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    Psychol Aging. 1999 Mar;14(1):155-69.

    The role of client choice and target selection in self-management therapy for depression in older adults.

    Source

    Department of Psychology, North Dakota State University, Fargo 58105-5075, USA. rokke@plains.nodak.edu

    Abstract

    In a study designed to maximize the effectiveness of treatment by allowing participants to select the target of treatment, 40 depressed older adults were randomly assigned to a waiting-list control condition or to conditions in which the target of treatment was either chosen or assigned. All participants received self-management therapy and the choice was between changing behavior or changing cognition. It was found that individually administered self-management therapy was effective in treating depression for older adults. There were no differences in outcome between versions of self-management therapy that targeted behavioral or cognitive change. Among those who completed treatment, there were no differences in outcome between those who received a choice and those who did not. Individuals who were given a choice of treatment options, however, were less likely to drop out of treatment prematurely.

    PMID:
    10224639
    [PubMed - indexed for MEDLINE]

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