Article2005

Treatment of depression in low-income older adults.

Patricia A. Areán · Amber M. Gum · Charles E. McCulloch · Alan Bostrom · Dolores E. Gallagher-Thompson · Larry Wolford Thompson

90 citations0/0 files storedPsychology and Aging

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Mental Health Treatment and Access Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Psychotherapy Techniques and Applications

Abstract

The purpose of this study was to compare cognitive-behavioral group therapy (CBGT), clinical case management (CCM), and their combination (CBGT + CCM) to treat depression in low-income older adults (60+). Sixty-seven participants with major depressive disorder or dysthymia were randomly assigned and entered into 1 of the 3 treatment conditions for 6 months. They were followed for 18 months after treatment initiation on depression and functional outcomes. CCM and CBGT + CCM led to greater improvements in depressive symptoms than CBGT, but CBGT led to greater improvements in physical functioning. All 3 conditions resulted in similar reduction of needs. Findings suggest that disadvantaged older adults with depression benefit from increased access to social services either alone or combined with psychotherapy.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1960A RATING SCALE FOR DEPRESSION 1997Motivation and Personality 2003SF-36 health survey: Manual and interpretation guide 2012Cognitive Therapy for Depression 1994SF-36 physical and mental health summary scales : a user's manual 1980Cognitive Therapy in Depression 2002Collaborative Care Management of Late-Life Depression in the Primary Care Setting

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2017Non-pharmacological treatment for depressed older patients in primary care: A systematic review and meta-analysis 2011Psychosocial Interventions for Late-life Major Depression: Evidence-Based Treatments, Predictors of Treatment Outcomes, and Moderators of Treatment Effects 2013Pilot of the Brief Behavioral Activation Treatment for Depression in Latinos With Limited English Proficiency: Preliminary Evaluation of Efficacy and Acceptability 2008Bringing the bedside to the bench, and then to the community: a prospectus for intervention research in late‐life anxiety disorders 2014Interventions for Mental Health Problems in Later Life

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