Management of Depression in the Elderly: A Scoping Study
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Depression affects more than 6.5 million Americans age 65 or older. Nonpharmacological treatments may be effective within this patient population.
This paper examines the evidence related to 22 nonpharmacological treatments for depression in elderly patients.
A scoping study of the literature was performed, using the framework created by Arksey and O’Malley (2005). Search databases included CINAHL, ProQuest, Cochrane Libraries, Academic Search Premier, PyscINFO, PsycARTICLES, SocIndex, Ovid, PubMed, and Science Direct.
There were 158 articles deemed appropriate for this study. The evidence supports the use of cognitive therapy, life review, and problem-solving therapy. Although exercise is represented by 34% of the evidence found, the results were mixed and inconclusive regarding its effectiveness.
Results of this study lend support for the use of cognitive therapy, life review, and problem-solving therapy. However, gaps exist in the literature providing insight for recommendations for further research.
Keywords: depression, elderly, nonpharmacological, scoping study
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