What question did this study set out to answer?

To evaluate differences in symptom reduction, remission, attrition, and treatment duration during outpatient cognitive-behavioral therapy across working-age, young-old, and old-old adults in routine care.

January 29, 2025Journal of Affective DisordersOpen Access

How do young-old and old-old adults benefit from cognitive-behavioral therapy compared to working-age adults? A large multicenter naturalistic study

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To evaluate differences in symptom reduction, remission, attrition, and treatment duration during outpatient cognitive-behavioral therapy across working-age, young-old, and old-old adults in routine care.
Analyzed naturalistic registry data from 9,081 outpatient cognitive-behavioral therapy patients aged 18 to 96 years in Germany.
Used propensity score matching to generate balanced comparison cohorts across working-age (18–64 years), young-old (65–74 years), and old-old (≥75 years) adults.
Response and remission rates did not differ significantly across age groups on the Brief Symptom Inventory (BSI-53) or the Clinical Global Impressions Improvement scale (CGI-I), with identical attrition rates.
Young-old and old-old adults demonstrated lower response and remission rates exclusively on the Beck Depression Inventory (BDI-II), a difference driven entirely by somatic items reflecting normal aging.
Treatment duration was shorter in both young-old and old-old adults compared to working-age adults.

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Implication

Multicenter observational study reveals equivalent cognitive-behavioral therapy benefits in older versus working-age adults, indicating psychological interventions remain effective in advanced age.

Cite This Study

Wrede et al. (2025) studied this question.

synapsesocial.com/papers/6a1561a1814bf8ec9a4e8098 https://doi.org/10.1016/j.jad.2025.01.145

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Implication

Multicenter observational study reveals equivalent cognitive-behavioral therapy benefits in older versus working-age adults, indicating psychological interventions remain effective in advanced age.

How do young-old and old-old adults benefit from cognitive-behavioral therapy compared to working-age adults? A large multicenter naturalistic study

Key Points

Discussion

Implication

Cite This Study

How do young-old and old-old adults benefit from cognitive-behavioral therapy compared to working-age adults? A large multicenter naturalistic study

Key Points

Discussion

Implication

Cite This Study

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