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Low-income depressed older adults with psychiatric comorbidity: secondary analyses of response to psychotherapy and case management
- Authors:
- GUM Amber M., AREAN Patricia A., BOSTROM Alan
- Journal article citation:
- International Journal of Geriatric Psychiatry, 22(2), February 2007, pp.124-130.
- Publisher:
- Wiley
This study examined the influence of comorbid anxiety and personality disorders on depression treatment response in 67 low-income older adults. Participants were randomized to clinical case management, cognitive-behavioural group therapy, or both for 6 months. Outcomes were assessed at baseline, post-treatment, and 6 and 12 months after treatment. Dropout and depression diagnoses were similar across groups. Participants with comorbidity had more depressive and anxiety symptoms at most time points; degree of improvement did not differ significantly. Of participants with personality disorder, none met criteria at post-treatment (three relapsed by 12-month follow-up). Findings suggest depressed low-income elders with anxiety or personality disorders can be retained and benefit from depression treatment, but may require additional interventions to achieve similar levels of depressive symptoms.