title: Cognitive behavioural therapy for older adults with depression: a review.
abstract: BACKGROUND
  Depression is a major public health concern of global significance. The illness diminishes overall quality of life and has been associated with significant distress and disability in physical, interpersonal, and social role functioning. Over the past few decades, a consensus has evolved that cognitive behavioural therapy (CBT) can be an effective treatment for depression in older adults; however, little attention has been given to its effect on them.
  
  
  OBJECTIVE
  The purpose of this review was to examine the current use of CBT and its effect on older adults with depression.
  
  
  METHODS
  A web-based literature search was performed to identify original research articles published from 2000 to 2013 using a three-step search strategy.
  
  
  RESULTS
  Evidence indicates that cognitive behavioural therapies are likely to be efficacious in older people when compared with treatment as usual. This is consistent with the findings of several systematic reviews and meta-analyses undertaken across a wider age range.
  
  
  CONCLUSIONS
  Given that many older adults with depression are reluctant to accept antidepressant medication or unable to tolerate their side effects, CBT can be used as an option in treating depression in older adults.
authors.affiliation: School of Nursing and Midwifery, University of South Australia , North Terrace, Adelaide , Australia .
authors.forename: Rasika
authors.initials: R
authors.lastname: Jayasekara
authors.forename: Nicholas
authors.initials: N
authors.lastname: Procter
authors.forename: Julie
authors.initials: J
authors.lastname: Harrison
authors.forename: Kerim
authors.initials: K
authors.lastname: Skelton
authors.forename: Sally
authors.initials: S
authors.lastname: Hampel
authors.forename: Russell
authors.initials: R
authors.lastname: Draper
authors.forename: Kate
authors.initials: K
authors.lastname: Deuter
mesh_terms: D000367:Age Factors; D015928:Cognitive Behavioral Therapy; D003866:Depressive Disorder / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome
keywords: CBT,; cognitive behavioural therapy,; cognitive therapy,; depression,; older adults