Title | Psychosocial interventions for late-life major depression: evidence-based treatments, predictors of treatment outcomes, and moderators of treatment effects. |
Publication Type | Journal Article |
Year of Publication | 2011 |
Authors | Kiosses DN, Leon AC, Arean PA |
Journal | Psychiatr Clin North Am |
Volume | 34 |
Issue | 2 |
Pagination | 377-401, viii |
Date Published | 2011 Jun |
ISSN | 1558-3147 |
Keywords | Aged, Aging, Cognition, Cognitive Behavioral Therapy, Depressive Disorder, Major, Evidence-Based Medicine, Humans, Problem Solving, Psychotherapy, Social Support, Treatment Outcome |
Abstract | This systematic review evaluates the efficacy of psychosocial interventions for the acute treatment of late-life depression and identifies predictors of treatment outcomes and moderators of treatment effects. Problem-solving therapy, cognitive behavioral therapy, and treatment initiation and participation program have supportive evidence of efficacy, pending replication. Although the data on predictors of treatment outcomes and moderators of treatment effects are preliminary, it appears that baseline anxiety and stress level, personality disorders, endogenous depression, and reduced self-rated health predict worse depression outcomes. Future research may examine the moderating effects of baseline depression severity and identify other clinical or demographic moderators. |
DOI | 10.1016/j.psc.2011.03.001 |
Alternate Journal | Psychiatr. Clin. North Am. |
PubMed ID | 21536164 |
PubMed Central ID | PMC3099466 |
Grant List | K23 MH074659 / MH / NIMH NIH HHS / United States K23 MH074659-05 / MH / NIMH NIH HHS / United States R01 MH091045 / MH / NIMH NIH HHS / United States R01 MH091045-01A1 / MH / NIMH NIH HHS / United States |