Annotated bib for 2 articles answering a picot question
Picot question.:In middle age adult diagnosed with depressive disorder how effective is electroconvulsive therapy compared with pharmacological therapy in controlling depressive episode?
Article #1 the effectiveness of cognitive behavioral therapy and emotional freedom techniques in reducing depression and anxiety among adults: pilot study Hannah Chatwin , CBT and FET for depression and anxiety integrated medicine vol.15 No.2 April 2016.
Article #2 Managing depression among older adults in primary care Departement of behavioral sciences, Rush university medical center , 2017, VOL40 No 2, 86-88.
state how this study will help answer my picot question.
Annotated Bibliography
Picot question: In middle age adult diagnosed with depressive disorder how effective is electroconvulsive therapy compared with pharmacological therapy in controlling depressive episode?
Chatwin H, Stapleton P, Porter B, Devine S, & Sheldon, (2016). The effectiveness of cognitive behavioral therapy and emotional freedom techniques in reducing depression and anxiety among adults: pilot study. Integrated Medicine (Encinitas). 2vol.15 No.2 April 2016.
This article presents a pilot study which was conducted to assess the effectiveness of cognitive behavioral therapy (CBT) and emotional freedom technique (EFT) in the treatment of depression and anxiety (Charwin et al. 2016). Participants for this study involved ten local community members who tested positive of major depressive disorder. The research also involved a control group of 57 community members. Participants were introduced to an eight-week treatment program of either CBT or EFT. According to the results, participants who were introduced to EFT showed a significant reduction in the depressive symptoms during the third and sixth-month follow-up. On the other hand, even though the participants introduced to the CBT showed significant reductions in depressive symptoms, the change was not maintained with time. This study can be used to answer the picot question as the impacts of the two treatment approaches reflects the impact of both electroconvulsive therapy and pharmacological therapy (Bach, Groesbeck, & Stapleton, 2019). CBT was most effective for short-term results which reflects the effectiveness of electroconvulsive therapy. This article is relevant to the research since it compares the effectiveness of brain stimulation and emotional manipulation in reducing major depression disorder among older adults.
Erin E. Emery-Tiburcio, Laurin Mack, Emily G. Lattie, Montserrat Lusarreta, Maria Marquine, Matthew Vail, & Robyn Golden, (2017). Managing depression among older adults in primary care: The BRIGHTEN program. Clinical Gerontologist Department of behavioral sciences, Rush university medical center; VOL40 No 2, 86-88.
This article presents a research study which was conducted to determine the effectiveness of the BRIGHTEN Program, an individually tailored interdisciplinary virtual team intervention, in meeting the health needs of older adults with depression (Emery-Tiburcio et al. 2017). A total of 131 eligible older adults were selected for this study whereby 37.4 percent were African-Americans, 29.8 percent Non-Hispanic White, and 29 percent Hispanic. Patients were classified according to their cultural attributes and underwent a prior assessment to determine their depression and anxiety level and determine the most appropriate treatment approach. Screening procedures included the used of Patient Health Questionnaire-4 (PHQ-4) and measuring the quality of life and depressive symptoms among patients. After the six-month follow up, the SF-12 Mental Health Composite and depression (GDS-15) scores for the participants showed a significant improvement. However, there was no difference in the change demonstrated by different ethnic groups. One of the limitations of this study is that it did not have a control group, as such, it is not clear whether the changes in the health conditions of the patients was primarily due to the treatment approach or due to other factors. This study is relevant to the picot question since it shows how psychotherapy can be improved to meet the personal and cultural needs of adults with depression. Based on the results of this study, psychotherapy should be combined with pharmacological therapy for optimum positive outcomes. Comparing this study with a randomized study conducted by Nordenskjöld (2015), electroconvulsive therapy has more positive outcomes in the short-term as compared to pharmacotherapy.
References
Axel Nordenskjöld, (2015). ECT is superior to pharmacotherapy for the short-term treatment of medication-resistant inpatients with bipolar depression. Evidence-Based Mental Health. Nov; 18(4): 118.
Chatwin H, Stapleton P, Porter B, Devine S, & Sheldon, (2016). The effectiveness of cognitive behavioral therapy and emotional freedom techniques in reducing depression and anxiety among adults: pilot study. Integrated Medicine (Encinitas). 2vol.15 No.2 April 2016.
Donna Bach, Gary Groesbeck, & Peta Stapleton, (2019). Clinical EFT (Emotional Freedom Techniques) Improves Multiple Physiological Markers of Health. Journal of Evidence-Based Integrative Medicine.
Erin E. Emery-Tiburcio, Laurin Mack, Emily G. Lattie, Montserrat Lusarreta, Maria Marquine, Matthew Vail, & Robyn Golden, (2017). Managing depression among older adults in primary care: The BRIGHTEN program. Clinical Gerontologist Department of behavioral sciences, Rush university medical center; VOL40 No 2, 86-88.