung, Universitätsklinikum Hamburg-Eppendorf
,
Martin Hautzinger
3   Fachbereich Psychologie, Klinische Psychologie und Psychotherapie, Eberhard-Karls-Universität Tübingen
,
Steffi Riedel-Heller
1   Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Universität Leipzig
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
07. Juli 2014 (online)

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Zusammenfassung

Anliegen: Darstellung der Evidenz zur Wirksamkeit von Psychotherapie bei älteren depressiven Menschen.

Methode: Systematische Literaturrecherche nach systematischen Übersichten und Metaanalysen.

Ergebnisse: Psychotherapeutische Interventionen zur Behandlung depressiver Störungen im höheren Lebensalter sind effektiv und zeigen sich gegenüber passiver Kontrollintervention und herkömmlicher Behandlung überlegen. Effektivitätsnachweise existieren auch in der Behandlung subklinischer Störungen.

Schlussfolgerungen: Weiterer Forschungsbedarf besteht. Dabei sollten auch hochaltrige Patienten und Patienten mit kognitiven und sensorischen Beeinträchtigungen sowie komorbiden körperlichen Erkrankungen betrachtet werden.

Abstract

Objective: To conduct a systematic review about existing evidence for the effectiveness of psychotherapeutic interventions for depression in older adults.

Methods: Electronic databases were systematic searched to identify systematic reviews and meta-analyses.

Results: Psychotherapeutic interventions are effective for treating depression in the elderly. Psychotherapy is more effective at reducing depressive symptoms than being on a waiting list or treatment as usual. The strongest evidence exists for approaches of cognitive and behavioral therapy. In head-to-head studies comparing different psychotherapeutic approaches the majority of the interventions did not proof to be superior to others, so far. Psychotherapy is also an effective intervention for reducing depressive symptoms in older adults with sub-threshold depression.

Conclusions: Psychological interventions could play an important role in the treatment of late-life depression. However, there is still a need for high-quality studies, in which especially very old adults, older adults with cognitive and sensory impairments or chronic somatic illnesses are included.

Schlüsselwörter

Depression - Psychotherapie - Alter - Wirksamkeit - Evidenz - Metaanalysen

Keywords

depression - psychotherapy - older adults - effectiveness - evidence - meta-analysis
 

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