TY - JOUR A1 - Matthias, Katja A1 - Rissling, Olesja A1 - Pieper, Dawid Aleksander A1 - Morche, Johannes A1 - Nocon, Marc A1 - Jacobs, Anja A1 - Wegewitz, Uta Elke A1 - Schirm, Jaqueline A1 - Lorenz, Robert C. T1 - The methodological quality of systematic reviews on the treatment of adult major depression needs improvement according to AMSTAR 2 BT - a cross-sectional study JF - Heliyon N2 - Background: Several standards have been developed to assess methodological quality of systematic reviews (SR). One widely used tool is the AMSTAR. A recent update -AMSTAR 2 -is a 16 item evaluation tool that enables a detailed assessment of SR that include randomised (RCT) or non-randomised studies (NRS) of healthcare interventions. Methods: A cross-sectional study of SR on pharmacological or psychological interventions in major depression in adults was conducted. SR published during 2012-2017 were sampled from MEDLINE, EMBASE and the Cochrane Database of SR. Methodological quality was assessed using AMSTAR 2. Potential predictive factors associated with quality were examined. Results: In rating overall confidence in the results of 60 SR four reviews were rated "high", two were "moderate", one was "low" and 53 were "critically low". The mean AMSTAR 2 percentage score was 45.3% (standard deviation 22.6%) in a wide range from 7.1% to 93.8%. Predictors of higher quality were: type of review (higher quality in Cochrane Reviews), SR including only randomized trials and higher journal impact factor. Limitations: AMSTAR 2 is not intended to be used for the generation of a percentage score. Conclusions: According to AMSTAR 2 the overall methodological quality of SR on the treatment of adult major depression needs improvement. Although there is a high need for summarized information in the field of mental health, this work demonstrates the need to critically assess SR before using their findings. Better adherence to established reporting guidelines for SR is needed. KW - public health KW - epidemiology KW - psychiatry KW - depression KW - evidence-based KW - medicine KW - AMSTAR 2 KW - methodological quality KW - risk of bias KW - systematic KW - review KW - major depression Y1 - 2020 U6 - https://doi.org/10.1016/j.heliyon.2020.e04776 SN - 2405-8440 VL - 6 IS - 9 PB - Elsevier CY - London [u.a.] ER - TY - JOUR A1 - Schuster, Isabell A1 - Krahe, Barbara T1 - Prevalence of Sexual Aggression Victimization and Perpetration in Chile BT - A Systematic Review JF - Trauma violence & abuse N2 - Sexual aggression is a major public health issue worldwide, but most knowledge is derived from studies conducted in North America and Western Europe. Little research has been conducted on the prevalence of sexual aggression in developing countries, including Chile. This article presents the first systematic review of the evidence on the prevalence of sexual aggression victimization and perpetration among women and men in Chile. Furthermore, it reports differences in prevalence rates in relation to victim and perpetrator characteristics and victim–perpetrator relationships. A total of N = 28 studies were identified by a three-stage literature search, including the screening of academic databases, publications of Chilean institutions, and reference lists. A great heterogeneity was found for prevalence rates of sexual victimization, ranging between 1.0% and 51.9% for women and 0.4% and 48.0% for men. Only four studies provided perpetration rates, which varied between 0.8% and 26.8% for men and 0.0% and 16.5% for women. No consistent evidence emerged for differences in victimization rates in relation to victims’ gender, age, and education. Perpetrators were more likely to be persons known to the victim. Conceptual and methodological differences between the studies are discussed as reasons for the great variability in prevalence rates, and recommendations are provided for a more harmonized and gender-inclusive approach for future research on sexual aggression in Chile. KW - sexual aggression KW - victimization KW - perpetration KW - Chile KW - review Y1 - 2017 U6 - https://doi.org/10.1177/1524838017697307 SN - 1524-8380 SN - 1552-8324 VL - 20 IS - 2 SP - 229 EP - 244 PB - Sage Publ. CY - Thousand Oaks ER - TY - JOUR A1 - Heinzel, Stephan A1 - Lawrence, Jimmy B. A1 - Kallies, Gunnar A1 - Rapp, Michael Armin A1 - Heissel, Andreas T1 - Using Exercise to Fight Depression in Older Adults BT - A Systematic Review and Meta-Analysis JF - GeroPsych : the journal of gerontopsychology and geriatric psychiatry N2 - Depression is the most prevalent psychiatric disorder in the general population. Despite a large demand for efficient treatment options, the majority of older depressed adults does not receive adequate treatment: Additional low-threshold treatments are needed for this age group. Over the past two decades, a growing number of randomized controlled trials (RCT) have been conducted, testing the efficacy of physical exercise in the alleviation of depression in older adults. This meta-analysis systematically reviews and evaluates these studies; some subanalyses testing specific effects of different types of exercise and settings are also performed. In order to be included, exercise programs of the RCTs had to fulfill the criteria of exercise according to the American College of Sports Medicine, including a sample mean age of 60 or above and an increased level of depressive symptoms. Eighteen trials with 1,063 participants fulfilled our inclusion criteria. A comparison of the posttreatment depression scores between the exercise and control groups revealed a moderate effect size in favor of the exercise groups (standardized mean difference (SMD) of –0.68, p < .001). The effect was comparable to the results achieved when only the eleven trials with low risk of bias were included (SMD = –0.63, p < .001). The subanalyses showed significant effects for all types of exercise and for supervised interventions. The results of this meta-analysis suggest that physical exercise may serve as a feasible, additional intervention to fight depression in older adults. However, because of small sample sizes of the majority of individual trials and high statistical heterogeneity, results must be interpreted carefully. KW - depression KW - exercise KW - older adults KW - meta-analysis KW - review Y1 - 2015 U6 - https://doi.org/10.1024/1662-9647/a000133 SN - 1662-9647 SN - 1662-971X VL - 28 SP - 149 EP - 162 PB - Hogrefe CY - Cambridge, Mass. ; Göttingen [u.a.] ER -