Navigation Links
Depressed Seniors in Primary Care Benefit Most From Team Approach

Depressed older adults being treated in primary care settings do better with psychosocial therapies than with antidepressant medicines, suggests a new review of evidence. //

Furthermore, older adults with depression have the best response when these cognitive-behavioral therapies are delivered by interdisciplinary health teams, say reviewers led by psychologist Karyn Skultety.

The review recommends this integrated approach instead of the more conventional focus on antidepressant medications.

The suggestion is based on only eight studies, yet, “We think the findings give us some valuable information on what works,” says Skultety, who works in the Veterans Administration Palo Alto Health Care System in California.

The reviewers also note that older adults prefer to seek help for depression from primary care physicians, and that many prefer psychosocial treatments. “They’re on a lot of medications already, and usually they’re trying to work with their doctors to reduce the number of medications they’re on, not increase,” Skultety said.

The review, part of a new series, appears in the November issue of the journal Health Psychology. Each evidence-based review centers on a specific psychological assessment or treatment conducted in the context of a physical disease process or risk reduction effort.

The review comprised eight randomized controlled trials comparing psychosocial treatments in primary care to “usual care” for patients aged 55 and older. The number of participants ranged from 96 in the smallest study to 1,801 in the largest.

Usual care in all the studies involved allowing primary care physicians to assess depression and offer treatment as they deemed appropriate.

Psychosocial interventions included education and counseling provided by nurses, social workers, psychologists, counselors, or physicians.

The strongest treatment effects appeared in the two studies that incorporated interdisciplinary teams, in which mental health providers worked in collaboration with medical providers to develop plans for care. These models resulted in “consistently significant improvements in depressive symptoms,” the reviewers found.

The reviewers note that they could not combine results across the studies, because of large variations in study populations, interventions and providers involved. Clear guidelines for future projects are a must, said Skultety, so that results can be compared and combined to reveal the most effective treatments.

Furthermore, she said, all future studies need to report the number of patients who drop out of each treatment program. “Just showing that [a treatment] works isn’t quite enough. You also have to show that you can actually get people to stay engaged in it over time.”

“Even at this point I think there’s enough evidence to say this is a desired model if you’re going to work in primary care,” said Forrest Scogin, president-elect of the Clinical Geropsychology Section of the American Psychological Association.

Interdisciplinary teams have become commonplace in treating diabetes and other chronic conditions, Scogin said. “You’re involving more professionals in the treatment, so really it becomes more of a fiscal issue.”

While Skultety said that involving interdisciplinary teams can be time-consuming initially, she added “You’re actually looking at saving yourself time down the road because you’re addressing everything at once. Otherwise, a lot of older adults present depression with just vague physical complaints, and they come back again and again and again.”

Estimates of depressive symptoms among older adults in community and primary care settings range from 10 percent to 25 percent, say the authors. Depression exacerbates physical health problems in seniors and vice versa.
Source-Newswise
SRM
'"/>




Related medicine news :

1. Depressed women show signs of earlier onset of Perimenopause
2. Depressed Mothers Found To Influence Their Child’s Behavio
3. Why Are Some People More Depressed Than The Rest When Faced With Similar Situations?
4. Sob Story: Women Woefully Depressed
5. Depressed Seniors Resort to Nursing Homes
6. Depressed Patients Recover Sluggishly After Stress Test
7. Obese People Are Often Depressed
8. Depressed Teens Prone to Risky Sexual Behavior
9. Anesthesia Drug To Bring Solace To The Depressed
10. Swiss Group Appeals Invocation of Euthanasia Option For The Severely Depressed
11. Citalopram, a Boon in Treating Depressed Heart Patients
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:1/18/2017)... ... January 18, 2017 , ... A Palm Beach doctor plans to run the ... charity that provides free surgery to poor children suffering from cleft lip and cleft ... have run to support the efforts of the American Heart Association and the Leukemia ...
(Date:1/18/2017)... Spring, MD (PRWEB) , ... January 18, 2017 , ... ... financial consultations to families and business owners in central Maryland and the DC region, ... , Heart disease kills 787,000 people nationally every year, making it the #1 killer ...
(Date:1/18/2017)... ... January 18, 2017 , ... At Hallmark Nameplate, their commitment to quality ... achieved certification to ISO 13485. This certification is another way they are making constant ... and services that they need. , The ISO 13485 Certification is a major accomplishment ...
(Date:1/18/2017)... ... January 18, 2017 , ... Catalent Pharma Solutions, ... biologics and consumer health products, today announced that Mr. Michael Merges, Director of ... Conference, to be held at the Mayflower Hotel, Washington DC, on Jan. 24 ...
(Date:1/18/2017)... ... January 18, 2017 , ... The ... an aid project with the donation of cochlear implants. In February 2017, the ... and thus a fair chance of leading an independent life. This engagement builds ...
Breaking Medicine News(10 mins):
(Date:1/18/2017)... , Jan. 18, 2017   Spotlight Innovation ... Caretta Therapeutics plans, in the second quarter of ... topical roll-on intended to provide relief from chronic ... steroidal analgesics. It was developed under a licensing ... commercialize products derived from snake venom. Additionally, Caretta ...
(Date:1/18/2017)... 2017  Dermata Therapeutics, LLC, a biotechnology company ... variety of dermatological diseases, announces dosing the first ... Phase 2 acne rosacea study. DMT210 is a ... cytokines in the skin responsible for the inflammation ... This clinical trial, DMT210-003, is a 12-week, ...
(Date:1/18/2017)... from 6% to 10%, South East Asia,s pharma industry is ... the industry by fostering the regional discourse - Sign up today ! ... ASEAN -- India strategic sourcing Forum ... business matchmaking program Roadshows ... ...
Breaking Medicine Technology: