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Effectiveness of peer counseling, social engagement, and combination interventions in improving depressive symptoms of community-dwelling Filipino senior citizens

INTRODUCTION: Little is known about community-based interventions for geriatric depression in low-resource settings. This study assessed the effectiveness of 3-month-duration interventions with peer counseling, social engagement, and combination vs. control in improving depressive symptoms of commun...

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Autores principales: Carandang, Rogie Royce, Shibanuma, Akira, Kiriya, Junko, Vardeleon, Karen Rose, Asis, Edward, Murayama, Hiroshi, Jimba, Masamine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7112231/
https://www.ncbi.nlm.nih.gov/pubmed/32236104
http://dx.doi.org/10.1371/journal.pone.0230770
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author Carandang, Rogie Royce
Shibanuma, Akira
Kiriya, Junko
Vardeleon, Karen Rose
Asis, Edward
Murayama, Hiroshi
Jimba, Masamine
author_facet Carandang, Rogie Royce
Shibanuma, Akira
Kiriya, Junko
Vardeleon, Karen Rose
Asis, Edward
Murayama, Hiroshi
Jimba, Masamine
author_sort Carandang, Rogie Royce
collection PubMed
description INTRODUCTION: Little is known about community-based interventions for geriatric depression in low-resource settings. This study assessed the effectiveness of 3-month-duration interventions with peer counseling, social engagement, and combination vs. control in improving depressive symptoms of community-dwelling Filipino senior citizens. METHODS: We conducted an open (non-blinded), non-randomized trial of senior citizens at risk for depression. Three different 3-month interventions included peer counseling (n = 65), social engagement (n = 66), and combination (n = 65) were compared with the control group (n = 68). We assessed geriatric depression, psychological resilience, perceived social support, loneliness, and working alliance scores at baseline and three months after the intervention. This trial was registered with ClinicalTrials.gov, identifier: NCT03989284. RESULTS: Geriatric depression score over three months significantly improved in all intervention groups (control as reference). Significant improvements were also seen in psychological resilience and social support. Not all interventions, however, significantly improved the loneliness score. The combination group showed the largest effect of improving depressive symptoms (d = -1.33) whereas the social engagement group showed the largest effect of improving psychological resilience (d = 1.40), perceived social support (d = 1.07), and loneliness (d = -0.36) among senior citizens. CONCLUSION: At the community level, peer counseling, social engagement, and combination interventions were effective in improving depressive symptoms, psychological resilience, and social support among Filipino senior citizens. This study shows that it is feasible to identify senior citizens at risk for depression in the community and intervene effectively to improve their mental health. Further studies are required to target loneliness and investigate the long-term benefits of the interventions. CLINICAL TRIAL: ClinicalTrials.gov: NCT03989284
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spelling pubmed-71122312020-04-09 Effectiveness of peer counseling, social engagement, and combination interventions in improving depressive symptoms of community-dwelling Filipino senior citizens Carandang, Rogie Royce Shibanuma, Akira Kiriya, Junko Vardeleon, Karen Rose Asis, Edward Murayama, Hiroshi Jimba, Masamine PLoS One Research Article INTRODUCTION: Little is known about community-based interventions for geriatric depression in low-resource settings. This study assessed the effectiveness of 3-month-duration interventions with peer counseling, social engagement, and combination vs. control in improving depressive symptoms of community-dwelling Filipino senior citizens. METHODS: We conducted an open (non-blinded), non-randomized trial of senior citizens at risk for depression. Three different 3-month interventions included peer counseling (n = 65), social engagement (n = 66), and combination (n = 65) were compared with the control group (n = 68). We assessed geriatric depression, psychological resilience, perceived social support, loneliness, and working alliance scores at baseline and three months after the intervention. This trial was registered with ClinicalTrials.gov, identifier: NCT03989284. RESULTS: Geriatric depression score over three months significantly improved in all intervention groups (control as reference). Significant improvements were also seen in psychological resilience and social support. Not all interventions, however, significantly improved the loneliness score. The combination group showed the largest effect of improving depressive symptoms (d = -1.33) whereas the social engagement group showed the largest effect of improving psychological resilience (d = 1.40), perceived social support (d = 1.07), and loneliness (d = -0.36) among senior citizens. CONCLUSION: At the community level, peer counseling, social engagement, and combination interventions were effective in improving depressive symptoms, psychological resilience, and social support among Filipino senior citizens. This study shows that it is feasible to identify senior citizens at risk for depression in the community and intervene effectively to improve their mental health. Further studies are required to target loneliness and investigate the long-term benefits of the interventions. CLINICAL TRIAL: ClinicalTrials.gov: NCT03989284 Public Library of Science 2020-04-01 /pmc/articles/PMC7112231/ /pubmed/32236104 http://dx.doi.org/10.1371/journal.pone.0230770 Text en © 2020 Carandang et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Carandang, Rogie Royce
Shibanuma, Akira
Kiriya, Junko
Vardeleon, Karen Rose
Asis, Edward
Murayama, Hiroshi
Jimba, Masamine
Effectiveness of peer counseling, social engagement, and combination interventions in improving depressive symptoms of community-dwelling Filipino senior citizens
title Effectiveness of peer counseling, social engagement, and combination interventions in improving depressive symptoms of community-dwelling Filipino senior citizens
title_full Effectiveness of peer counseling, social engagement, and combination interventions in improving depressive symptoms of community-dwelling Filipino senior citizens
title_fullStr Effectiveness of peer counseling, social engagement, and combination interventions in improving depressive symptoms of community-dwelling Filipino senior citizens
title_full_unstemmed Effectiveness of peer counseling, social engagement, and combination interventions in improving depressive symptoms of community-dwelling Filipino senior citizens
title_short Effectiveness of peer counseling, social engagement, and combination interventions in improving depressive symptoms of community-dwelling Filipino senior citizens
title_sort effectiveness of peer counseling, social engagement, and combination interventions in improving depressive symptoms of community-dwelling filipino senior citizens
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7112231/
https://www.ncbi.nlm.nih.gov/pubmed/32236104
http://dx.doi.org/10.1371/journal.pone.0230770
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