Search results for ‘Subject term:"older people"’ Sort:
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Treatment, outcome and predictors of response in elderly depressed in-patients
- Authors:
- HEEREN T.J., et al
- Journal article citation:
- British Journal of Psychiatry, 170, May 1997, pp.436-440.
- Publisher:
- Cambridge University Press
Describes a study to assess the effectiveness of antidepressant treatment of depressed older people in the Netherlands. Concludes that a relatively poor outcome of the anti-depressant treatment of elderly depressives was found. A combination of low treatment expectations and fear of vigorous treatment seems to have been important.
The effectiveness of behavioural therapy for the treatment of depression in older adults: a meta-analysis
- Authors:
- SAMAD Zara, BREALEY Stephen, GILBODY Simon
- Journal article citation:
- International Journal of Geriatric Psychiatry, 26(12), December 2011, pp.1211-1220.
- Publisher:
- Wiley
This review examined the effectiveness of behavioural therapy in depressed older adults over 55 years. Four Randomised controlled trials (RCTs) of behavioural therapy compared with waiting list controls or other psychotherapies in older adults with clinical depression were included in the review. For post-treatment self-rated depression symptoms, behavioural therapy was not significantly more effective than a waiting list control, cognitive therapy or brief psychodynamic therapy. For post-treatment clinician-rated depression, behavioural therapy was not significantly more effective than cognitive therapy or brief psychodynamic therapy but was significantly more effective than a waiting list control. Behavioural therapy in depressed older adults appeared to have comparable effectiveness with alternative psychotherapies. The authors concluded that further research was required with larger sample sizes, more clarity on trial design and the intervention, longer term follow-up and concomitant economic evaluations
One extra month of depression: the effects of caregiving on depression outcomes in the IMPACT trial
- Authors:
- THOMPSON Alex, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(5), May 2008, pp.511-516.
- Publisher:
- Wiley
This study aims to describe the self-reported caregiving burden in a large, representative cohort of depressed elderly patients and compare depression treatment outcomes between caregivers and non-caregivers. Univariate and multiple regression analyses were performed comparing 24-month depression outcomes (measured as depression free days) in those providing care at any time over the 24-month trial to those who never reported a caregiving burden. At 3, 6, 12, 18, and 24 months, nearly 10% of cohabitating elderly depressed patients provided care for basic activities such as bathing or dressing while nearly 20% reported providing care for other activities such as making phone calls or taking medication. Over 24 months, after adjusting for marital status, intervention status, and number of medical comorbidities, those reporting any caregiving burden had over 30 more days with depression compared to those with no caregiving burden. The IMPACT collaborative care model did not modify the effect of caregiving on depression outcomes. Caregiving is common in depressed older adults and appears to affect response to depression treatment. In the future, interventions for depressed older adults should consider and specifically address caregiving activities in addition to specific depression treatment.
Alcohol abuse treatment for older adults: a review of recent empirical research
- Authors:
- CUMMINGS Sherry M., BRIDE Brian, RAWLINS-SHAW Ann M.
- Journal article citation:
- Journal of Evidence-Based Social Work, 3(1), 2006, pp.79-99.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The purpose of this article is to enhance social work practitioners and researchers' understanding of the nature of elder alcohol abuse, the needs of elders with alcohol abuse disorders, and the availability of effective treatment strategies by reviewing the epidemiological and outcomes research literatures related to alcohol abuse and the elderly. The few empirical studies that examine outcomes associated with the treatment of elderly substance abusers reveal positive outcomes, especially when “age-specific,” cognitive-behavioural, and less confrontational treatment approaches are employed. The authors highlight the need for further research concerning the nature of alcohol abuse among the elderly and the impact of specific alcohol treatment strategies on older adults. Such research should consider the needs and experiences of specific sub-populations of elders such as women, minorities, and those with late onset disorders. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Psychosocial and clinical predictors of unipolar depression outcome in older adults
- Authors:
- BOSWORTH Hayden B., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(3), March 2002, pp.238-246.
- Publisher:
- Wiley
Depression in old age is widespread, affecting at least one in six patients' in general medical practice and even higher percentage in nursing homes and hospitals. Impairment and disability associated with depression is equal to that attribute to cardiovascular disease, and greater than that due to other chronic physical disorders such as hypertension, diabetes, and arthritis. Response to treatment among depressed individuals may vary greatly. While some of the treatment variation can be explained in terms of differences in the severity of the depression, much of it remains to be explained. Because of the significant personal, clinical, and societal implications associated with depression, it is important to understand what factors, especially those amenable to clinical intervention, are associated with better outcomes. This article focuses on a variety of psychosocial, demographic, and clinical factors to identify those that predict better depression outcome among initially depressed elderly adults.
Subjective health measures and acute treatment outcomes in geriatric depression
- Authors:
- LENZE Eric J., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(12), December 2001, pp.1149-1155.
- Publisher:
- Wiley
This study examines measures of self-rated health, physical disability, and social function as predictors of treatment response in late life- depression, and to assess these same health measures as treatment outcomes. Results found subjects with poorer self-rated health as baseline were more likely both to drop out of treatment and to not respond to adequate treatment. This relationship was independent of demographic measures, severity of depression, physical and social functioning, medical illness, personality, hopelessness, overall medication use, and side effects or non-compliance with treatment. Although this finding is preliminary it suggests that lower self-rated health may independently predict premature discontinuation of treatment for depression. Additionally, subjects who recovered from depression showed significantly improvements in self-rated health, physical disability, and social functioning.
Therapy with aging families: rationale, opportunities and challenges
- Author:
- QUALLS S.H.
- Journal article citation:
- Aging and Mental Health, 4(3), August 2000, pp.191-199.
- Publisher:
- Taylor and Francis
Whether independent or dependent, older adults experience families as integral to their daily life and well-being. The application of family therapy techniques and theories to aging families has been slow to emerge, however. This article aims to document the solid rationale for family therapy in later life, using one common later life process, cognitive deterioration, to illustrate the conditions under which family therapy would be the treatment of choice, and to suggest future directions and serious challenges to research on family therapy outcomes.
Dementia programme effectiveness in long-term care
- Authors:
- ROSEWARNE Richard, BRUCE Ann, McKENNA Margaret
- Journal article citation:
- International Journal of Geriatric Psychiatry, 12(2), February 1997, pp.173-182.
- Publisher:
- Wiley
Examines the effectiveness of dementia programmes in Australian hostels for the elderly. Also describes the characteristics which placed hostel residents at risk for nursing home placement and to measure changes in dependencies and impairments over two years. Results of the study found that residents in hostel dementia programmes remained significantly longer than those in the comparison group before exit to a nursing home. Quality of life in dementia programmes was enhanced thorough higher levels of social contact with relatives and lower reported levels of depressive symptoms. Benefits of the dementia programmes were that specialist staff could focus on the social and emotional needs of residents. Staff also provided appropriate, targeted activities for residents with dementia and increased the capacity of hostels to care for residents with dementia for longer periods, before admission to a nursing home.
Psychological assessment in old and young incontinent out-patients
- Author:
- BRIGGS J.E.
- Journal article citation:
- Generations: Bulletin of the British Society of Gerontology, 8, Autumn 1988, pp.5-9.
- Publisher:
- British Society of Gerontology
Reports on a comparison of psychological profiles of young and old patients and the implications for the outcome of bladder retraining.
The effects of an expanded cognitive stimulation therapy model on the improvement of cognitive ability of elderly with mild stage Dementia living in a community - a randomized waitlist controlled trial
- Authors:
- YOUNG Daniel Kim-Wan, et al
- Journal article citation:
- Aging and Mental Health, 23(7), 2019, pp.855-862.
- Publisher:
- Taylor and Francis
Objective: This research study aims to evaluate the effectiveness of an expanded cognitive stimulation therapy (CST) model that combines a CST group and tai chi on improving the cognitive ability of community-dwelling Chinese elderly with mild stage dementia (EwMD). Method: A randomized waitlist controlled trial design was adopted in this study. The treatment group participated in a structured CST group followed by tai chi twice a week, with a total of 14 sessions throughout the study period. The waitlist control group received treatment as usual at the initial stage and expanded CST model at a later stage. The Chinese Mattis Dementia Rating Scale (DRS) and the Chinese Mini Mental State Examination (MMSE) were used to assess the cognitive ability of EwMD in the pre- and post- treatment periods. Results: At baseline, the treatment group (n = 51) and control group (n = 50) did not differ significantly in any demographic or clinical variables. Overall, the participants had a mean baseline MMSE score of 20.67 (SD = 2.30). The 2 × 2 repeated measures ANCOVA demonstrated that the treatment group was significantly more effective than the control group in improving the MMSE score (F = 12.31, p< .01) with a moderate effect size (partial eta square = .11) after controlling for group difference in age, gender, education, and having a diagnosis of dementia. Conclusion: The present study demonstrates the effectiveness of the expanded CST model on the improvement of cognitive ability of community-dwelling EwMD. More research is needed to further investigate this intervention model across cultures and societies.