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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
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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

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Footnotes

‡

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

References

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