Community-based treatment of late life depression -: An expert panel-informed literature review

被引:57
作者
Frederick, John T.
Steinman, Lesley E.
Prohaska, Thomas
Satariano, William A.
Bruce, Martha
Bryant, Lucinda
Ciechanowski, Paul
DeVellis, Brenda
Leith, Katherine
Leyden, Kevin M.
Sharkey, Joseph
Simon, Gregory E.
Wilson, Nancy
Unutzer, Jurgen
Snowden, Mark
机构
[1] Univ Washington, Sch Med, Dept Psychiat & Behav Sci, Seattle, WA 98104 USA
[2] Univ Washington, Sch Publ Hlth & Community Med, Dept Hlth Serv, Seattle, WA 98195 USA
[3] Grp Hlth Cooperat Puget Sound, Seattle, WA 98121 USA
[4] Univ Illinois, Chicago Sch Publ Hlth, Chicago, IL USA
[5] Univ Calif Berkeley, Sch Publ Hlth, Div Community Hlth & Human Dev, Berkeley, CA 94720 USA
[6] Cornell Univ, Weill Med Coll, Dept Psychiat, Ithaca, NY USA
[7] Univ Colorado, Dept Prevent Med & Biometr, Denver, CO 80202 USA
[8] Univ Colorado, Hlth Sci Ctr, Denver, CO 80202 USA
[9] Univ N Carolina, Sch Publ Hlth, Dept Hlth Behav & Hlth Educ, Chapel Hill, NC USA
[10] Univ S Carolina, Ctr Hlth Serv & Policy Res, Columbia, SC 29208 USA
[11] W Virginia Univ, Dept Polit Sci, Morgantown, WV 26506 USA
[12] W Virginia Univ, Inst Publ Affairs, Morgantown, WV 26506 USA
[13] Texas A&M Hlth Sci Ctr, Dept Social & Behav Hlth, College Stn, TX USA
[14] Texas A&M Hlth Sci Ctr, Sch Rural Publ Hlth, College Stn, TX USA
[15] Baylor Coll Med, Dept Geriatr, Houston, TX 77030 USA
关键词
D O I
10.1016/j.amepre.2007.04.035
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];
摘要
Objectives: To present findings from an expert panel-informed literature review on community-based treatment of late-life depression. Methods: A systematic literature review was conducted to appraise publications on community-based interventions for depression in older adults. The search was conducted between March and October 2005. An expert panel of mental health, aging, health services, and epidemiology researchers guided the review and voted on quality and effectiveness of these interventions. Results: A total of 3543 articles were found with publication dates from 1967 to October 2005; of these, 116 were eligible for inclusion. Adequate data existed to determine effectiveness for the following interventions: depression care management, group and individual psychotherapy for depression, psychotherapy targeting mental health, psychotherapy for caregivers, education and skills training (to manage health problems besides depression; and for caregivers), geriatric health evaluation and management, exercise, and physical rehabilitation and occupational therapy. After reviewing the data, panelists rated the depression care management interventions as effective. Education and skills training, geriatric health evaluation and management, and physical rehabilitation and occupational therapy received ineffective ratings. Other interventions received mixed effectiveness ratings. Insufficient data availability and poor study quality prevented the panelists from rating several reviewed interventions. Conclusions: While several well-described interventions were found to treat depression effectively in community-dwelling older adults, significant gaps still exist. Interventions that did not target depression specifically may be of benefit to older adults, but they should not be presumed to treat depression by themselves. Treating depressed elders may require a multifaceted approach to ensure effectiveness. More research in this area is needed.
引用
收藏
页码:222 / 249
页数:28
相关论文
共 122 条
[1]
Alexopoulos G S, 2001, J Psychiatr Pract, V7, P361
[2]
[Anonymous], 1995, Clin Rehabil
[3]
Assessment and treatment of depressed older adults in primary care [J].
Areán, PA ;
Ayalon, L .
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 2005, 12 (03) :321-335
[4]
Arthur AJ, 2002, BRIT J GEN PRACT, V52, P202
[5]
Banerjee S, 1996, BRIT MED J, V313, P1058
[6]
Does adherence make a difference? Results from a community-based aquatic exercise program [J].
Belza, B ;
Topolski, T ;
Kinne, S ;
Patrick, DL ;
Ramsey, SD .
NURSING RESEARCH, 2002, 51 (05) :285-291
[7]
GROUP COGNITIVE THERAPY AND ALPRAZOLAM IN THE TREATMENT OF DEPRESSION IN OLDER ADULTS [J].
BEUTLER, LE ;
SCOGIN, F ;
KIRKISH, P ;
SCHRETLEN, D ;
CORBISHLEY, A ;
HAMBLIN, D ;
MEREDITH, K ;
POTTER, R ;
BAMFORD, CR ;
LEVENSON, AI .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1987, 55 (04) :550-556
[8]
Blazer DG, 2003, J GERONTOL A-BIOL, V58, P249
[9]
Multicenter Randomized controlled trial of an outreach nursing support program for recently discharged stroke patients [J].
Boter, H .
STROKE, 2004, 35 (12) :2867-2872
[10]
A randomized clinical trial of outpatient geriatric evaluation and management [J].
Boult, C ;
Boult, LB ;
Morishita, L ;
Dowd, B ;
Kane, RL ;
Urdangarin, CF .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2001, 49 (04) :351-359