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Effectiveness of problem-solving therapy for older, primary care patients with depression: results from the IMPACT project
- Authors:
- AREAN Patricia, et al
- Journal article citation:
- Gerontologist, 48(6), June 2008, pp.311-323.
- Publisher:
- Oxford University Press
A primary-care-based psychotherapy, that is, problem-solving therapy for primary care (PST-PC), was compared to community-based psychotherapy in treating late-life major depression and dysthymia. The data was 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 in the US. This study is a secondary data analysis of 433 participants who received either PST-PC (by means of collaborative care) or community-based psychotherapy (by means of usual care). Older adults who received PST-PC had more depression-free days at both 12 and between 12 and 24 months, and they had fewer depressive symptoms and better functioning at 12 months, than those who received community-based psychotherapy. No differences were found at 24 months. Results suggest that PST-PC as delivered in primary care settings is an effective method for treating late-life depression.