Comparative Effectiveness of Clinician- Versus Peer-Supported Problem-Solving Therapy for Rural Older Adults With Depression.

Autor:	Hollister B; Institute for Health and Aging, University of California, San Francisco, San Francisco (Hollister, Crabb); Center for Care Research South, Department of Health and Nursing Sciences, University of Agder, Agder, Norway (Hollister); Accelerating the Reach and Impact of Treatments for Youth and Adults With Mental Illness (ALACRITY) Center, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Areán)., Crabb R; Institute for Health and Aging, University of California, San Francisco, San Francisco (Hollister, Crabb); Center for Care Research South, Department of Health and Nursing Sciences, University of Agder, Agder, Norway (Hollister); Accelerating the Reach and Impact of Treatments for Youth and Adults With Mental Illness (ALACRITY) Center, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Areán)., Areán P; Institute for Health and Aging, University of California, San Francisco, San Francisco (Hollister, Crabb); Center for Care Research South, Department of Health and Nursing Sciences, University of Agder, Agder, Norway (Hollister); Accelerating the Reach and Impact of Treatments for Youth and Adults With Mental Illness (ALACRITY) Center, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Areán).
Jazyk:	angličtina
Zdroj:	Psychiatric services (Washington, D.C.) [Psychiatr Serv] 2024 Sep 01; Vol. 75 (9), pp. 925-928. Date of Electronic Publication: 2024 Apr 23.
DOI:	10.1176/appi.ps.20230027
Abstrakt:	Objective: Self-guided and peer-supported treatments for depression among rural older adults may address some common barriers to treatment. This pilot study compared the effect on depression of peer-supported, self-guided problem-solving therapy (SG-PST) with case management problem-solving therapy (CM-PST) among older adults in rural California. Methods: Older adults with depression (N=105) received an introductory PST session with a clinician, followed by 11 sessions of CM-PST with a clinician (N=85) or SG-PST with a peer counselor (N=20). Results: Both interventions resulted in clinically significant improvement in depression by week 12. Depression scores in the CM-PST group dropped by 4.1 points more than in the SG-PST group between baseline and week 12 (95% CI=0.99-7.22, p<0.001, Hedges's g=1.08). Conclusions: The results suggest that peer-supported SG-PST is a viable, acceptable option for rural older adults with depression as a second-line treatment if access to clinicians is limited. Competing Interests: The authors report no financial relationships with commercial interests.
Databáze:	MEDLINE
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