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Logo of bmcpsycBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Psychiatry
 
BMC Psychiatry. 2011; 11: 92.
Published online May 20, 2011. doi:  10.1186/1471-244X-11-92
PMCID: PMC3119186
Psychological treatment of depressive symptoms in Chinese elderly inpatients with significant medical comorbidity: A meta-analysis
Bibing Dai,1,2 Juan Li,corresponding author1 and Pim Cuijpers3
1Center for Ageing Psychology, Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
2Graduate School, Chinese Academy of Sciences, Beijing, China
3Department of Clinical Psychology and the EMGO Institute for Health and Care Research, VU University Amsterdam, The Netherlands
corresponding authorCorresponding author.
Bibing Dai: daibb/at/psych.ac.cn; Juan Li: lijuan/at/psych.ac.cn; Pim Cuijpers: P.Cuijpers/at/psy.vu.nl
Received December 3, 2010; Accepted May 20, 2011.
Abstract
Background
As it is uncertain whether psychological treatments for depressive symptoms are effective in elderly inpatients with significant medical comorbidity, we aimed to assess the treatment effectiveness not only on depressive symptoms but also on somatic symptoms in these inpatients.
Methods
We performed a meta-analysis of randomized controlled studies assessing the effects of psychological treatments in Chinese older inpatients with significant medical comorbidity based upon extensive searches of the most comprehensive computerized Chinese academic database.
Results
The overall effect size for depressive symptoms of twelve studies which compared psychological treatments with a care-as-usual control group was d = 0.80 (95% Confidence Intervals (CI) = 0.60-0.99; p < 0.001). The relative risk of psychological intervention of being effective or not, compared to control condition, was 1.52 (95% CI = 1.25-1.85; p < 0.001).
Conclusions
We conclude that psychological treatments of depressive symptoms are effective for Chinese elderly inpatients with significant medical comorbidity which should receive more attention in medical settings.
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