Definition
Cognitive-behavioral therapy (CBT) refers to a collection of therapies which emphasize the individual’s ability to alter the relationship between a stimulus and the response through their cognition (Ellis 1973).
Overview
From the CBT perspective, mental health challenges are believed to be sustained through these cognitive factors (Hofmann et al. 2012). Research examining CBT’s effectiveness for the older population has increased in the last decade, and the most recent findings are reported here.
Key Research Findings
Research into CBT-based interventions has focused on three key mental health challenges, depression, anxiety, and insomnia (See “Mental Disorder”), for older adults. Depression is one of the most prevalent mental health challenges for older adults (World Health Organization 2015), so it is not surprising it has been the target of a considerable amount of research. A review into the effectiveness of CBT in older adults found it effective for older adults...
References
Barrera TL et al (2017) Telephone-delivered cognitive-behavioral therapy for older, rural veterans with depression and anxiety in home-based primary care. Clin Gerontol 40:114–123. https://doi.org/10.1080/07317115.2016.1254133
Beissner K, Henderson CR Jr, Papaleontiou M, Olkhovskaya Y, Wigglesworth J, Reid MC (2009) Physical therapists’ use of cognitive-behavioral therapy for older adults with chronic pain: a nationwide survey. Phys Ther 89:456–469. https://doi.org/10.2522/ptj.20080163
Buysse DJ (2004) Insomnia, depression and aging. Assessing sleep and mood interactions in older adults. Geriatrics (Basel, Switzerland) 59:47–51; quiz 52
Carroll JE et al (2015) Improved sleep quality in older adults with insomnia reduces biomarkers of disease risk: pilot results from a randomized controlled comparative efficacy trial. Psychoneuroendocrinology 55:184–192. https://doi.org/10.1016/j.psyneuen.2015.02.010
Cherukuri CM, Kaplish N, Malepati DC, Khawaja IS, Bhatia SK, Bhatia SC (2018) Insomnia in older adults. Psychiatr Ann 48:279–286. https://doi.org/10.3928/00485713-20180514-01
Cuijpers P, van Straten A, Smit F, Andersson G (2009) Is psychotherapy for depression equally effective in younger and older adults? A meta-regression analysis. Int Psychogeriatr 21:16–24. https://doi.org/10.1017/S1041610208008089
DiNapoli EA, Pierpaoli CM, Shah A, Yang X, Scogin F (2017) Effects of home-delivered cognitive behavioral therapy (CBT) for depression on anxiety symptoms among rural, ethnically diverse older adults. Clin Gerontol 40:181–190. https://doi.org/10.1080/07317115.2017.1288670
Ellis A (1973) Are cognitive behavior therapy and rational therapy synonymous? Rational living 8:8–11
Goode AP, Taylor SS, Hastings SN, Stanwyck C, Coffman CJ, Allen KD (2018) Effects of a home-based telephone- supported physical activity program for older adult veterans with chronic low back pain. Phys Ther 98:369–380. https://doi.org/10.1093/ptj/pzy026
Graham D (2013) Evaluation of individual cognitive behaviour therapy for older people who are fearful of falling: a pilot study and clinical research portfolio. D.Clin.Psy., University of Glasgow
Gratzer D, Khalid-Khan F (2016) Internet-delivered cognitive behavioural therapy in the treatment of psychiatric illness. Can Med Assoc J 188:263–272. https://doi.org/10.1503/cmaj.150007
Grenier S et al (2015) Using virtual reality to improve the efficacy of cognitive-behavioral therapy (CBT) in the treatment of late-life anxiety: preliminary recommendations for future research. Int Psychogeriatr 27:1217–1225. https://doi.org/10.1017/S1041610214002300
Hofmann SG, Asnaani A, Vonk IJJ, Sawyer AT, Fang A (2012) The efficacy of cognitive behavioral therapy: a review of meta-analyses. Cogn Ther Res 36:427–440. https://doi.org/10.1007/s10608-012-9476-1
Jeste DV, Alexopoulos GS, Bartels SJ et al (1999) Consensus statement on the upcoming crisis in geriatric mental health: research agenda for the next 2 decades. Arch Gen Psychiatry 56:848–853. https://doi.org/10.1001/archpsyc.56.9.848
Lau AW, Kinoshita LM (2019) Cognitive behavior therapy with culturally diverse older adults. In: Culturally responsive cognitive behavior therapy: practice and supervision, 2nd edn. American Psychological Association, Washington, DC, pp 231–256. https://doi.org/10.1037/0000119-010
McLaughlin DP, McFarland K (2011) A randomized trial of a group based cognitive behavior therapy program for older adults with epilepsy: the impact on seizure frequency, depression and psychosocial well-being. J Behav Med 34:201–207. https://doi.org/10.1007/s10865-010-9299-z
Morin CM (2010) Chronic insomnia: recent advances and innovations in treatment developments and dissemination. Can Psychol 51:31–39. https://doi.org/10.1037/a0018715
Rosnick CB, Wetherell JL, White KS, Andreescu C, Dixon D, Lenze EJ (2016) Cognitive-behavioral therapy augmentation of SSRI reduces cortisol levels in older adults with generalized anxiety disorder: a randomized clinical trial. J Consult Clin Psychol 84:345. https://doi.org/10.1037/a0040113
Schuurmans J, Comijs H, Emmelkamp PMG, Weijnen IJC, van den Hout M, van Dyck R (2009) Long-term effectiveness and prediction of treatment outcome in cognitive behavioral therapy and sertraline for late-life anxiety disorders. Int Psychogeriatr 21:1148–1159. https://doi.org/10.1017/S1041610209990536
Scogin F et al (2018) Effects of integrated telehealth-delivered cognitive-behavioral therapy for depression and insomnia in rural older adults. J Psychother Integr 28:292–309. https://doi.org/10.1037/int0000121
Solanto MV, Surman CB, Alvir JMJ (2018) The efficacy of cognitive–behavioral therapy for older adults with ADHD: a randomized controlled trial ADHD. Atten Deficit Hyperact Dis. https://doi.org/10.1007/s12402-018-0253-1
Spinhoven P et al (2018) The effects of cognitive-behavior therapy for depression on repetitive negative thinking: a meta-analysis. Behav Res Ther 106:71–85. https://doi.org/10.1016/j.brat.2018.04.002
Tay KW, Subramaniam P, Oei TP (2018) Cognitive behavioural therapy can be effective in treating anxiety and depression in persons with dementia: a systematic review. Psychogeriatrics. https://doi.org/10.1111/psyg.12391
Webber SC, Porter MM, Menec VH (2010) Mobility in older adults: a comprehensive framework. The Gerontologist 50:443–450. https://doi.org/10.1093/geront/gnq013
Weitz E, Kleiboer A, Annemieke van S, Cuijpers P (2018) The effects of psychotherapy for depression on anxiety symptoms: a meta-analysis. Psychol Med 48:2140–2152. https://doi.org/10.1017/S0033291717003622
World Health Organization (2015) World report on ageing and health. World Health Organization, Geneva
Wuthrich VM, Rapee RM, Kangas M, Perini S (2016) Randomized controlled trial of group cognitive behavioral therapy compared to a discussion group for co-morbid anxiety and depression in older adults. Psychol Med 46:785–795. https://doi.org/10.1017/S0033291715002251
Zalaquett CP, Stens AN (2006) Psychosocial treatments for major depression and dysthymia in older adults: a review of the research literature. J Couns Dev 84:192–201. https://doi.org/10.1002/j.1556-6678.2006.tb00395.x
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Jensen-Fielding, H. (2019). Cognitive-Behavioral Therapy. In: Gu, D., Dupre, M. (eds) Encyclopedia of Gerontology and Population Aging. Springer, Cham. https://doi.org/10.1007/978-3-319-69892-2_417-1
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DOI: https://doi.org/10.1007/978-3-319-69892-2_417-1
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