Articlegold2024

Tailored internet-delivered cognitive behavior therapy for depression in older adults: a randomized controlled trial

Lise Bergman Nordgren · Mikael Ludvigsson · Kristin Silfvernagel · Linnéa Törnhage · Sophie Söderqvist · Sofia Dinnetz +4 more

10 citations0/0 files storedBMC Geriatrics

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Digital Mental Health Interventions Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Telemedicine and Telehealth Implementation

Abstract

BACKGROUND: Depression is a common and serious problem in older adults, but few have access to psychological treatments. Internet-delivered Cognitive Behavioral Therapy (ICBT) has the potential to improve access and has been found to be effective in adults with depression. The aim of this study was to examine the effects of tailored ICBT for depression in older adults aged 65 years or older. We also investigated if cognitive flexibility could predict outcome. METHODS: Following online recruitment from the community, included participants were randomly allocated to either ten weeks of clinician guided ICBT (n = 50) or to an active control group in the form of non-directive support (n = 51). Primary depression outcome was the Geriatric Depression Scale (GDS-15). Several secondary outcomes were used, such as the Beck Depression Inventory (BDI-II) and the Patient Health Questionnaire (PHQ-9). RESULTS: Both treatment and active control groups significantly reduced their levels of depression, and the treatment group showed significantly greater improvement on the GDS-15 and BDI-II, but not on the PHQ-9. Between-group effect sizes as Cohen's d were 0.78 (CI95% 0.36-1.20) on the GDS-15 and 0.53 (CI95% 0.11-0.94) on the BDI-II. CONCLUSIONS: Tailored ICBT is superior to an active control for older adults with depression. Between-group effects were smaller than in previous RCTs, most likely because of the use of an active control condition. Cognitive flexibility did not predict outcome. We conclude that ICBT can be used for older adults with depression, and thus increase access to psychotherapy for this group. TRIAL REGISTRATION: This trial was retrospectively registered in clinicaltrials.gov (no. NCT05269524) the 8th of March 2022.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 10 citations exist upstream.

References

2007G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences 2001The PHQ-9 2006A Brief Measure for Assessing Generalized Anxiety Disorder 1998The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10.1982The Cognitive Failures Questionnaire (CFQ) and its correlates 1992Clinical validation of the Quality of Life Inventory. A measure of life satisfaction for use in treatment planning and outcome assessment.2019Internet‐delivered psychological treatments: from innovation to implementation 2010A tune in “a minor” can “b major”: A review of epidemiology, illness course, and public health implications of subthreshold depression in older adults

Cited by

2025Tailored internet-delivered cognitive behavioral therapy with therapist support for depressed older adults: Results from a randomized controlled trial with a one-year follow-up 2026Designing digital mental health interventions for older adults: a scoping review

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.