Cochrane · systematic review · CD009125
Psychological treatments for depression and anxiety in dementia and mild cognitive impairment
Orgeta, V, Leung, P, del-Pino-Casado, R, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
13
No studies
1
Included studies
NR
No studies 1 · 7.1%Ungraded 0 · 0%Very low 5 · 35.7%Low 4 · 28.6%Moderate 4 · 28.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Show all 2 versionsCBT treatments compared to treatment as usual for depression and anxiety for people with dementia and MCI
Population: depression and anxiety for people with dementia and MCI
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Depressive symptoms post‐treatment CBT treatments vs treatment | SMD 0.23 | 13 studies · 893 participants | Moderate Downgraded: risk of bias |
Depression remission post‐treatment CBT treatments vs treatment | RR 1.84 [1.18, 2.88] | 2 studies · 146 participants | Low Downgraded: risk of bias, imprecision |
Anxiety symptoms post‐treatment CBT treatments vs treatment | SMD 0.03 | 3 studies · 143 participants | Very low Downgraded: risk of bias, imprecision |
Quality of life post‐treatment CBT treatments vs treatment | SMD 0.31 | 7 studies · 459 participants | Moderate Downgraded: risk of bias |
Activities of daily living post‐treatment CBT treatments vs treatment | SMD 0.25 | 7 studies · 680 participants | Moderate Downgraded: risk of bias |
Cognition post‐treatment CBT treatments vs treatment | SMD 0.13 | 5 studies · 535 participants | Low Downgraded: risk of bias, imprecision |
Neuropsychiatric symptoms post‐treatment CBT treatments vs treatment | SMD 0.06 | 5 studies · 401 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Supportive and counselling interventions compared to treatment as usual for depression and anxiety for people with dementia
Population: depression and anxiety for people with dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Depressive symptoms post‐treatment Supportive and counselling interventions vs treatment | no estimate extracted | 9 studies · 994 participants | Low Downgraded: risk of bias, imprecision |
Depression remission post‐treatment Supportive and counselling interventions vs treatment | no estimate extracted | NR | No studies |
Anxiety symptoms post‐treatment Supportive and counselling interventions vs treatment | no estimate extracted | 1 study · 24 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Quality of life post‐treatment Supportive and counselling interventions vs treatment | no estimate extracted | 8 studies · 935 participants | Moderate Downgraded: risk of bias |
Activities of daily living post‐treatment Supportive and counselling interventions vs treatment | no estimate extracted | 3 studies · 511 participants | Very low Downgraded: risk of bias, imprecision |
Cognition post‐treatment Supportive and counselling interventions vs treatment | no estimate extracted | 6 studies · 730 participants | Low Downgraded: risk of bias, imprecision |
Neuropsychiatric symptoms post‐treatment Supportive and counselling interventions vs treatment | no estimate extracted | 3 studies · 538 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |