Dialectical behavior therapy for depressed older adults: A randomized pilot study

Thomas R. Lynch, Jennifer Q. Morse, Tamar Mendelson, Clive J. Robins

Research output: Contribution to journalArticle

Abstract

Objective: Although there is evidence for the efficacy of antidepressants and for some individual and group psychotherapy interventions for depressed older adults, a significant number of these do not respond to treatment. Authors assessed the benefits of augmenting medication with group psychotherapy. Methods: They randomly assigned 34 (largely chronically) depressed individuals age 60 and older to receive 28 weeks of antidepressant medication plus clinical management, either alone (MED) or with the addition of dialectical behavior therapy skills-training and scheduled telephone coaching sessions (MED + DBT). Results: Only MED + DBT showed significant decreases on mean self-related depression scores, and both treatment groups demonstrated significant and roughly equivalent decreases on interviewer-rated depression scores. However, on interviewer-rated depression, 71% of MED + DBT patients were in remission at post-treatment, in contrast to 47% of MED patients. At a 6-month follow-up, 75% of MED + DBT patients were in remission, compared with only 31% of MED patients, a significant difference. Only patients receiving MED + DBT showed significant improvements from pre- to post-treatment on dependency and adaptive coping that are proposed to create vulnerability to depression. Conclusion: Results from this pilot study suggest that DBT skills training and telephone coaching may offer promise to effectively augment the effects of antidepressant medication in depressed older adults.

Original languageEnglish (US)
Pages (from-to)33-45
Number of pages13
JournalAmerican Journal of Geriatric Psychiatry
Volume11
Issue number1
DOIs
StatePublished - Jan 1 2003
Externally publishedYes

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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