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Depression and anxiety
- Authors:
- ADAMEK Margaret E., SLATER Greta Yoder
- Journal article citation:
- Journal of Gerontological Social Work, 50(S1), 2008, pp.153-189.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Depression and anxiety and the most common mental health problems of later life, but relatively little is known about their unique manifestation in older adults. Moreover, much of the growing body of research on psychosocial interventions for this population has yet to be translated into practice. This systematically conducted review covers meta-analyses of interventions for late-life depression and anxiety; and primary research literature on the effectiveness of cognitive-behavioural therapy, interpersonal therapy and reminiscence therapy. The review also looks at combined (pharmacological/psychosocial) treatments and other non-pharmacological approaches (e.g. exercise), and at treatment resistance. Despite evidence of the effectiveness of psychosocial treatments, they are rarely implemented and future research needs to encompass not just the conditions and potentially effective interventions but also the barriers to evidence-based practice. The paper concludes with a ‘treatment resource appendix’ directed at American social workers. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).