TY - JOUR
T1 - Non-pharmacological prevention of major depression among community-dwelling older adults
T2 - A systematic review of the efficacy of psychotherapy interventions
AU - Lee, Su Yeon
AU - Franchetti, Mary Kathryn
AU - Imanbayev, Anuar
AU - Gallo, Joseph J.
AU - Spira, Adam P.
AU - Lee, Hochang B.
PY - 2012/11/1
Y1 - 2012/11/1
N2 - Depression is a major public health burden among the aging population. While older adults prefer non-pharmacological treatment, few options for psychotherapy are available in primary care settings, which is where older adults tend to receive mental health services. Indicated prevention is a cost-effective, public health approach to prevent major depressive disorder among people with depressive symptoms who do not yet meet standard criteria for major depression. We critically reviewed randomized controlled trials (RCTs) that assessed the efficacy of psychotherapy among community-dwelling older adults with subthreshold depression (depressive symptoms that do not meet standard criteria for major depression). We examined the intervention types, results, internal validity, and external validity of five studies. We used the United States Preventive Services Task Force (USPSTF) guidelines to rate the quality of the studies and to provide recommendations. Results suggest that psychotherapy is a safe and cost-effective method to reduce the public health burden of depression among older adults with subthreshold depression.
AB - Depression is a major public health burden among the aging population. While older adults prefer non-pharmacological treatment, few options for psychotherapy are available in primary care settings, which is where older adults tend to receive mental health services. Indicated prevention is a cost-effective, public health approach to prevent major depressive disorder among people with depressive symptoms who do not yet meet standard criteria for major depression. We critically reviewed randomized controlled trials (RCTs) that assessed the efficacy of psychotherapy among community-dwelling older adults with subthreshold depression (depressive symptoms that do not meet standard criteria for major depression). We examined the intervention types, results, internal validity, and external validity of five studies. We used the United States Preventive Services Task Force (USPSTF) guidelines to rate the quality of the studies and to provide recommendations. Results suggest that psychotherapy is a safe and cost-effective method to reduce the public health burden of depression among older adults with subthreshold depression.
KW - Indicated prevention
KW - Non-pharmacological prevention
KW - Older adults
KW - Subthreshold depression
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U2 - 10.1016/j.archger.2012.03.003
DO - 10.1016/j.archger.2012.03.003
M3 - Review article
C2 - 22483200
AN - SCOPUS:84865628770
SN - 0167-4943
VL - 55
SP - 522
EP - 529
JO - Archives of Gerontology and Geriatrics
JF - Archives of Gerontology and Geriatrics
IS - 3
ER -