Psychotherapeutic treatments for older depressed people

Wilson, Kenneth; Mottram, Pat; Vassilas, Christopher A.

doi:10.1002/14651858.cd004853.pub2

Cited by 185 publications

(146 citation statements)

References 124 publications

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“…Caregivers participation in and evaluation of the intervention "mastery over dementia" (N = 68) rate is rather high in this study (55.7%), although it is within the range of other Internet therapies varying from roughly 0% to 75% (f.i. Waller and Gilbody, 2009;Andrews et al, 2010) but higher as compared to Internet-based CBT for adult depression (Van Ballegooijen et al, 2014) and also higher than face to face CBT (Wilson et al, 2008). Attrition is one of the major barriers of Internet interventions (Waller and Gilbody, 2009).…”

Section: Discussionmentioning

confidence: 99%

Acceptability of a guided self-help Internet intervention for family caregivers: mastery over dementia

Pot

Blom

Willemse

2015

Int. Psychogeriatr.

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Background:The number of people with dementia is increasing rapidly. Providing care to a relative or friend with dementia may lead to serious mental health problems. Internet interventions may offer opportunities to improve the availability and accessibility of (cost)effective interventions to reduce family caregivers' psychological distress. This study describes the acceptability of a guided self-help Internet intervention "mastery over dementia" (MoD), aimed at reducing caregivers' psychological distress, in terms of reach, adherence and user evaluation.

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Section: Discussionmentioning

confidence: 99%

Acceptability of a guided self-help Internet intervention for family caregivers: mastery over dementia

Pot

Blom

Willemse

2015

Int. Psychogeriatr.

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“…Die epidemiologischen Daten, die mit Altersdepressionen verbundenen er heblichen Risiken und die nicht zufriedenstellenden pharmakotherapeutischen Möglichkeiten legen die Frage nach a nderen s innvollen T herapieansätzen nahe. In m ehreren Metaanalysen und systemati schen Reviews konnte gezeigt werden, dass psycho therapeutische Interventionen bei älteren Depres siven mit guten Effektstärken wirksam sind [10][11][12].…”

Section: Psychotherapie Der Altersdepressionunclassified

Psychotherapie der Altersdepression

2015

Swiss Arch Neurol Psychiatr

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“…The National Service Framework (NSF) for Older People reports that depression is under-diagnosed among people aged >65 years and the problem is worse for care home residents (Department of Health, 2001). Many older people do not receive treatment because of the difficulties associated with recognising the condition (Wilson et al, 2008). In a New York study in nursing homes, only 37-45% of residents diagnosed by psychiatrists were recognised as being depressed by staff (Teresi et al, 2001).…”

Section: Identification Of Depression In Older Peoplementioning

confidence: 99%

“…There is little evidence to show the effectiveness of psychotherapy for depression in older people; however, Cognitive Behavioural Therapy may be of benefit (Bruce et al, 2007;Wilson et al, 2008), although this is not widely available in the UK National Health Service (NHS).…”

Section: Management Of Depression Among Older Peoplementioning

confidence: 99%

Identification of depressive disorder among older people in care homes – a feasibility study

Morrell

Curran

Topping

et al. 2011

Prim Health Care Res Dev

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Background: Depression is common among older people but more common among those living in care homes. Depression is not easily detected among older adults because of the presentation, and the tendency for older people not to complain of depression, particularly those living in care homes. In general, care home staff have limited training in recognising depression. Depression is undertreated and residents may not receive a therapeutic dose of antidepressant. The true prevalence of depression among care home residents is uncertain. Method: This feasibility study aimed to explore the level of depression among older people in care homes by comparing the outcome of an assessment by care home staff with the outcome of a diagnostic clinical interview, using ICD-10 criteria and the 30-item Geriatric Depression Scale (GDS), conducted by a psychiatrist. Results: In all, 47 older people from four care homes were interviewed by a psychiatrist. Of them, 39.1% (18/46) of residents were prescribed an antidepressant and were no longer depressed; 8.7% (4/46) were prescribed an antidepressant and remained depressed; and 6.5% (3/46) of residents assessed as being depressed, had not been prescribed an antidepressant. That is, 54% (25/46) of residents had been or were currently depressed. Using ICD-10 criteria, the sensitivity of the GDS at a threshold of 10 and 11 was 100%. In total, 89.4% of residents received a correct diagnosis (presence or absence of depression) using the GDS at the 11 threshold. Summary: The prevalence of depression in these homes was 54%. Of the residents with depression, 72% (18/25) were managed with an antidepressant and 28% (7/25) were receiving ineffective or no treatment. The 30-item GDS can provide more useful information than a home care staff assessment for identifying depression. More research should explore the value of training home care staff to administer the 30-item GDS to optimise the management of depression in older people in care homes.

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Psychotherapeutic treatments for older depressed people

Cited by 185 publications

References 124 publications

Acceptability of a guided self-help Internet intervention for family caregivers: mastery over dementia

Acceptability of a guided self-help Internet intervention for family caregivers: mastery over dementia

Psychotherapie der Altersdepression

Identification of depressive disorder among older people in care homes – a feasibility study

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