Late-life depression in the primary care setting: Challenges, collaborative care, and prevention
نویسندگان
چکیده
منابع مشابه
Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial.
CONTEXT Few depressed older adults receive effective treatment in primary care settings. OBJECTIVE To determine the effectiveness of the Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) collaborative care management program for late-life depression. DESIGN Randomized controlled trial with recruitment from July 1999 to August 2001. SETTING Eighteen primary care clinics f...
متن کاملA collaborative care management programme in a primary care setting was effective for older adults with late life depression.
Patients 1801 patients ≥ 60 years of age (mean age 71 y, 65% women) who met the Diagnostic and Statistical Manual of Mental Disorders, 4 edition criteria for major depression or dysthymia or both and who were planning to use general medical care from a participating clinic. Exclusion criteria were drinking problems, bipolar disorder or psychosis, severe cognitive impairment, or acute risk of su...
متن کاملPrevention of late-life depression in primary care: do we know where to begin?
OBJECTIVE This study attempted to compare two models for selective (people at elevated risk) and indicated (those with subsyndromal depressive symptoms) prevention and to determine the optimal strategy for prevention of late-life depression. METHOD Onset was assessed at 3 years with the Geriatric Mental State AGECAT in a randomly selected cohort of 1,940 nondepressed and nondemented older peo...
متن کاملSecondary Prevention of Depression in Primary Care
cause for concern in Western society. The commonest psychopathological symptoms are depressive ones. Likewise, depressive disorders are the third most common psychopathology, with a life prevalence of between 2% and 25%, both in the United States and in Spain (Ayuso-Mateos et al., 2001; Kaplan & Sadock, 1999). These problems produce an enormous strain on primary care centres and mental health c...
متن کاملAchieving effective antidepressant pharmacotherapy in primary care: the role of depression care management in treating late-life depression.
OBJECTIVES To estimate the effect of an evidence-based depression care management (DCM) intervention on the initiation and appropriate use of antidepressant in primary care patients with late-life depression. DESIGN Secondary analysis of data from a randomized trial. SETTING Community, primary care. PARTICIPANTS Randomly selected individuals aged 60 and older with routine appointments at ...
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ژورنال
عنوان ژورنال: Maturitas
سال: 2014
ISSN: 0378-5122
DOI: 10.1016/j.maturitas.2014.05.026