Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 22
Psychotherapeutic care of dementia sufferers
- Authors:
- MACKIE Ian, BREDIN Kathleen
- Journal article citation:
- Elders the Journal of Care and Practice, 1(3), July 1992, pp.13-19.
The current goals of catering for dementia sufferers consist of physical/behavioural assessment, without any regard for the psychology of the person. Argues that a psychotherapeutic approach would benefit dementia sufferers and their carers.
Bibliotherapy in social work
- Author:
- HOWIE Mary
- Journal article citation:
- British Journal of Social Work, 13(3), 1983, pp.287-319.
- Publisher:
- Oxford University Press
Looks at the therapeutic use of literature in social work.
Interventions for generalized anxiety disorder in older adults: systematic review and meta-analysis
- Authors:
- GONCALVES Daniela C, BYRNE Gerard J
- Journal article citation:
- Journal of Anxiety Disorders, 26(1), January 2012, pp.1-11.
- Publisher:
- Elsevier
This meta-analysis and systematic review examined the efficacy of controlled interventions for Generalised Anxiety Disorder (GAD) in adults aged 55 years and older. Twenty-seven trials (14 pharmacological, 13 psychotherapeutic) fulfilled the inclusion criteria, reporting results from 2373 baseline participants. There were no differences between trials in their overall quality. Pooled treatment effects for pharmacological and psychotherapeutic trials were similar, with findings in each case favouring active interventions over control conditions. Older adults with GAD benefited from both pharmacological and psychotherapeutic interventions.
Treating late-life depression with interpersonal psychotherapy in the primary care sector
- Authors:
- SCHULBERG Herbert C., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 22(2), February 2007, pp.106-114.
- Publisher:
- Wiley
Interpersonal psychotherapy (IPT) is an empirically-validated intervention for treating late-life depression. The objective was to determine the manner in which IPT is utilized by primary care physicians in relation to antidepressant medications. The authors reviewed treatment logs prepared by care managers during the first 12 months of a patient's participation in the PROSPECT clinical trial to determine initial and longitudinal treatment patterns utilized by physicians, and clinical outcomes associated with initial treatment assignment. Primary care physicians in practices randomized to PROSPECT's intervention arm initially prescribed an antidepressant medication for 58% of eligible patients and referred only 11% of them to IPT. Over time, however, 27% of patients participated in IPT as monotherapy or augmentation therapy. Initial treatment assignment was not associated with depressive status at 4 and 12 months nor with suicidal ideation at 4, 8, and 12 months. IPT is an effective treatment for late-life depression whose greater use by primary care physicians should be encouraged.
Screening for generalized anxiety disorder in geriatric primary care patients
- Authors:
- WETHERELL Julie Loebach, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 22(2), February 2007, pp.115-123.
- Publisher:
- Wiley
Compares two brief screening measures as tools for detecting generalized anxiety disorder (GAD) among older primary care patients. Receiver operating characteristic curve analysis was used to compare the Hospital Anxiety and Depression Scale (HADS) and the Brief Symptom Inventory-18 (BSI-18) against GAD diagnoses obtained from a structured diagnostic interview. The HADS Anxiety subscale was the only measure that distinguished individuals with and without GAD. A cutpoint greater than or equal to 8 on the HADS Anxiety subscale resulted in a sensitivity of 0.967 and a specificity of 0.667 for detecting GAD. The HADS Anxiety subscale appears to show some advantages over the BSI-18 Anxiety subscale as a brief, self-report measure of anxiety symptoms among older medical patients.
The relative efficacy of psychotherapy in the treatment of geriatric depression
- Authors:
- O'ROURKE N., HADJISTAVROPOULOS T.
- Journal article citation:
- Aging and Mental Health, 1(4), November 1997, pp.305-310.
- Publisher:
- Taylor and Francis
Discusses the shortage of research which examines the relative efficacy of treatments for depression among the elderly. Limited research demonstrates the utility of various psychosocial interventions in comparison and relative to control conditions. Asks why somatic interventions such as medication, electro-convulsive therapy, remain the treatments of choice among health care professionals. Examines various explanations for the limited use of psychotherapy for geriatric depression.
Effective treatments of late-life depression in long-term care facilities: a systematic reivew
- Authors:
- YOON Seokwon, MOON Sung Seek, PITNER Roland
- Journal article citation:
- Research on Social Work Practice, 28(2), 2018, pp.116-130.
- Publisher:
- Sage
Purpose: The purpose of this study was to identify effective treatment to manage the depression of older residents. Methods: Using Klein and Bloom’s criteria, the authors analysed the number of subjects, designs and methodologies, residential types, intervention types and duration of treatment, standardised measures, and findings. Data searches were conducted to classify empirical studies and to review empirical literature published from 2007 to 2014. A systematic research synthesis of 25 articles was conducted to investigate how various treatments affected depression among older residents. Results: The results show that antidepressant medication treatment appears less efficacious in treating less severe depression. Discussion: These findings reveal that minor depression should be treated initially with a nonpharmacologic intervention to avoid unnecessary medication risks. The findings further suggest the need for more comprehensive analyses of longitudinal research and the need for more studies that examine the combination of medication and psychotherapy for depressed older adults. (Edited publisher abstract)
Age moderates response to acceptance and commitment therapy vs. cognitive behavioral therapy for chronic pain
- Authors:
- WETHERELL Julie Loebach, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 31(3), 2016, p.302–308.
- Publisher:
- Wiley
Objective: The purpose of this study was to examine age differences in response to different forms of psychotherapy for chronic pain. Methods: The authors performed a secondary analysis of 114 adults (ages 18–89 years) with a variety of chronic, nonmalignant pain conditions randomly assigned to 8 weeks of group-administered acceptance and commitment therapy (ACT) or cognitive behavioral therapy (CBT). Treatment response was defined as a drop of at least three points on the Brief Pain Inventory-interference subscale. Results: Older adults were more likely to respond to ACT, and younger adults to CBT, both immediately following treatment and at 6-month follow-up. There were no significant differences in credibility, expectations of positive outcome, attrition, or satisfaction, although there was a trend for the youngest adults (ages 18–45 years) to complete fewer sessions. Conclusions: These data suggest that ACT may be an effective and acceptable treatment for chronic pain in older adults. (Edited publisher abstract)
Effectiveness of home treatment for elderly people with depression: randomised controlled trial
- Authors:
- KLUG Gunter, et al
- Journal article citation:
- British Journal of Psychiatry, 197(6), December 2010, pp.463-467.
- Publisher:
- Cambridge University Press
This study tested the effectiveness of home treatment for elderly people with depression living independently in Austria. Sixty out-patients aged 65 and over with major depression were either allocated to a home treatment model over a 1-year period or to conventional psychiatric out-patient care. Home treatment was delivered by a multidisciplinary team consisting of one psychiatrist, two psychologists and one social worker who was also qualified as a psychiatric nurse. Treatment included talks about self-esteem, coping resources and medication adherence; encouragement to establish and maintain social networks, increase social and leisure activities and cope with tasks of daily living; support of carers; and crisis interventions when required. The primary outcome was the level of depressive symptoms after 3 and 12 months. The secondary outcomes were global functioning, subjective quality of life, admissions to nursing homes, duration of psychiatric hospital treatments and the cost of care. Findings revealed that the individuals receiving home treatment had significantly fewer symptoms of depression, better global functioning and a higher quality of life at 3 months and at 12 months. In the 1 year period there were fewer admissions to nursing homes, they spent less time in psychiatric in-patient care and the overall cost of care was lower. The study concluded that home treatment appeared to be an effective and cost-effective service model for elderly people with depression.
Mental disorders in older adults: fundamentals of assessment and treatment
- Authors:
- ZARIT Steven H., ZARIT Judy M.
- Publisher:
- Guilford
- Publication year:
- 2007
- Pagination:
- 468p.
- Place of publication:
- London
- Edition:
- 2nd
Now in a revised and expanded second edition, this book provides foundational knowledge and skills for mental health practice with older adults and their caregivers. The authors draw on research and clinical expertise to comprehensively address normal aging processes, frequently encountered clinical problems, and effective approaches to evaluation, psychotherapy, family support, and consultation in institutional settings. Updated throughout, the second edition features many new case examples, a new chapter on treating anxiety, and innovative assessment strategies. Increased attention is given to different forms of dementia and how to distinguish among them. Coverage of psychopharmacology and combined treatments also has been expanded.