Psychol Aging. 2005 Dec;20(4):601-9.

Treatment of depression in low-income older adults.

Areán PA, Gum A, McCulloch CE, Bostrom A, Gallagher-Thompson D, Thompson L.

Source

Department of Psychiatry, University of California, San Francisco, CA 94143-0984, USA. pata@lppi.ucsf.edu

Abstract

The purpose of this study was to compare cognitive-behavioral group therapy (CBGT), clinical case management (CCM), and their combination (CBGT + CCM) to treat depression in low-income older adults (60+). Sixty-seven participants with major depressive disorder or dysthymia were randomly assigned and entered into 1 of the 3 treatment conditions for 6 months. They were followed for 18 months after treatment initiation on depression and functional outcomes. CCM and CBGT + CCM led to greater improvements in depressive symptoms than CBGT, but CBGT led to greater improvements in physical functioning. All 3 conditions resulted in similar reduction of needs. Findings suggest that disadvantaged older adults with depression benefit from increased access to social services either alone or combined with psychotherapy.

PMID:: 16420135; [PubMed - indexed for MEDLINE]

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