Nonpharmacological Treatment for Supporting Social Participation of Adults with Depression
Background. Social withdrawal is predominantly seen among adults with depression. However, a dearth of reviews exists that explore nonpharmacological treatments, especially occupational therapy (OT) interventions and their effect in promoting social participation. The aim of this research was to rev...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Occupational Therapy International |
| Online Access: | http://dx.doi.org/10.1155/2021/8850364 |
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| author | Supaluck Phadsri Rieko Shioji Atsuko Tanimura Jeerawit Jaknissai Sopida Apichai Tippawan Sookruay |
| author_facet | Supaluck Phadsri Rieko Shioji Atsuko Tanimura Jeerawit Jaknissai Sopida Apichai Tippawan Sookruay |
| author_sort | Supaluck Phadsri |
| collection | DOAJ |
| description | Background. Social withdrawal is predominantly seen among adults with depression. However, a dearth of reviews exists that explore nonpharmacological treatments, especially occupational therapy (OT) interventions and their effect in promoting social participation. The aim of this research was to review what intervention programs are conducted to support the social participation of adults with depression and their effectiveness. Method. A systematic review was performed wherein relevant articles were searched in PubMed, CINAHL, Wiley Online Library, PsycINFO, and OTseeker databases and AJOT, BJOT, SJOT, and OTMH journals. Only English articles published from January 2010 to December 2018, which tackled intervention for adults aged 20–60 years with depression, were considered. Ten out of 918 studies met the screening criteria. Result. Among the ten studies, the effective intervention programs were categorized as either occupation-based intervention (OBI) or cognitive behavioral therapy-based intervention (CBT-BI). These programs sought the following outcomes: behavioral change in social participation (n=4), reduction of depression or depressive symptoms (n=13), life satisfaction (n=4), and quality of life (QoL) (n=1). Studies showed moderate (n=3) to strong (n=7) level of certainty, whereas they also revealed high to unclear (n=3) and low (n=7) risk of bias. Conclusion. Both OBI such as animal-assisted therapy and CBT-BI such as behavioral change program and health education have a strong level of certainty and low risk of bias in promoting social participation by supporting positive behavioral change and reducing depressive symptoms. Furthermore, the sport and exercise program of OBI was popular in encouraging participation and engagement with other people. Other programs were suggested for combined interventions to support social participation, life satisfaction, and QoL. |
| format | Article |
| id | doaj-art-6d00ea850dcc4bb984ac386363135042 |
| institution | Kabale University |
| issn | 0966-7903 1557-0703 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Occupational Therapy International |
| spelling | doaj-art-6d00ea850dcc4bb984ac3863631350422025-02-03T01:28:03ZengWileyOccupational Therapy International0966-79031557-07032021-01-01202110.1155/2021/88503648850364Nonpharmacological Treatment for Supporting Social Participation of Adults with DepressionSupaluck Phadsri0Rieko Shioji1Atsuko Tanimura2Jeerawit Jaknissai3Sopida Apichai4Tippawan Sookruay5Department of Occupational Therapy, Tokyo Metropolitan University, Tokyo 116-8551, JapanDepartment of Occupational Therapy, Tokyo Metropolitan University, Tokyo 116-8551, JapanDepartment of Occupational Therapy, Tokyo Metropolitan University, Tokyo 116-8551, JapanOccupational Therapy Unit, Thanyarak Khon Kaen Hospital, Khon Kaen 40000, ThailandDepartment of Occupational Therapy, Chiang Mai University, Chiang Mai 50200, ThailandChiang Mai University Library, Chiang Mai University, Chiang Mai 50200, ThailandBackground. Social withdrawal is predominantly seen among adults with depression. However, a dearth of reviews exists that explore nonpharmacological treatments, especially occupational therapy (OT) interventions and their effect in promoting social participation. The aim of this research was to review what intervention programs are conducted to support the social participation of adults with depression and their effectiveness. Method. A systematic review was performed wherein relevant articles were searched in PubMed, CINAHL, Wiley Online Library, PsycINFO, and OTseeker databases and AJOT, BJOT, SJOT, and OTMH journals. Only English articles published from January 2010 to December 2018, which tackled intervention for adults aged 20–60 years with depression, were considered. Ten out of 918 studies met the screening criteria. Result. Among the ten studies, the effective intervention programs were categorized as either occupation-based intervention (OBI) or cognitive behavioral therapy-based intervention (CBT-BI). These programs sought the following outcomes: behavioral change in social participation (n=4), reduction of depression or depressive symptoms (n=13), life satisfaction (n=4), and quality of life (QoL) (n=1). Studies showed moderate (n=3) to strong (n=7) level of certainty, whereas they also revealed high to unclear (n=3) and low (n=7) risk of bias. Conclusion. Both OBI such as animal-assisted therapy and CBT-BI such as behavioral change program and health education have a strong level of certainty and low risk of bias in promoting social participation by supporting positive behavioral change and reducing depressive symptoms. Furthermore, the sport and exercise program of OBI was popular in encouraging participation and engagement with other people. Other programs were suggested for combined interventions to support social participation, life satisfaction, and QoL.http://dx.doi.org/10.1155/2021/8850364 |
| spellingShingle | Supaluck Phadsri Rieko Shioji Atsuko Tanimura Jeerawit Jaknissai Sopida Apichai Tippawan Sookruay Nonpharmacological Treatment for Supporting Social Participation of Adults with Depression Occupational Therapy International |
| title | Nonpharmacological Treatment for Supporting Social Participation of Adults with Depression |
| title_full | Nonpharmacological Treatment for Supporting Social Participation of Adults with Depression |
| title_fullStr | Nonpharmacological Treatment for Supporting Social Participation of Adults with Depression |
| title_full_unstemmed | Nonpharmacological Treatment for Supporting Social Participation of Adults with Depression |
| title_short | Nonpharmacological Treatment for Supporting Social Participation of Adults with Depression |
| title_sort | nonpharmacological treatment for supporting social participation of adults with depression |
| url | http://dx.doi.org/10.1155/2021/8850364 |
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