• Cognitive Disorders
• Mood Disorders
• Dementias

Use of Tai Chi, a mind-body exercise, in combination with antidepressants provides additional improvements in older adults with depression, according to new research being presented at the American Psychiatric Association's Annual Meeting.

Older adults with depression are at increased risk for decline in health functioning, morbidity and mortality, including suicide. Fewer than half of elderly depressed patients achieve remission and functional recovery in response to initial use of antidepressants alone.

Researchers Helen Lavretsky, MD, MS, and Michael Irwin, MD, University of California, Los Angeles, CA, studied a group of older adults with major depression and compared the use of an antidepressant combined with use of Tai-Chi-Chi (TCC, a brief standardized version of Tai Chi) to the use of an antidepressant combined with a health education program. The older adults each participated in two hours per week of either Tai Chi or the health education program.

The Tai Chi (Figure 1) and health education participants demonstrated comparable improvement in the severity of depression. However, people in the Tai Chi group demonstrated significantly greater improvement in resilience, health-related quality of life, and cognitive function (memory, attention, and executive function).

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Figure 1.

Tai Chi Participants.

Tai-Chi intervention has an advantage in that it is easily translatable to the community and can be readily implemented among adults with physical limitations. Researchers concluded that “complementary mind-body interventions can improve partial response to antidepressants via stress-reduction, improved physical functioning, increased socialization, and reduced risks of polypharmacy.”

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