Supplementary file 1_Single non-pharmacological intervention of depression in the elderly with cognitive dysfunction: a systematic review and network meta-analysis.docx

Purpose<p>This study was conducted to appraise the comparative efficacy of single non-pharmacological methods on depression for cognitive dysfunction patients utilizing network meta-analysis (NMA) and resolve ambiguities in existing literature to help practitioners accurately determine the eff...

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ग्रंथसूची विवरण
मुख्य लेखक: Zhengyi Tan (22681175) (author)
अन्य लेखक: Baiyun Li (10279919) (author), Lanxin Su (20352645) (author), Lihua Liu (57465) (author), Yao-Chen Chuang (19206226) (author)
प्रकाशित: 2025
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_version_ 1849927635083198464
author Zhengyi Tan (22681175)
author2 Baiyun Li (10279919)
Lanxin Su (20352645)
Lihua Liu (57465)
Yao-Chen Chuang (19206226)
author2_role author
author
author
author
author_facet Zhengyi Tan (22681175)
Baiyun Li (10279919)
Lanxin Su (20352645)
Lihua Liu (57465)
Yao-Chen Chuang (19206226)
author_role author
dc.creator.none.fl_str_mv Zhengyi Tan (22681175)
Baiyun Li (10279919)
Lanxin Su (20352645)
Lihua Liu (57465)
Yao-Chen Chuang (19206226)
dc.date.none.fl_str_mv 2025-11-25T11:37:08Z
dc.identifier.none.fl_str_mv 10.3389/fpsyt.2025.1608616.s002
dc.relation.none.fl_str_mv https://figshare.com/articles/dataset/Supplementary_file_1_Single_non-pharmacological_intervention_of_depression_in_the_elderly_with_cognitive_dysfunction_a_systematic_review_and_network_meta-analysis_docx/30705194
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Psychiatry (incl. Psychotherapy)
cognitive dysfunction
depression
aging
non-pharmacological intervention
network meta-analysis
dc.title.none.fl_str_mv Supplementary file 1_Single non-pharmacological intervention of depression in the elderly with cognitive dysfunction: a systematic review and network meta-analysis.docx
dc.type.none.fl_str_mv Dataset
info:eu-repo/semantics/publishedVersion
dataset
description Purpose<p>This study was conducted to appraise the comparative efficacy of single non-pharmacological methods on depression for cognitive dysfunction patients utilizing network meta-analysis (NMA) and resolve ambiguities in existing literature to help practitioners accurately determine the efficacy and formulate the optimal therapeutic models.</p>Design<p>Systematic Review and Network meta-analysis.</p>Methods<p>PubMed, Embase, Cochrane, and Web of Science were searched. The Cochrane Handbook for Systematic Reviews of Interventions was used to assess the risk of bias in the included studies. Two investigators independently undertook data extraction and quality evaluation.</p>Result<p>Overall, 26 articles incorporating 10 single non-pharmacological interventions were identified. Compared to control, GAME (SMD = −1.00, 95% CrI = −1.70 to −0.39) and mindfulness (SMD = −0.58, 95% CrI = −0.99 to −0.17) significantly alleviated depressive symptoms. RTBC (SMD = −0.49, 95% CrI = −0.88 to −0.09) and MUSIC (SMD = −0.47, 95% CrI = −0.84 to −0.08) showed moderate effects, and PE (SMD = −0.37, 95% CrI = −0.67 to −0.09) showed small effects.</p>Conclusion<p>In this network meta-analysis, we synthesized 26 trials to quantify the isolated impact of 10 single non-pharmacological interventions on depressive symptoms. Against usual care (basic medical support, sham stimulation, or wait-list), GAME and mindfulness produced the largest and statistically credible reductions. Reminiscence-therapy-based care (RTBC) and music therapy (MUSIC) generated medium benefits, whereas physical exercise (PE) yielded a small yet significant effect. These findings were robust across both direct and indirect evidence, underscoring GAME and mindfulness as the most effective stand-alone non-pharmacological options for mitigating depression.</p>Systematic Review Registration<p>https://www.crd.york.ac.uk/prospero/, identifier CRD42024517077.</p>
eu_rights_str_mv openAccess
id Manara_fd872d9bec3a854eda893981ff2bb36a
identifier_str_mv 10.3389/fpsyt.2025.1608616.s002
network_acronym_str Manara
network_name_str ManaraRepo
oai_identifier_str oai:figshare.com:article/30705194
publishDate 2025
repository.mail.fl_str_mv
repository.name.fl_str_mv
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rights_invalid_str_mv CC BY 4.0
spelling Supplementary file 1_Single non-pharmacological intervention of depression in the elderly with cognitive dysfunction: a systematic review and network meta-analysis.docxZhengyi Tan (22681175)Baiyun Li (10279919)Lanxin Su (20352645)Lihua Liu (57465)Yao-Chen Chuang (19206226)Psychiatry (incl. Psychotherapy)cognitive dysfunctiondepressionagingnon-pharmacological interventionnetwork meta-analysisPurpose<p>This study was conducted to appraise the comparative efficacy of single non-pharmacological methods on depression for cognitive dysfunction patients utilizing network meta-analysis (NMA) and resolve ambiguities in existing literature to help practitioners accurately determine the efficacy and formulate the optimal therapeutic models.</p>Design<p>Systematic Review and Network meta-analysis.</p>Methods<p>PubMed, Embase, Cochrane, and Web of Science were searched. The Cochrane Handbook for Systematic Reviews of Interventions was used to assess the risk of bias in the included studies. Two investigators independently undertook data extraction and quality evaluation.</p>Result<p>Overall, 26 articles incorporating 10 single non-pharmacological interventions were identified. Compared to control, GAME (SMD = −1.00, 95% CrI = −1.70 to −0.39) and mindfulness (SMD = −0.58, 95% CrI = −0.99 to −0.17) significantly alleviated depressive symptoms. RTBC (SMD = −0.49, 95% CrI = −0.88 to −0.09) and MUSIC (SMD = −0.47, 95% CrI = −0.84 to −0.08) showed moderate effects, and PE (SMD = −0.37, 95% CrI = −0.67 to −0.09) showed small effects.</p>Conclusion<p>In this network meta-analysis, we synthesized 26 trials to quantify the isolated impact of 10 single non-pharmacological interventions on depressive symptoms. Against usual care (basic medical support, sham stimulation, or wait-list), GAME and mindfulness produced the largest and statistically credible reductions. Reminiscence-therapy-based care (RTBC) and music therapy (MUSIC) generated medium benefits, whereas physical exercise (PE) yielded a small yet significant effect. These findings were robust across both direct and indirect evidence, underscoring GAME and mindfulness as the most effective stand-alone non-pharmacological options for mitigating depression.</p>Systematic Review Registration<p>https://www.crd.york.ac.uk/prospero/, identifier CRD42024517077.</p>2025-11-25T11:37:08ZDatasetinfo:eu-repo/semantics/publishedVersiondataset10.3389/fpsyt.2025.1608616.s002https://figshare.com/articles/dataset/Supplementary_file_1_Single_non-pharmacological_intervention_of_depression_in_the_elderly_with_cognitive_dysfunction_a_systematic_review_and_network_meta-analysis_docx/30705194CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/307051942025-11-25T11:37:08Z
spellingShingle Supplementary file 1_Single non-pharmacological intervention of depression in the elderly with cognitive dysfunction: a systematic review and network meta-analysis.docx
Zhengyi Tan (22681175)
Psychiatry (incl. Psychotherapy)
cognitive dysfunction
depression
aging
non-pharmacological intervention
network meta-analysis
status_str publishedVersion
title Supplementary file 1_Single non-pharmacological intervention of depression in the elderly with cognitive dysfunction: a systematic review and network meta-analysis.docx
title_full Supplementary file 1_Single non-pharmacological intervention of depression in the elderly with cognitive dysfunction: a systematic review and network meta-analysis.docx
title_fullStr Supplementary file 1_Single non-pharmacological intervention of depression in the elderly with cognitive dysfunction: a systematic review and network meta-analysis.docx
title_full_unstemmed Supplementary file 1_Single non-pharmacological intervention of depression in the elderly with cognitive dysfunction: a systematic review and network meta-analysis.docx
title_short Supplementary file 1_Single non-pharmacological intervention of depression in the elderly with cognitive dysfunction: a systematic review and network meta-analysis.docx
title_sort Supplementary file 1_Single non-pharmacological intervention of depression in the elderly with cognitive dysfunction: a systematic review and network meta-analysis.docx
topic Psychiatry (incl. Psychotherapy)
cognitive dysfunction
depression
aging
non-pharmacological intervention
network meta-analysis