Amber M Gum1, Patricia A Areán, Alan Bostrom. 1. Department of Aging and Mental Health, Louis de la Parte Florida Mental Health Institute, University of South Florida, 13301 Bruce B. Downs Boulevard, MHC 1400, Tampa, FL 33612, USA. agum@fmhi.usf.edu
Abstract
OBJECTIVE: This study examined the influence of comorbid anxiety and personality disorders on depression treatment response in 67 low-income older adults. METHODS: Participants were randomized to clinical case management, cognitive-behavioral group therapy, or both for 6 months. Outcomes were assessed at baseline, post-treatment, and 6 and 12 months after treatment. RESULTS:Dropout and depression diagnoses were similar across groups. Participants with comorbidity had more depressive and anxiety symptoms at most time points; degree of improvement did not differ significantly. Of participants with personality disorder, none met criteria at post-treatment (three relapsed by 12-month follow-up). CONCLUSIONS: Findings suggest depressed low-income elders with anxiety or personality disorders can be retained and benefit from depression treatment, but may require additional interventions to achieve similar levels of depressive symptoms.
RCT Entities:
OBJECTIVE: This study examined the influence of comorbid anxiety and personality disorders on depression treatment response in 67 low-income older adults. METHODS:Participants were randomized to clinical case management, cognitive-behavioral group therapy, or both for 6 months. Outcomes were assessed at baseline, post-treatment, and 6 and 12 months after treatment. RESULTS: Dropout and depression diagnoses were similar across groups. Participants with comorbidity had more depressive and anxiety symptoms at most time points; degree of improvement did not differ significantly. Of participants with personality disorder, none met criteria at post-treatment (three relapsed by 12-month follow-up). CONCLUSIONS: Findings suggest depressed low-income elders with anxiety or personality disorders can be retained and benefit from depression treatment, but may require additional interventions to achieve similar levels of depressive symptoms.
Authors: Patricia A Areán; Patrick J Raue; Charles McCulloch; Dora Kanellopoulos; Joanna K Seirup; Samprit Banerjee; Dimitris N Kiosses; Eleanor Dwyer; George S Alexopoulos Journal: Am J Geriatr Psychiatry Date: 2015-04-24 Impact factor: 4.105
Authors: Patricia A Areán; Scott Mackin; Eleanor Vargas-Dwyer; Patrick Raue; Jo Anne Sirey; Dora Kanellopolos; George S Alexopoulos Journal: Int J Geriatr Psychiatry Date: 2010-08 Impact factor: 3.485
Authors: Patricia A Areán; Patrick Raue; R Scott Mackin; Dora Kanellopoulos; Charles McCulloch; George S Alexopoulos Journal: Am J Psychiatry Date: 2010-06-01 Impact factor: 18.112
Authors: Alex Cohen; Stephen E Gilman; Patricia R Houck; Katalin Szanto; Charles F Reynolds Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2008-09-25 Impact factor: 4.328