Psychosocial management of depression

Woods, Bob

doi:10.3109/09540269309037804

Cited by 7 publications

(4 citation statements)

References 36 publications

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“…In addition, when depression is detected there is often inadequate treatment (Coyne & Katz 2001) despite evidence that older people have similar responses to younger adults to a range of interventions including antidepressant medication (Wilson et al . 2001) and cognitive behavioural therapy (Woods 1993).…”

Section: Introductionmentioning

confidence: 99%

Development and piloting of a multidisciplinary training course for detecting and managing depression in the older person

Mayall

Oathamshaw

Lovell

et al. 2004

Psychiatric Ment Health Nurs

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Depression is the most common psychiatric condition found in older people. It is associated with increased mortality and adversely affects quality of life. Although the majority of depressive episodes are seen and treated in primary care, studies suggest in primary care there is under-detection and inadequate management of depression in older people. In line with national policy in the UK this paper argues that training needs to be multidisciplinary and multiagency, and meet the requirements of local needs. It outlines a course that meets the expectation that specialist mental health workers such as mental health nurses should provide training and advice for those providing care and treatment in primary care. The paper reports upon the design and evaluation of a pilot multidisciplinary training course for health professionals and voluntary sector workers in the detection and management of depression in the older person. The course consisted of three 1-day workshops and four consecutive courses were offered, with a total of 40 health professionals and voluntary sector workers completing the training. The training was evaluated using a questionnaire examining knowledge and confidence and by a scenario using an older person whom was potentially depressed. Results found a significant difference between pre- and post-test for knowledge of depression in the older person and confidence in both detecting and managing depression. Results of the scenario revealed that there was a significant change from pre- to post-test training in the type of questions participants would ask the older person to detect and assess depression. There was also a significant increase in the ability to identify types of interventions and local services available, which would help an older person with depression. The implications, limitations and future directions for research are discussed.

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Section: Introductionmentioning

confidence: 99%

Development and piloting of a multidisciplinary training course for detecting and managing depression in the older person

Mayall

Oathamshaw

Lovell

et al. 2004

Psychiatric Ment Health Nurs

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“…Whether these cognitive coping strategies are also relevant for elderly people has not been studied yet. It would be of interest to know which specific cognitive coping strategies are related to well-being at old age since cognitive therapies have been found to be effective in treating elderly depression (Engels & Vermey, 1997;Scogin & McElreath, 1994;Woods, 1993). If certain cognitive coping strategies can be proven to be more or less effective in dealing with stressful events, these strategies could be promoted or challenged in treatment.…”

Section: Introductionmentioning

confidence: 99%

Cognitive coping and depressive symptoms in the elderly: A longitudinal study

Kraaij

Pruymboom

Garnefski

2002

Aging & Mental Health

154

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The objective of the present longitudinal study was to examine the relationship between cognitive coping strategies and depressive symptoms at old age. At the two and a half year follow-up study, a community sample of 99 people aged 67 years and older filled out a self-report questionnaire comprising the Geriatric Depression Scale, the Cognitive Emotion Regulation Questionnaire and a negative life events checklist. Cognitive coping strategies seemed to play an important role in relation to depressive symptoms in late life. Elderly persons with more depressive symptoms reported to use acceptance, rumination and catastrophizing to a significantly higher extent and positive reappraisal to a significantly lower extent than those with lower depression scores. After controlling for negative life events and prior depressive symptoms, acceptance and positive reappraisal retained their significant relationship with current depressive symptoms. It is suggested that intervention programs should pay attention to these aspects by challenging the 'maladaptive' strategies, and by supplying the more 'adaptive' strategies. This could be linked to the well-established cognitive therapies.

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“…It would be of interest to know which specific mechanisms are relevant for people who experienced traumatic war events, as several therapies have been found to be effective in treating depression and posttraumatic stress reactions (Woods, 1993;Scogin & McElreath, 1994;Spinhoven & van Dyck, 1999). Older generations still suffer from war events experienced many years ago.…”

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confidence: 99%

The role of intrusion, avoidance, and cognitive coping strategies more than 50 years after war

Garnefski

2006

Anxiety, Stress & Coping

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The relationships between war events, cognitive coping strategies, posttraumatic stress reactions, and depressive symptoms were examined in 248 people who experienced war 50 years ago. The findings suggest that people who experienced war events that indicate a more severe involvement in war suffered from more depressive symptoms. War events that might be experienced by many people in the community appeared not to be related to depression scores. The occurrence of intrusion and avoidance appeared to be related to depressive symptoms. When cognitive coping strategies were included in the analysis, intrusion and avoidance no longer were significant. However, cognitive coping strategies, such as positive reappraisal, positive refocusing, rumination, acceptance, and selfblame, were significantly related to depressive symptoms. Intervention programs should pay attention to these cognitive coping strategies.

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Psychosocial management of depression

Cited by 7 publications

References 36 publications

Development and piloting of a multidisciplinary training course for detecting and managing depression in the older person

Development and piloting of a multidisciplinary training course for detecting and managing depression in the older person

Cognitive coping and depressive symptoms in the elderly: A longitudinal study

The role of intrusion, avoidance, and cognitive coping strategies more than 50 years after war

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