Community-based interventions to address depression, anxiety, sleep problems and substance use disorders among older adults in lower middle-income countries: a systematic review

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Bibliografiset tiedot
Julkaisussa:Discover Public Health vol. 22, no. 1 (Dec 2025), p. 835
Päätekijä: Das, Devi
Muut tekijät: Khasnobis, Madhurima, Dutta, Susmita, Hoda, Suchismita, Pal, Arkaprovo, Dahiya, Neha, Saha, Asim, Kandasamy, Arun, Kraepelien, Martin, Saha, Indranil, Sundström, Christopher, Chakrabarti, Amit
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Nature Publishing Group
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024 7 |a 10.1186/s12982-025-01247-5  |2 doi 
035 |a 3283604384 
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100 1 |a Das, Devi  |u ICMR-Centre for Ageing and Mental Health, Indian Council of Medical Research, Department of Mental Health & Ageing, Kolkata, India (GRID:grid.19096.37) (ISNI:0000 0004 1767 225X) 
245 1 |a Community-based interventions to address depression, anxiety, sleep problems and substance use disorders among older adults in lower middle-income countries: a systematic review 
260 |b Nature Publishing Group  |c Dec 2025 
513 |a Journal Article 
520 3 |a BackgroundUsing improved healthcare services has increased life expectancy in the ageing population, increasing physical and mental health burdens. Because of many limitations, older adults fail to attend mental health care services at the designated health centres. Thus, a community-based approach to dealing with mental health problems would have been ideal for this population, which has been tried in some high-income countries. This systematic review was conducted to find out the community-based mental health interventions to address some of the common mental health disorders among older adults in Lower Middle-income Countries.Materials and methodsBased on PRISMA guidelines and registered in PROSPERO (CRD42024503470), the research question was split up into PICOS components. Three databases viz. PubMed, Scopus, and Cochrane Central were searched. AXIS, ROBINS I, and ROBINS II tools were used to assess the methodological quality of the included studies.ResultsA total of 9 eligible studies were included in this systematic review. Problem-solving therapy and Laughter therapy with physical exercise have been effective in reducing symptoms of depression among older adults. Reminiscence Therapy resulted in improvements in sleep quality. Daycare programs have been shown to enhance the overall mental well-being of older adults. No studies were identified addressing the community-based interventions for anxiety and substance use disorder.ConclusionLastly, there is a need for urgent implementation of community-based mental health interventions, particularly among older adults in LMICs, since, at present, there are not enough focused interventions aimed at catering to their mental health needs. 
610 4 |a World Health Organization 
651 4 |a Iran 
651 4 |a Indonesia 
651 4 |a India 
653 |a Problem solving 
653 |a Health promotion 
653 |a Exercise 
653 |a Mental health 
653 |a Physical fitness 
653 |a Mental health care 
653 |a Intervention 
653 |a Health care 
653 |a Mental disorders 
653 |a Questionnaires 
653 |a Mental depression 
653 |a Physical exercise 
653 |a Parks & recreation areas 
653 |a Older people 
653 |a Sleep 
653 |a Substance use disorder 
653 |a Therapy 
653 |a Anxiety 
653 |a Counseling 
653 |a Search strategies 
653 |a Insomnia 
653 |a Life expectancy 
653 |a Health education 
653 |a Disorders 
653 |a Drug use 
653 |a Adults 
653 |a Income 
653 |a Health services 
653 |a Health problems 
653 |a Population 
653 |a Life span 
653 |a Drug addiction 
653 |a Well being 
653 |a Substance use 
653 |a Sleep disorders 
653 |a Daycare 
653 |a Systematic review 
653 |a Social 
700 1 |a Khasnobis, Madhurima  |u ICMR-Centre for Ageing and Mental Health, Indian Council of Medical Research, Department of Mental Health & Ageing, Kolkata, India (GRID:grid.19096.37) (ISNI:0000 0004 1767 225X) 
700 1 |a Dutta, Susmita  |u ICMR-Centre for Ageing and Mental Health, Indian Council of Medical Research, Department of Mental Health & Ageing, Kolkata, India (GRID:grid.19096.37) (ISNI:0000 0004 1767 225X) 
700 1 |a Hoda, Suchismita  |u ICMR-Centre for Ageing and Mental Health, Indian Council of Medical Research, Department of Mental Health & Ageing, Kolkata, India (GRID:grid.19096.37) (ISNI:0000 0004 1767 225X) 
700 1 |a Pal, Arkaprovo  |u ICMR-Centre for Ageing and Mental Health, Indian Council of Medical Research, Department of Mental Health & Ageing, Kolkata, India (GRID:grid.19096.37) (ISNI:0000 0004 1767 225X) 
700 1 |a Dahiya, Neha  |u ICMR- Headquarter, Indian Council of Medical Research, Division of Mental Health, New Delhi, India (GRID:grid.19096.37) (ISNI:0000 0004 1767 225X) 
700 1 |a Saha, Asim  |u ICMR-National Institute for Research in Bacterial Infections, Indian Council of Medical Research, Department of Epidemiology, Kolkata, India (GRID:grid.19096.37) (ISNI:0000 0004 1767 225X) 
700 1 |a Kandasamy, Arun  |u NIMHANS, Department of Psychiatry, Bengaluru, India (GRID:grid.416861.c) (ISNI:0000 0001 1516 2246) 
700 1 |a Kraepelien, Martin  |u Karolinska Institutet, Department of Clinical Neuroscience, Stockholm, Sweden (GRID:grid.4714.6) (ISNI:0000 0004 1937 0626) 
700 1 |a Saha, Indranil  |u ICMR-National Institute for Research in Bacterial Infections, Indian Council of Medical Research, Department of Epidemiology, Kolkata, India (GRID:grid.19096.37) (ISNI:0000 0004 1767 225X) 
700 1 |a Sundström, Christopher  |u Karolinska Institutet, Department of Clinical Neuroscience, Stockholm, Sweden (GRID:grid.4714.6) (ISNI:0000 0004 1937 0626) 
700 1 |a Chakrabarti, Amit  |u ICMR-Centre for Ageing and Mental Health, Indian Council of Medical Research, Department of Mental Health & Ageing, Kolkata, India (GRID:grid.19096.37) (ISNI:0000 0004 1767 225X) 
773 0 |t Discover Public Health  |g vol. 22, no. 1 (Dec 2025), p. 835 
786 0 |d ProQuest  |t Health & Medical Collection 
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