Psychosocial Interventions for Older Adults With Severe Mental Illness: A Systematic Scoping Review and Meta-analysis.

IF 4.8 1区医学 Q1 PSYCHIATRY

Schizophrenia Bulletin Pub Date : 2025-09-26 DOI:10.1093/schbul/sbaf169

Macarena Sánchez-Izquierdo, Ignacio Echegoyen, Ellen Lee, Vanesa Peinado, Francisco López-Arroyo, Rocío Caballero

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Abstract

Background: Older adults with severe mental illness (SMI) experience complex rehabilitative needs that are often neglected in clinical and research settings. Psychosocial interventions are key to supporting recovery; however, evidence specific to this population remains fragmented. This scoping review and meta-analysis aims to synthesize available research on psychosocial interventions designed for older adults with SMI and evaluate their effectiveness.

Study design: Following the Arksey and O'Malley framework and PRISMA-ScR guidelines, we conducted a comprehensive search across PubMed, PsycINFO, and Scopus for studies published between 2000 and 2023. Eligibility was based on the PICO framework, focusing on adults aged ≥ 50 with SMI. Data were extracted and analyzed using descriptive synthesis and meta-analytic techniques.

Study results: Sixteen studies met the inclusion criteria, encompassing 884 participants. Interventions primarily targeted clinical recovery, with limited focus on aspects of personal recovery. Meta-analysis indicated a moderate overall effect size (ES = 0.366, P < .0001) with low heterogeneity (I2 = 18.81%). Quality assessment revealed that 62.5% of studies had medium to high risk of bias.

Conclusions: While psychosocial interventions show promise in improving clinical outcomes for older adults with SMI, there is a significant gap in addressing personal recovery dimensions. Future research should emphasize holistic, long-term interventions to enhance both clinical and personal recoveries.

查看原文本刊更多论文

老年严重精神疾病患者的社会心理干预：一项系统的范围回顾和荟萃分析。

背景：患有严重精神疾病（SMI）的老年人经历复杂的康复需求，这些需求在临床和研究环境中经常被忽视。社会心理干预是支持康复的关键；然而，针对这一人群的证据仍然支离破碎。本综述和荟萃分析旨在综合现有的针对重度精神障碍老年人的社会心理干预研究，并评估其有效性。研究设计：遵循Arksey和O'Malley框架和PRISMA-ScR指南，我们在PubMed、PsycINFO和Scopus上进行了2000年至2023年间发表的研究的全面搜索。资格基于PICO框架，重点是年龄≥50岁的重度精神障碍患者。使用描述性综合和元分析技术提取和分析数据。研究结果：16项研究符合纳入标准，共纳入884名受试者。干预措施主要针对临床康复，对个人康复方面的关注有限。meta分析显示总体效应大小中等（ES = 0.366, P < 0.0001），异质性低（I2 = 18.81%）。质量评估显示62.5%的研究存在中至高偏倚风险。结论：虽然社会心理干预有望改善重度精神分裂症老年人的临床结果，但在解决个人康复方面存在显著差距。未来的研究应强调全面的、长期的干预措施，以提高临床和个人的康复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Schizophrenia Bulletin 医学-精神病学

CiteScore

11.40

自引率

6.10%

发文量

163

审稿时长

4-8 weeks

期刊介绍： Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.