Effectiveness of Problem-Solving Therapy for Older, Primary Care Patients with Depression: Results from the IMPACT Project

Autor/inn/en	Arean, Patricia; Hegel, Mark; Vannoy, Steven; Fan, Ming-Yu; Unuzter, Jurgen
Titel	Effectiveness of Problem-Solving Therapy for Older, Primary Care Patients with Depression: Results from the IMPACT Project
Quelle	In: Gerontologist, 48 (2008) 3, S.311-323 (13 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0016-9013
Schlagwörter	Problem Solving; Patients; Program Effectiveness; Data Analysis; Psychotherapy; Depression (Psychology); Primary Health Care; Community Health Services; Older Adults; Geriatrics; Outcomes of Treatment; Mental Health; Gerontology + Suchen Sie Ihr Suchwort? Problemlösen; Patient; Auswertung; Psychotherapie; Gesundheitsvorsorge; Älterer Erwachsener; Alterswissenschaft; Geriatrie; Psychohygiene; Gerontologie
Abstract	Purpose: We compared a primary-care-based psychotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psychotherapy in treating late-life major depression and dysthymia. Design and Methods: The data here are from the IMPACT study, which compared collaborative care within a primary care clinic to care as usual in the treatment of 1,801 primary care patients, 60 years of age or older, with major depression or dysthymia. This study is a secondary data analysis (n = 433) of participants who received either PST-PC (by means of collaborative care) or community-based psychotherapy (by means of usual care). Results: Older adults who received PST-PC had more depression-free days at both 12 and between 12 and 24 months ([beta] = 47.5, p less than 0.001; [beta] = 47.0, p less than 0.001), and they had fewer depressive symptoms and better functioning at 12 months ([beta][subscript dep] = -0.36, p less than 0.001; [beta][subscript func] = -0.94, p less than 0.001), than those who received community-based psychotherapy. We found no differences at 24 months. Implications: Results suggest that PST-PC as delivered in primary care settings is an effective method for treating late-life depression. (As Provided).
Anmerkungen	Gerontological Society of America. 1030 15th Street NW Suite 250, Washington, DC 20005. Tel: 202-842-1275; Fax: 202-842-1150; e-mail: geron@geron.org; Web site: http://www.geron.org/journals/gsapub.htm
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10