PURPOSE: We compared a primary-care-based psychotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psychotherapy in treating late-life major depression and dysthymia. DESIGN AND METHODS: The data here are from the IMPACT study, which compared collaborative care within a primary care clinic to care as usual in the treatment of 1,801 primary care patients, 60 years of age or older, with major depression or dysthymia. This study is a secondary data analysis (n = 433) of participants who received either PST-PC (by means of collaborative care) or community-based psychotherapy (by means of usual care). RESULTS:Older adults who received PST-PC had more depression-free days at both 12 and between 12 and 24 months (beta = 47.5, p <.001; beta = 47.0, p <.001), and they had fewer depressive symptoms and better functioning at 12 months (beta(dep) = -0.36, p <.001; beta(func) = -0.94, p <.001), than those who received community-based psychotherapy. We found no differences at 24 months. IMPLICATIONS: Results suggest that PST-PC as delivered in primary care settings is an effective method for treating late-life depression.
RCT Entities:
PURPOSE: We compared a primary-care-based psychotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psychotherapy in treating late-life major depression and dysthymia. DESIGN AND METHODS: The data here are from the IMPACT study, which compared collaborative care within a primary care clinic to care as usual in the treatment of 1,801 primary care patients, 60 years of age or older, with major depression or dysthymia. This study is a secondary data analysis (n = 433) of participants who received either PST-PC (by means of collaborative care) or community-based psychotherapy (by means of usual care). RESULTS: Older adults who received PST-PC had more depression-free days at both 12 and between 12 and 24 months (beta = 47.5, p <.001; beta = 47.0, p <.001), and they had fewer depressive symptoms and better functioning at 12 months (beta(dep) = -0.36, p <.001; beta(func) = -0.94, p <.001), than those who received community-based psychotherapy. We found no differences at 24 months. IMPLICATIONS: Results suggest that PST-PC as delivered in primary care settings is an effective method for treating late-life depression.
Authors: Namkee G Choi; Mark T Hegel; Mary Lynn Marinucci; Leslie Sirrianni; Martha L Bruce Journal: Int J Geriatr Psychiatry Date: 2011-06-02 Impact factor: 3.485
Authors: Margit I Berman; Jay C Buckey; Jay G Hull; Eftihia Linardatos; Sueyoung L Song; Robert K McLellan; Mark T Hegel Journal: Behav Ther Date: 2014-02-07
Authors: Jordan F Karp; Bruce L Rollman; Charles F Reynolds; Jennifer Q Morse; Frank Lotrich; Sati Mazumdar; Natalia Morone; Debra K Weiner Journal: Pain Med Date: 2012-02-07 Impact factor: 3.750
Authors: Wayne Katon; Elizabeth H B Lin; Michael Von Korff; Paul Ciechanowski; Evette Ludman; Bessie Young; Carolyn Rutter; Malia Oliver; Mary McGregor Journal: Contemp Clin Trials Date: 2010-03-27 Impact factor: 2.226
Authors: Jordan F Karp; Debra K Weiner; Mary A Dew; Amy Begley; Mark D Miller; Charles F Reynolds Journal: Int J Geriatr Psychiatry Date: 2010-06 Impact factor: 3.485
Authors: Kathleen R Bell; Jesse R Fann; Jo Ann Brockway; Wesley R Cole; Nigel E Bush; Sureyya Dikmen; Tessa Hart; Ariel J Lang; Gerald Grant; Gregory Gahm; Mark A Reger; Jef St De Lore; Joan Machamer; Karin Ernstrom; Rema Raman; Sonia Jain; Murray B Stein; Nancy Temkin Journal: J Neurotrauma Date: 2016-10-13 Impact factor: 5.269
Authors: Jessica S Calleo; Amber L Bush; Jeffrey A Cully; Nancy L Wilson; Cynthia Kraus-Schuman; Howard M Rhoades; Diane M Novy; Nicholas Masozera; Susan Williams; Matthew Horsfield; Mark E Kunik; Melinda A Stanley Journal: J Nerv Ment Dis Date: 2013-05 Impact factor: 2.254