ALPHA PSYCHIATRY
Systematic Review

Effects of Mindfulness-Based Cognitive Therapy on Depression and Anxiety in Late Life: A Meta-Analysis

1.

Geriatric Neuroscience Center, Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China

2.

Guangzhou Medical University, School of Nursing, Guangzhou, China

3.

Sun Yat-sen University, School of Pharmaceutical Sciences, Guangzhou, China

4.

Department of Traditional Chinese Medicine, Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China

5.

Department of Chronic Diseases, Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China

6.

Department of Nursing Administration, Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China

Alpha Psychiatry 2024; 25: 1-8
DOI: 10.5152/alphapsychiatry.2024.231379
Read: 1542 Downloads: 232 Published: 06 February 2024

Objective: This study aims to assess the efficacy of mindfulness-based cognitive therapy (MBCT) in alleviating depression in older adults.

Methods: A comprehensive search was conducted in 4 electronic databases and 1 registered database from inception up to July 2021 to identify relevant trials. The meta-analysis employed Hedge’s g, along with its 95% CI, and associated z and P-values for the included studies, utilizing Comprehensive Meta-Analysis software.

Results: Qualitative synthesis was performed on 5 eligible studies. Evaluation of methodological quality and bias risk across the papers involved scrutiny of key variables due to the heterogeneous research formats. Our findings indicated a significant moderating effect of MBCT against current depressive symptoms in older adults (g=0.53, 95% Confidence Intervals (CI) =0.31-0.75) and a similar effect size for anxiety (g=0.43, 95% CI=0.20-0.65). However, caution is warranted due to the limited number of studies and potential publication bias. Further extensive research with longer follow-up measures and larger sample sizes is essential.

Conclusion: This study underscores the effectiveness of MBCT as a treatment for anxiety and despair in older individuals. Mindfulness-based cognitive therapy should be recommended for its positive impact on older adults with depression, and the involvement of authorized psychiatric nurses is crucial for conducting successful MBCT interventions. However, caution is warranted due to the limited number of studies and potential publication bias. Further extensive research with longer follow-up measures and larger sample sizes is essential.

Cite this article as: Ye J, Pan Y, Wu C, et al. Effects of mindfulness-based cognitive therapy on depression and anxiety in late life: A meta-analysis. Alpha Psychiatry. 2024;25(1):1-8.

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