Cognitive-behavioral and psychodynamic group psychotherapy in treatment of geriatric depression.

Steuer, Joanne; Mintz, Jim; Hammen, Constance; Hill, Mary Ann; Jarvik, Lissy F.; McCarley, Tracey; Motoike, Pamela; Rosen, Richard B.

doi:10.1037/0022-006x.52.2.180

Cited by 166 publications

(112 citation statements)

References 20 publications

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“…* References 20,22,23,25,26,[28][29][30][31][32]39,42,43,45,47,49,[50][51][52][53]56,58,62,[65][66][67]20,[33][34][35][36]47,55,57,59,60,[62][63][64]. …”

Section: Comparisons Using Hdrsmentioning

confidence: 99%

Effectiveness of Treatments of Depression in Older Ambulatory Patients

McCusker¹,

Cole²,

Keller³

et al. 1998

Arch Intern Med

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Objective: To determine the effectiveness of acutephase pharmacological and psychological treatments of depression in older ambulatory patients by systematically reviewing original research relevant to this topic.Methods: Searches in MEDLINE and PsycINFO and manual reviews of bibliographies located 233 articles. Of these, 40 (37 different studies) met our 8 inclusion criteria: original research, written in English or French, subjects 55 years and older, diagnosis of depression, outpatient or community setting, prospective controlled study design, acute-phase pharmacological or psychological treatment, and outcome measure of depression. Two independent reviewers assessed the methodological quality of each article using a standard form and a quality score was computed. Quantitative data on levels of depression at the end of treatment were abstracted. Results were grouped by specific treatment comparison (type of treatment and type of control group). For comparisons that used the Hamilton Depression Rating Scale, we computed mean posttreatment differences. Effect sizes were computed from the Hamilton Depression Rating Scale or an alternative scale.Results: In studies that compared active drugs with placebo, the heterocyclic drugs significantly reduced the posttreatment Hamilton Depression Rating Scale score (mean difference, −5.78; 95% confidence interval, −8.31 to −3.25); other drugs had smaller effects. In studies that compared active drugs, there were no significant differences overall between different classes of drugs; selective serotonin reuptake inhibitors appeared to be as effective as heterocyclic drugs. Rational psychological treatments performed significantly better than no treatment (mean posttreatment Hamilton Depression Rating Scale difference, −7.25; 95% confidence interval, −10.10 to −4.40) but not significantly better than that for controls who received similar attention. Adjustment for the study quality score did not affect these results.Conclusions: Based on comparisons with untreated controls, heterocyclic antidepressants and rational psychological therapies appear to be the most effective treatments for older ambulatory patients with mild to moderate depression. Based on drug-drug comparisons, selective serotonin reuptake inhibitors appear to be as effective as heterocyclic drugs. However, overall, the magnitude of the treatment effects is modest. Limitations in the quantity and quality of appropriate studies suggest a sober approach to treatment in this population. Med. 1998;158:705-712 F IVE PUBLISHED meta-analyses of treatments of depression in the elderly (3 on antidepressants, 1-3 1 on psychosocial therapies, 4 and 1 on both 5 ) and a consensus conference 6 have concluded that pharmacological and psychosocial treatments are effective. However, these reviews included many studies of psychiatric inpatients who usually have more severe depression than that seen in ambulatory settings and did not compare pharmacological and psychological approaches. Therefore, we performed this meta-analysi...

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“…* References 20,22,23,25,26,[28][29][30][31][32]39,42,43,45,47,49,[50][51][52][53]56,58,62,[65][66][67]20,[33][34][35][36]47,55,57,59,60,[62][63][64]. …”

Section: Comparisons Using Hdrsmentioning

confidence: 99%

Effectiveness of Treatments of Depression in Older Ambulatory Patients

McCusker¹,

Cole²,

Keller³

et al. 1998

Arch Intern Med

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“…7 Punkten Prä-PostUnterschied bei der analytischen Kurztherapie nicht so deut lich ausfiel. Steuer et al (1984) verglichen eine psychodynamisch ausge richtete Gruppentherapie mit einem verhaltenstherapeuti schen Gruppenprogramm an 20 depressiven Geriatriepatien ten. Die Behandlungen erstreckten sich über 9 Monate mit 46 Sitzungen.…”

Section: Ergebnisse Und Erfahrungenunclassified

Verhaltenstherapie bei Depression im Alter

Hautzinger¹

1992

Verhaltenstherapie

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Ausgehend von einer Falldarstellung werden die grundlegenden Merkmale des psychotherapeutischen Arbeitens mit älteren Patienten entwickelt und dargestellt. Diese Prinzipien wirken insbesondere auch auf die verhaltenstherapeutische Arbeit mit depressiven älteren Patienten ein. In dem kurz skizzierten Depressionskonzept werden vor allem die veränderte, eingeschränkte Umwelt, Sozialkontakte, Funktionen und Lebensbedingungen, die angenommene bzw. tatsächliche Nichtkontrolle sowie das Fehlen von Verhaltensalternativen hervorgehoben, da daran ein verhaltenstherapeutisches Gruppenprogramm anknüpft. Nach einem kurzen Überblick über die wenigen Therapiestudien zu dem Thema werden Ergebnisse eigener Bemühungen um die Wirkung von Verhaltenstherapie bei Depressionen im Alter dargestellt. Daran wird zwar eine erfreulich positive Tendenz deutlich, doch bleiben wesentliche Forschungsaufgaben zu bewältigen, bevor gut begründete Empfehlungen für die Klinik gegeben werden können.

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“…Self-management therapy and education groups were equally effective and superior to wait-list controls in one study (284). CBT and psychodynamic group therapy were more effective than placebo but less effective than tricyclics in other studies (285,286). In a recent study, investigators found that antidepressant medication plus clinical management, either alone or with addition of groupadministered dialectical behavior therapy (skills training and scheduled coaching sessions), found that the medication-dialectical behavior therapy groups had a higher continued remission rate than medications alone (267,287).…”

Section: Psychologicalmentioning

confidence: 99%

Suicide in Late Life: Review and Commentary

Blazer

Bachar

Mantón

1986

J American Geriatrics Society

116

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Increasing attention has been directed to recent increases in suicide rates for children, adolescents, and young adults. Nevertheless, persons 65 years and older continue to commit suicide at a higher rate than any other age group in the United States. In this paper various aspects of suicide are examined by analyzing recent trends among young and elderly populations, cohort suicide rates, and future projection of the number of suicides in late life. Data are derived from US death certificates. Consideration of the epidemiologic data and projections may be helpful both to those interested in public policy and to clinicians serving the elderly. J Am Geriatr Soc 34:519–525, 1986

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Cognitive-behavioral and psychodynamic group psychotherapy in treatment of geriatric depression.

Cited by 166 publications

References 20 publications

Effectiveness of Treatments of Depression in Older Ambulatory Patients

Effectiveness of Treatments of Depression in Older Ambulatory Patients

Verhaltenstherapie bei Depression im Alter

Suicide in Late Life: Review and Commentary

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