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Psychosocial interventions with art, music, Tai Chi and mindfulness for subsyndromal depression and anxiety in older adults: A naturalistic study in Singapore.

Identifieur interne : 000D65 ( Main/Exploration ); précédent : 000D64; suivant : 000D66

Psychosocial interventions with art, music, Tai Chi and mindfulness for subsyndromal depression and anxiety in older adults: A naturalistic study in Singapore.

Auteurs : Iris Rawtaer [Singapour] ; Rathi Mahendran [Singapour] ; Junhong Yu [Singapour] ; Johnson Fam [Singapour] ; Lei Feng [Singapour] ; Ee Heok Kua [Singapour]

Source :

RBID : pubmed:26178378

Descripteurs français

English descriptors

Abstract

OBJECTIVES

Subsyndromal depression (SSD) and subsyndromal anxiety (SSA) are common in the elderly and if left untreated, contributes to a lower quality of life, increased suicide risk, disability and inappropriate use of medical services. Innovative approaches are necessary to address this public health concern. We evaluate a community-based psychosocial intervention program and its effect on mental health outcomes in Singaporean older adults.

METHOD

Elderly participants with SSD and SSA, as assessed on the Geriatric Depression Scale and Geriatric Anxiety Inventory, were included. Intervention groups include Tai Chi exercise, Art Therapy, Mindfulness Awareness Practice and Music Reminiscence Therapy. The program was divided into a single intervention phase and a combination intervention phase. Outcomes were measured with the Zung Self-Rating Depression Scale (SDS) and Zung Self-Rating Anxiety Scale (SAS) at baseline, 4 weeks, 10 weeks, 24 weeks and 52 weeks. The program had ethics board approval.

RESULTS

A hundred and one subjects (25 males, 76 females; mean age = 71 years, SD = 5.95) participated. There were significant reductions in SDS and SAS scores in the single intervention phase (P < 0.05), and these reductions remained significant at week 52, after completion of the combination intervention phase, relative to baseline (P < 0.001).

CONCLUSION

Participating in these psychosocial interventions led to a positive improvement in SSD and SSA symptoms in these elderly subjects over a year. This simple, inexpensive and culturally acceptable approach should be adequately studied and replicated in other communities.


DOI: 10.1111/appy.12201
PubMed: 26178378


Affiliations:


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Le document en format XML

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<term>Anxiety Disorders (therapy)</term>
<term>Art Therapy (methods)</term>
<term>Combined Modality Therapy (methods)</term>
<term>Depressive Disorder (therapy)</term>
<term>Female (MeSH)</term>
<term>Geriatric Assessment (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Mindfulness (methods)</term>
<term>Music Therapy (methods)</term>
<term>Patient Compliance (MeSH)</term>
<term>Psychiatric Status Rating Scales (MeSH)</term>
<term>Tai Ji (methods)</term>
<term>Treatment Outcome (MeSH)</term>
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<term>Musicothérapie (méthodes)</term>
<term>Mâle (MeSH)</term>
<term>Observance par le patient (MeSH)</term>
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<term>Résultat thérapeutique (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Tai Chi (méthodes)</term>
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<term>Troubles anxieux</term>
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<term>Female</term>
<term>Geriatric Assessment</term>
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<p>
<b>OBJECTIVES</b>
</p>
<p>Subsyndromal depression (SSD) and subsyndromal anxiety (SSA) are common in the elderly and if left untreated, contributes to a lower quality of life, increased suicide risk, disability and inappropriate use of medical services. Innovative approaches are necessary to address this public health concern. We evaluate a community-based psychosocial intervention program and its effect on mental health outcomes in Singaporean older adults.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHOD</b>
</p>
<p>Elderly participants with SSD and SSA, as assessed on the Geriatric Depression Scale and Geriatric Anxiety Inventory, were included. Intervention groups include Tai Chi exercise, Art Therapy, Mindfulness Awareness Practice and Music Reminiscence Therapy. The program was divided into a single intervention phase and a combination intervention phase. Outcomes were measured with the Zung Self-Rating Depression Scale (SDS) and Zung Self-Rating Anxiety Scale (SAS) at baseline, 4 weeks, 10 weeks, 24 weeks and 52 weeks. The program had ethics board approval.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>A hundred and one subjects (25 males, 76 females; mean age = 71 years, SD = 5.95) participated. There were significant reductions in SDS and SAS scores in the single intervention phase (P < 0.05), and these reductions remained significant at week 52, after completion of the combination intervention phase, relative to baseline (P < 0.001).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>Participating in these psychosocial interventions led to a positive improvement in SSD and SSA symptoms in these elderly subjects over a year. This simple, inexpensive and culturally acceptable approach should be adequately studied and replicated in other communities.</p>
</div>
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<Year>2016</Year>
<Month>4</Month>
<Day>12</Day>
<Hour>6</Hour>
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<PublicationStatus>ppublish</PublicationStatus>
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<ArticleId IdType="pubmed">26178378</ArticleId>
<ArticleId IdType="doi">10.1111/appy.12201</ArticleId>
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<li>Singapour</li>
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<li>Université nationale de Singapour</li>
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<name sortKey="Rawtaer, Iris" sort="Rawtaer, Iris" uniqKey="Rawtaer I" first="Iris" last="Rawtaer">Iris Rawtaer</name>
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<name sortKey="Fam, Johnson" sort="Fam, Johnson" uniqKey="Fam J" first="Johnson" last="Fam">Johnson Fam</name>
<name sortKey="Fam, Johnson" sort="Fam, Johnson" uniqKey="Fam J" first="Johnson" last="Fam">Johnson Fam</name>
<name sortKey="Feng, Lei" sort="Feng, Lei" uniqKey="Feng L" first="Lei" last="Feng">Lei Feng</name>
<name sortKey="Kua, Ee Heok" sort="Kua, Ee Heok" uniqKey="Kua E" first="Ee Heok" last="Kua">Ee Heok Kua</name>
<name sortKey="Kua, Ee Heok" sort="Kua, Ee Heok" uniqKey="Kua E" first="Ee Heok" last="Kua">Ee Heok Kua</name>
<name sortKey="Mahendran, Rathi" sort="Mahendran, Rathi" uniqKey="Mahendran R" first="Rathi" last="Mahendran">Rathi Mahendran</name>
<name sortKey="Mahendran, Rathi" sort="Mahendran, Rathi" uniqKey="Mahendran R" first="Rathi" last="Mahendran">Rathi Mahendran</name>
<name sortKey="Yu, Junhong" sort="Yu, Junhong" uniqKey="Yu J" first="Junhong" last="Yu">Junhong Yu</name>
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