Problem-Solving Therapy for Late-Life Depression in Home Care: A Randomized Field Trial
| Autor: | Martha L. Bruce, Jean McGinty, Elizabeth Misener, Amy Horowitz, Zvi D. Gellis |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Health Status MEDLINE Pilot Projects Personal Satisfaction law.invention Quality of life (healthcare) Randomized controlled trial law Humans Medicine Psychiatry Problem Solving Depression (differential diagnoses) Aged Aged 80 and over Psychiatric Status Rating Scales Depressive Disorder Major business.industry Age Factors Late life depression Home Care Services Test (assessment) Psychotherapy Psychiatry and Mental health Problem solving therapy Treatment Outcome Physical therapy Educational Status Female Geriatrics and Gerontology business Psychosocial |
| Zdroj: | The American Journal of Geriatric Psychiatry. 15:968-978 |
| ISSN: | 1064-7481 |
| Popis: | Objective The authors present data from a pilot research program initiated to develop, refine, and test the outcomes of Brief Problem-Solving Therapy in Home Care (PST-HC) that targets the needs of older adults identified with severe depressive symptoms in an acute home care setting. Methods A pilot randomized clinical trial compared the impact of PST-HC to usual care (UC) in a sample of older medically ill home care patients identified with severe depressive symptoms. Forty patients were randomly assigned to either six weekly sessions of PST-HC in their home or standard home care services. Depression, quality of life, and problem-solving ability were measured at baseline, posttreatment, three-month follow-up, and six-month follow-up by blinded evaluators. Results All 40 patients provided follow-up data. No differences between the two groups were found on any demographic variables. Outcome data suggested significant improvements in depression scores over time after PST-HC, relative to UC. PST-HC patients reported higher quality of life and problem-solving ability scores relative to UC. Conclusion Results suggest that PST-HC is well tolerated and holds promise for reducing persistent depressive symptoms. The authors discuss limitations in terms of the "real-world" applicability of this psychosocial treatment for late-life depression. |
| Databáze: | OpenAIRE |
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