Need For Psychological Interventions Research Articles

Role of psychological intervention on the quality of life of the patient with spinal cord injury undergoing Magnetic Resonance Imaging examination

In the modern world, technological progress has also been accompanied by an increase in traumatic suffering, including those followed by spinal cord injury. The severity of spinal cord injury requires an understanding of the physiological and psychological aspects of patient management. Spinal cord lesions impair physical capabilities and tend to reduce the quality of life, thus creating the need for psychological intervention. In order to do the magnetic resonance imaging (MRI), it has been observed that patients frequently experience distress (1) Background: The research highlights the significant influence that psychological interventions have on improving the quality of life of patients undergoing MRI, who have sustained spinal cord injury; (2) Methods: we studied 78 patients hospitalized in the Neurosurgery Clinic 2 of the "Bagdasar Arseni" Hospital for acute spinal cord injuries, in 2 groups of patients with and without psychotherapy, for which we later applied the quality of life test; (3) Results: We observe how, in 2017, SCI were more frequent in the adult male population and psychotherapeutic treatment was slightly more effective in improving QOL in male patients.; (4) Conclusions: For the 27 patients investigated by MRI and operated for SCI in the Neurosurgery Clinic 2 of the "Bagdasar Arseni" Hospital, the average quality of life was higher after the psychotherapy, both for female patients and for male patients and. The psychotherapeutic response and improved quality of life were higher in male patients.

Burden of care in caregivers of patients with schizophrenia in Greater Noida, U.P., India.

Schizophrenia is a serious mental illness that causes major functional impairments, raises the risk of disability, and reduces life expectancy. It affects around 7 in 1000 people b/w the age of 15 and 35 years. Schizophrenia poses a great challenge not only for the patient but also for the people and the society around the patient. Family members who serve as informal primary carers may suffer personal expenses as a result of providing care for those who have major mental illnesses. One outcome that is regularly studied is the caregiver burden or the challenges encountered in providing care. Burden of care in caregivers of patients with schizophrenia in Greater Noida, U.P, India. This cross-sectional study was carried out at the School of medical sciences and Research, Sharda University. We enrolled 100 caregivers and it is assessed through the burden assessment scale. Caregivers ranged in age from 20 to 85, with a mean age of 47 (SD=14.1). The male-to-female ratio was 1.7, with 63 men and 37 women present. The majority of the caregivers were parents (n=54), siblings (n=9), spouses (n=10), or their children (n=5). On the burden assessment scale, the severity of the burden was found on the basis of mild, moderate, severe, and very severe. It is important to understand the mental health of caregivers in order to develop an appropriate intervention to deal with their mental health problems. Therefore, this study highlighted the need for psychological interventions not only for the patients but also for caregivers.

Strategies For Overcoming Cinderella Complex Syndrome In Adolescent Girls

The Cinderella Complex syndrome is a phenomenon that affects adolescent girls in contemporary society. This study aims to explore strategies to overcome this syndrome through psychoeducation. The research method used is a qualitative approach with thematic analysis. Data were collected through interviews and observations of female millennial students. The results show that factors such as 1) having a boyfriend, 2) receiving male attention, 3) depending on and being influenced by others, 4) lack of confidence in their abilities, 5) desire to marry young, 6) having fears that can inhibit success, 7) lack of independence, 8) received parenting styles influence the Cinderella Complex syndrome in adolescent girls. The implications of this research are the need for psychological interventions, such as psychoeducation, to help adolescent girls overcome their fear of independence and develop self-confidence. Hopefully, these findings will contribute to understanding and addressing the Cinderella Complex syndrome in adolescent girls in contemporary society.

학교폭력 가해행동 경험이 초등학생의 자존감과 우울에 미치는 영향

Objectives The objective of this study is to investigate the effect of school violence behavior on self-esteem and depression in elementary school students. Methods The data of 3068 students in the second and third years of the Gyeonggi Education Panel Study were analyzed in order to investigate the effect of school violence behavior on self-esteem and depression. Propensity score was calculated using the covariates related to the school violence behavior. By applying the Inverse probability of treatment weight, we estimated the average treatment effect on the treated. The validity of the estimation results was verified by conducting a sensitivity analysis to test how robust the average treatment effect. Results First, there were significant differences in anxiety, academic performance, school satisfaction, and so on between the school violence behavior group and the non violence behavior group. Second, when the relevant covariates were controlled, the self-esteem of the school violence group decreased significantly after the violence behavior. Third, when the relevant covariates were controlled, the depression of the school violence group increased significantly after the violence behavior. Conclusions This study verified that school violence affects the decline in self-esteem and increase in depression in elementary school students. This result means that attempts to relieve students' low self-esteem or depression through violent behavior can ultimately lead to even lower self-esteem and higher depression. Therefore this suggests the need for psychological intervention for students who commit violent behavior in order to prevent recurrence of school violence.

Visual psychosocial profiling of Chinese temporomandibular disorder pain patients and correlations with somatosensory function.

Psychosocial function of Chinese temporomandibular disorders (TMD) pain patients and the correlation with somatosensory function has not been sufficiently studied. The study aims at assessing the psychosocial function of Chinese TMD pain patients by visualisation method and evaluating the correlations with somatosensory function quantitatively. The Symptom Checklist 90 (SCL-90) questionnaire and standardised quantitative sensory testing (QST) were administered to 70 Chinese TMD pain patients and age- and gender-matched healthy controls (HCs). Of these, 40 TMD arthralgia patients received QST before and after medication. Psychosocial and somatosensory parameters were transformed into standardised scores. Differences within groups were assessed through t tests. Correlations between psychosocial and somatosensory profiles were explored through correlation analyses with Bonferroni correction for multiple comparisons. 100% of the Chinese TMD pain patients exhibited psychosocial distress in contrast to HCs. Anger and hostility showed negative correlation with the thermal nonnociceptive parameter (thermal sensory limen, p =.002) and nociceptive parameters (cold pain threshold and pain pressure threshold, p<.001). Correlation analysis indicated that cold detection threshold was negatively correlated with somatization and mechanical pain sensitivity had a negative correlation with anger and hostility through medical treatment (p <.001). Visual psychosocial profiles provided an easy overview of psychosocial function in Chinese TMD pain patients. Anger and hostility was associated with increased thermal nonnociceptive and nociceptive sensitivity to stimuli. Psychosocial distress might be negatively associated with TMD treatment response which indicated a possible need for psychological intervention during treatment.

Perceived stress, coping strategies, symptoms severity and function status among carpal tunnel syndrome patients: a nurse-led correlational Study

BackgroundCarpal tunnel syndrome (CTS) is a prevalent condition characterized by hand pain, tingling, and numbness. The severity of symptoms and functional status in CTS patients may be influenced by perceived stress and how individuals cope with it. However, scarce knowledge exists about the role of coping strategies as moderators in this relationship. Unfolding the role of perceived stress and coping strategies for CTS management will help the nurse to provide comprehensive and tailored nursing care. This will ultimately improve patient comfort, functionality, and quality of life.PurposesThis study aimed to examine the role of coping strategies (adaptive and maladaptive) in the relationship between perceived stress and both symptoms severity and function status among those patients.MethodWe employed a multisite, correlational study design with moderation analysis. The study included 215 patients with CTS from neurosurgery outpatient clinics at three hospitals in Egypt. After obtaining their consent to participate, eligible participants completed anonymous, self-reported measures of perceived stress, the brief COPE inventory, and the Boston Carpal Tunnel Questionnaire. Demographic and biomedical data were also collected. The questionnaire took about 20 min to be completed. The data was collected over six months, starting in February 2023.ResultsThe results showed that perceived stress, adaptive coping, and maladaptive coping were significant predictors of symptoms severity and functional status. Adaptive coping moderated the relationships between perceived stress and both symptoms severity and function status, while maladaptive coping did not. The interaction between perceived stress and adaptive coping explained a moderate effect on symptoms severity and function status after controlling for the main effects and the covariates.ConclusionThis study explored the relationship between perceived stress, coping strategies, and outcomes in patients with CTS. The results indicate that nurses play a vital role in assessing and assisting patients to adopt effective coping strategies to manage perceived stress and alleviate symptoms and functional impairment. Moreover, the findings support the need for psychological interventions that address both perceived stress and coping strategies as a way to enhance the functioning status and quality of life of patients with CTS.

Global epidemiology of mental disorder in atrial fibrillation between 1998-2021: A systematic review and meta-analysis.

As the burden of mental disorders among patients with atrial fibrillation (AF) increases, researchers are beginning to pay close attention to the risk and prevalence of these comorbidities. Although studies have independently analyzed the risk of comorbidity with depression and anxiety in patients with AF, no study has systematically focused on the global epidemiology of these two mental disorders. To explore the prevalence of depression and anxiety in patients with AF. Five databases were searched from their date of establishment until January 2023. Observational studies reporting the comorbidity of AF with depression and anxiety, were included in this study. Basic information, such as the first author/ publication year, study year, study type, and prevalence of depression and anxiety, were extracted. STATA SE 15.1 was used to analyze the data. Subgroup, meta-regression, and sensitivity analyses were performed to estimate study heterogeneity. After a thorough search, 26 studies were identified and included in this meta-analysis. The prevalence rates of depression and anxiety in adults with AF were 24.3% and 14.5%, respectively. Among adult males with AF, the prevalence was 11.7% and 8.7%, respectively, whereas in females it was 19.8% and 10.1%, respectively. In older adults with AF, the prevalence rates of depression and anxiety were 40.3% and 33.6%, respectively. The highest regional prevalence of depression and anxiety was observed in European (30.2%) and North American (19.8%) patients with AF. In this study, we found that the prevalence of depression and anxiety among patients with AF varies with sex, region, and evaluation scales, suggesting the need for psychological interventions for patients with AF in clinical practice.

The role of psychological interventions in improving quality of life and reducing symptoms in patients with rheumatologic conditions: systematic review

The long-term condition known as rheumatoid arthritis (RA) severely reduces bodily, emotional, and psychological functioning. Hence, the need of psychological interventions is important to improve the quality of life and reduce symptoms. For instance, this review aimed to explain the role psychological interventions in reducing symptoms and improving quality of life in rheumatoid arthritis patients. A thorough search was carried out in November 2023, mostly using PubMed, in compliance with PRISMA criteria. The search was limited to English-language research that looked at the effect of psychological interventions on rheumatoid arthritis patients. To guarantee the quality and applicability of the evaluated research, certain inclusion and exclusion criteria were developed. A wide spectrum of research from various countries and areas was included in the study, without any focus on a specific age. A discernible pattern indicated a high proportion of individuals with effect of psychological interventions in long term condition. According to the findings of the current investigation, there is confirmed evidence to prove the positive effect of psychological interventions on rheumatoid conditions.

The Psychological Analysis of Health Care Professionals in the Era of Covid-19 in Khyber Pakhtunkhwa (KP)

COVID-19 has impacted every sector of society across the globe. It is important to note that healthcare professionals were the most vulnerable group, and the pandemic has impacted them psychologically. This issue has been researched in various countries, i.e., China, India, and Pakistan, though the issue has remained neglected except for a few studies in Pakistan. This study focused on the psychological impact of fear of COVID-19 in the prediction of stress, anxiety, depression and OCD in healthcare professionals. This study was quantitative in nature, and data was collected from health professionals, including doctors, nurses and paramedical staff, with the help of a questionnaire from 250 respondents through purposive sampling techniques. The collected data was analyzed through SPSS. The main finding showed that Fear of COVID-19 positively predicts stress, anxiety, depression and OCD among healthcare professionals. The study recommended that there was a need for psychological interventions for the psychological well-being of healthcare professionals to minimize fear of CIVID-19 and manage stress, anxiety, depression and OCD experienced by healthcare professionals.

Adaptation and Reflection in the Transition to Parenthood for Women With Risk Factors for Early Parenting Difficulties Who Participated in the STAR Mums Program

The Supporting Transitions and Relationships (STAR Mums) program was developed in response to the clinical need for psychological intervention in pregnancy where mothers have risk factors for difficulties in the transition to parenthood. The program focuses on the developing relationship between the mother and the unborn child and aims to facilitate the normal psychological processes that are known to occur in pregnancy to prepare for the relationship with the infant and to reduce risk factors that may negatively impact this relationship. This article reports on interview data from the final follow-up of 12 high-risk participants at 12 to 14 weeks postpartum regarding their transition to parenthood and aspects of parental reflective function. These women presented with issues in developing their maternal identity and representation in the context of difficulties processing their own difficult childhood experiences. They also demonstrated some issues with limited reflective capacity in their understanding of their infant’s emotional world and experiences. Though there are ongoing issues for these women, they provided feedback that the STAR Mums program included valued discussion around the changes in both self and relationships involved in parenting that helped them to prepare for their experiences of early parenthood by supporting their wondering about the baby and the changes that this new relationship may bring for them as a parent.

Untreated depression and anxiety in patients with common skin diseases: a cross-sectional study in China.

The study aimed to analyze the current status and reasons for the neglect of the psychological need of patients with common skin diseases. This cross-sectional study was conducted in China using an online self-assessment questionnaire distributed via social media. Demographic, clinical and psychological data were collected, and the main outcomes, i.e., depression (evaluated using the 9-item Patient Health Questionnaire, PHQ-9) and anxiety (evaluated using Generalized Anxiety Disorder-7, GAD-7). Multivariate regression analysis was used for the prediction of variates of mental health service seeking behaviors. A total of 1,010 patients participated in the survey, and 273 (27.0%) patients met the "with need" criteria, i.e., having the need for mental health intervention but not being treated. In the multivariate regression model, income (OR = 0.80, 95%CI: 0.65-0.99), duration of disease (OR = 0.68, 95%CI: 0.49-0.95) and suicide ideation (OR = 2.10, 95%CI: 1.14-3.87) were significant factors. For patients who did not receive mental health care, the lack of knowledge about the availability of mental health services, lack of knowledge of where to seek help, concerns about the side effects of treatment, failure to seek treatment for severe skin diseases, and absence of current psychological distress were associated with their need for psychological intervention. This study examined the current status of the need for psychological intervention and the reasons why the need was unmet in patients with skin diseases. Due to the confusion and a lack of knowledge about their mental health issues, mental health services are often underutilized.

Effectiveness of ACT-based intervention in compliance with the model for sustainable mental health: A cluster randomized control trial in a group of older adults

IntroductionEpidemiological studies among older adults have demonstrated high rates of subclinical anxiety and depression. This is accompanied by increased distress related to aging and everyday life challenges, thus affecting wellbeing and increasing the risk of developing full mental disorders. This highlights the need for psychological interventions to focus on mental health and improve wellbeing in this population in compliance with the Model for Sustainable Mental Health framework. MethodsThis study investigated the effectiveness of an acceptance and commitment therapy (ACT) program through a cluster randomized controlled trial in a group of older adults in Poland. The participants lived in rural areas and small towns, with minimal or no opportunities to obtain psychological support. The total of 100 older adults were included in the study and randomized to either a 12-week ACT-based training programme or to a control group that participated in Positive Psychology Intervention (PPI). ResultsThe statistical analyses showed that ACT intervention decreased psychopathological symptoms while increasing quality of life. The increases in psychological flexibility, acceptance, defusion, and present moment were statistically significant mediators in the relationship between group membership and increased quality of life. There were also significant decreases in stress, anxiety, and depression among participants exposed to the PPI component. DiscussionThe ACT intervention should help address the issues of mental health and wellbeing in older adults. The training programme increased the quality of life for participants in line with the WHO agenda concerning support for older adults, thus reflecting the conditions outlined in the Model for Sustainable Mental Health.

Dentistry and mental health: The need for psychological interventions

Dentistry and mental health: The need for psychological interventions

Do University Students Have a Good Quality of Sleep?: An Exploratory Study

Background: Sleep is an important factor in activity and achievement. This study aims to examine the quality of sleep among university students in Yemen and Saudi Arabia.&#x0D; Methods: An online survey method was used. The sample size was (636) (46.23% female N=294, 36.64% N= 233 Yemeni students and 63.36% N=403 Saudi students). Participants responded to Arabic version of the Pittsburgh Sleep Quality Index (PSQI) and the Sleep Difficulties Questionnaire (SDQ).&#x0D; Results: The prevalence of poor sleep quality among university students was (25.63%) and sleep difficulties was (25%). A total of 23.60% of Yemeni students had poor sleep quality and 27.90% had sleep difficulties. While, 26.79% of Saudi students had poor sleep quality and 23.32% had sleep difficulties. There were no significant differences between students of two countries in sleep quality or sleep difficulties. Quality of Sleep and Sleep difficulties were significantly correlated with academic performance in the overall sample and in the group of Saudi students.&#x0D; Conclusions: The prevalence of poor sleep quality and sleep difficulties is high among university students, which may negatively affect their academic performance. There is an urgent need for psychological intervention, as well as a need for more research in this field.

Minority stress and sleep: How do stress perception and anxiety symptoms act as mediators for sexual minority men?

ObjectivesSexual minority men experience worse sleep than heterosexuals. Little is known about how minority stress may account for these differences. Therefore, the aims of this study are to (1) understand the relationship between minority stress and sleep disturbance in a sample of sexual minority men, and (2) test whether these relationships are mediated by generalized anxiety symptoms and perception of stress. MethodsIn 2020, 239 sexual minority men were recruited to complete an online survey. Participants responded to scales assessing minority stress (ie, internalized homophobia, experiences of harassment, microaggressions), perception of stress, generalized anxiety symptoms, and sleep disturbance. Linear regressions were used to test the relationship between minority stress and sleep disturbance and to test generalized anxiety symptoms and perception of stress as mediators. ResultsThe final model was significant (F = 16.916, p < .001) and accounted for 43.5% of the variance in sleep disturbance. Generalized anxiety symptoms and perception of stress fully mediated the relationships between minority stress and sleep disturbance. ConclusionsFindings from this study suggest the need for psychological intervention to improve sleep for sexual minority men. Future research should test this model longitudinally, and include objective measures of stress. Future interventions could target stress perception using mindfulness or cognitive-based interventions.

A Study of Early Life Experiences, Temperament, Character, and Psychological Pain in Suicide Attempters and Normal Individuals

Background: Studies conducted in different countries have reported a relationship between suicidal tendencies and childhood trauma experiences, personality traits, and psychological pain. It would be valuable to re-examine such a relationship in Iranian culture. Objectives: This study aimed to investigate early life experiences, temperament, character, and psychological pain in suicidal attempters and normal individuals. Methods: This cross-sectional, causal-comparative, basic research was conducted retrospectively on all individuals who had attempted suicide by drug poisoning and were referred to Imam Khomeini Hospital of Kermanshah, Iran. The study sample, consisting of 121 suicide attempters by drug poisoning and 121 healthy individuals (companions of suicide attempters), was selected by purposeful sampling, according to the inclusion and exclusion criteria. The participants completed the questionnaires about early life experiences, temperament, character, and mental pain. A discriminant analysis was also performed to analyze the data. Data analysis was performed in SPSS version 26. Results: Based on the simultaneous discriminant analysis, 4 predicting variables (early life experiences, temperament, character, and psychological pain components) could explain 91.7% of the variance in suicide attempts. Based on the stepwise discriminant analysis, six subscales predicting variables (emptiness/worthlessness, harm avoidance, persistence, worthlessness, cooperation, and self-transcendence) could explain 91.7% of the variance in suicide attempts, as shown in the discriminant function analysis for differentiation of suicide attempters from normal people. Conclusions: Based on the findings of the present study, emptiness/worthlessness, personality traits, and early traumatic experiences can predispose individuals to suicide attempts. Therefore, there is an urgent need for psychological interventions to reduce psychological pain in suicidal attempters.

Psychological Distress among Pharmacists during Second Wave of Pandemic: A Cross-Sectional Study.

The outbreak of COVID-19 and subsequent lockdown worldwide have shown a psychological impact among healthcare workers. However, data on the psychological impact among community pharmacists are lacking in the Nepalese context. This study aimed to assess the psychological distress among community pharmacists during COVID-19 pandemic. Settings and Design. A cross-sectional analytical design was adopted to study the psychological distress of pharmacists working in community pharmacies in Bharatpur. Purposive sampling method was used to select 172 community pharmacists. The COVID-19 peritraumatic distress index (CPDI) questionnaire adapted from the Shanghai Mental Health Centre was used to measure psychological distress. Statistical Analysis. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20. Descriptive statistics (mean, standard deviation, percentage) and inferential statistics (chi-square and logistic regression) were used. Out of 172 respondents, 77.9% were severely distressed while 22.1% were mild to moderately distressed due to COVID-19 pandemic. Mean age of the respondents was 27.81 ± 6.35 years. Logistic regression revealed that having education of bachelor and above (AOR = 4.489, 95% CI: 1.747, 11.539), 8 or more working hours (AOR = 7.633, 95% CI: 2.729, 21.352), being unsatisfied with the job (AOR = 11.524, 95% CI: 3.574, 37.158), and having experience of more than 3 years (AOR = 2.857, 95% CI: 1.060, 7.702) were found significantly linked to severe psychological distress among community pharmacists in Bharatpur. All respondents had suffered from some degree of psychological distress due to the pandemic. Our findings reveal the need for psychological intervention to alleviate psychological distress among pharmacists.

Telemedicine Interventions as an Attempt to Improve the Mental Health of Populations during the COVID-19 Pandemic-A Narrative Review.

Published reports indicate the need for psychological interventions and the integration of psychiatric care into crisis management plans in people with mental health issues caused by the COVID-19 pandemic. It seems crucial to identify the root causes of the health-social-economic crisis and identify potential opportunities for widely implemented psychological assistance. This narrative literature review aims to identify the types of interventions deployed as telemedicine-based mental health support and their effectiveness. The PubMed and Web of Science electronic databases were searched. From a total of 48 articles, 46 were analysed after removing duplicates. From these, thirty-seven records were excluded according to the inclusion criteria and nine (eight RCT and one cross-over) were assessed as full texts. The included publications were randomised clinical trials or cross-over studies focused on remote mental support interventions. In all studies, participants represented both sexes and had an average age range of 6-64. Studies included participants from seven countries and the overall number of participants in the included studies was 687. The content of these intervention programmes includes both established psychotherapeutic programmes, as well as new interventions. Remote support was implemented through three approaches: phone/video calls, mobile applications, and internet-based programs. The results of the included studies indicate a higher or equal efficacy of telemedicine interventions compared to traditional forms. The review also revealed a relatively wide range of targeted research groups: from children with social anxiety through to their caregivers; adolescents with neurological disorders; and from college students to adults with psychiatric or orthopaedic disorders. Analysis of the included papers found that telemedicine interventions show promising results as an attempt to improve population mental health during the COVID-19 pandemic.

Living with Parkinson's disease: A qualitative study of spousal perspectives.

Research has demonstrated that Parkinson's disease can have adverse psychological effects on caregivers. Very few studies have focused on the experiences of spouses who are not primary caregivers or who do not identify as primary caregivers. The aim of this study was to explore the experiences of spouses who are not primary caregivers or do not identify as primary caregivers. Twelve Israeli women, spouses of men with Parkinson's disease, were interviewed using a semi-structured in-depth approach. Thematic analysis revealed five themes: before diagnosis, at diagnosis, after diagnosis, interpersonal ways of coping, and intrapersonal ways of coping. A dynamic of oscillation between confronting and avoiding losses was indicated. Non-death losses were mostly unacknowledged among spouses' social circles. Results were interpreted in the context of grieving processes after diagnosis. Findings suggest a need for psychological interventions aimed at creating safe spaces for spouses to engage in a grieving process after diagnosis.

Telephone-Based Behavioral Activation with Mental Imagery for Depression in Older Adults in Isolation During the covid-19 Pandemic: Long-term Results from a Pilot Trial

ABSTRACT Objectives The covid-19 pandemic has highlighted the need for psychological interventions for depression that can be delivered remotely to older adults. Pellas et al. (2022) conducted a pilot trial on the preliminary effectiveness of a four-week telephone-delivered Behavioral Activation with Mental Imagery (BA-MI) intervention to N= 38 adults 65 years and older with clinically significant depressive symptoms living in isolation due to covid-19 in Sweden. This study assessed the feasibility of follow-up assessments and within-group symptom change over a six-month post-intervention period. Methods Retention rates at post-intervention and follow-up assessments of depressive symptoms (MADRS-S) at five time points were assessed (baseline, post-intervention, 1-, 3-, and 6-month follow-up). Effect sizes (Hedges’ g) for within-group change scores were calculated between each time point. Results Retention rates over time were 95, 82, 89, and 84%. Mean MADRS-S score was 18.26 at baseline, 13.69 at post-intervention (g= .68), 13.42 at 1 month (g= .74), 13.82 at 3 months (g= .74), and 15.59 at 6 months (g= .41). Conclusions Long-term follow-ups were feasible. Within-group decreases in depressive symptoms were maintained with medium effect sizes at 6 months post-intervention. Clinical implications Telephone-based BA-MI may be a feasible intervention for depressive symptoms in older adults in isolation with maintained effects over time.