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.
- Depression,
- Geriatrics,
- Primary care,
- Psychotherapy
Available at: http://works.bepress.com/steven_vannoy/11/