Comparison of The Effects of Cognitive Therapy and Logotherapy on Iranian Elderly People's General Health.
Ali Ravari, Tayebeh Mirzaei, Fatemeh Hosieni and 1 others
PMID 34604398WHAT IT FOUND
Both group cognitive therapy and logotherapy lowered older adults' reported general health problems compared with no counselling over eight sessions.
The two therapies were similar. This short study did not clearly randomize participants.
Key findings
01In 90 older adults, eight group sessions of cognitive therapy or logotherapy improved total GHQ-28 scores compared with a control group (P=0.001).
02The two active therapies did not differ from each other on total GHQ-28 after intervention (P=0.49).
03After intervention, mean total GHQ-28 changes were -10.93 in the cognitive therapy group and -12.16 in the logotherapy group on a 0-84 scale, where scores above 22 reflect general health problems.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was quasi-experimental, and the paper does not clearly state how participants were assigned to cognitive therapy, logotherapy, or control groups. Outcomes were measured only immediately after the intervention, so the study cannot show whether the effects lasted beyond four weeks. The study only included people aged 60 to 80 who could perform daily activities and had Geriatric Depression Scale scores below 5, so it does not test people outside those criteria. The depression subscale score differed between groups before intervention, which can affect comparisons of that subscale. The paper reports that the data collector and analyst were unaware of the methods, but it does not describe participant or therapist blinding.
The easy way to misread this
Do not read this as proof that either therapy is better than the other or that benefits last. The study found no difference between the two therapies, measured outcomes only immediately after eight sessions over four weeks, and did not clearly describe random assignment to groups.