Identifying factors that impact psychological treatment outcomes in older people with common mental health problems (CMHP) has important implications for supporting healthier and longer lives. The aim of the present study was to synthesise the evidence on predictors of psychological treatment outcomes in older people (aged 65+). PubMed, Scopus, Web of Science and PsycINFO were searched and 3929 articles were identified and screened, with 42 studies ( = 7978, age = 68.9, age = 2.85) included: depression: k = 21, anxiety: k = 11, panic disorder: k = 3, mixed anxiety & depression: k = 3, PTSD: k = 2, various CMHP: k = 2, with CBT being the most common treatment (71%). The review identified 28 factors reported as significant predictors of treatment outcome in at least one study, across different domains: psychosocial ( = 9), clinical ( = 6), treatment-related ( = 6), socio-demographic ( = 4), neurobiological ( = 3). Homework completion was the most consistent predictor of positive treatment outcome. Baseline symptom severity was the most frequently studied significant predictor and across all conditions, with higher baseline symptom severity largely linked to worse treatment outcomes. No significant effects on treatment outcome were reported for gender, income and physical comorbidities. For a large majority of factors evidence was mixed or inconclusive. Further studies are required to identify factors affecting psychological treatment outcomes, which will be important for the development of personalised treatment approaches.

中文翻译：

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老年人常见心理健康问题（CMHP）心理治疗治疗结果的预测因素：系统文献综述


确定影响患有常见心理健康问题（CMHP）的老年人心理治疗结果的因素对于支持更健康、更长寿的生活具有重要意义。本研究的目的是综合老年人（65 岁以上）心理治疗结果预测因素的证据。检索了 PubMed、Scopus、Web of Science 和 PsycINFO，识别并筛选了 3929 篇文章，其中 42 项研究（= 7978，年龄= 68.9，年龄= 2.85）包括：抑郁：k = 21，焦虑：k = 11，恐慌症：k = 3，混合焦虑和抑郁：k = 3，PTSD：k = 2，各种 CMHP：k = 2，CBT 是最常见的治疗方法（71%）。该综述确定了至少一项跨不同领域的研究中报告为治疗结果的重要预测因素的 28 个因素：心理社会 (= 9)、临床 (= 6)、治疗相关 (= 6)、社会人口统计学 (= 4)、神经生物学（= 3）。家庭作业的完成是积极治疗结果最一致的预测指标。基线症状严重程度是所有情况下最常研究的重要预测因素，较高的基线症状严重程度在很大程度上与较差的治疗结果相关。据报告，性别、收入和身体合并症对治疗结果没有显着影响。对于绝大多数因素，证据是混合的或不确定的。需要进一步的研究来确定影响心理治疗结果的因素，这对于个性化治疗方法的发展非常重要。