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Effectiveness of Problem-Solving Therapy for Older, Primary Care Patients With Depression: Results From the IMPACT Project
The Gerontologist (2008)
  • Patricia Arean
  • Mark Hegel
  • Steven D Vannoy
  • Ming-Yu Fan
  • Jurgen Unuzter
Abstract

Purpose: We compared a primary-care-based psy- chotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psycho- therapy in treating late-life major depression and dys- thymia. Design and Methods: The data here are from the IMPACT study, which compared collabora- tive 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 de- pression-free days at both 12 and between 12 and 24months(b=47.5,p,.001;b=47.0,p, .001), and they had fewer depressive symptoms and better functioning at 12 months (bdep = 􏰅0.36, p , .001; bfunc = 􏰅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.

Keywords
  • Depression,
  • Geriatrics,
  • Primary care,
  • Psychotherapy
Disciplines
Publication Date
2008
Citation Information
Patricia Arean, Mark Hegel, Steven D Vannoy, Ming-Yu Fan, et al.. "Effectiveness of Problem-Solving Therapy for Older, Primary Care Patients With Depression: Results From the IMPACT Project" The Gerontologist Vol. 48 Iss. 3 (2008)
Available at: http://works.bepress.com/steven_vannoy/11/