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Low‐income depressed older adults with psychiatric comorbidity: secondary analyses of response to psychotherapy and case management
Author(s) -
Gum Amber M.,
Areán Patricia A.,
Bostrom Alan
Publication year - 2007
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.1702
Subject(s) - comorbidity , depression (economics) , anxiety , psychiatry , psychological intervention , psychology , personality disorders , personality , clinical psychology , cognitive behavioral therapy , cognitive therapy , anxiety disorder , randomized controlled trial , medicine , cognition , social psychology , economics , macroeconomics
Abstract Objective This study examined the influence of comorbid anxiety and personality disorders on depression treatment response in 67 low‐income older adults. Methods Participants were randomized to clinical case management, cognitive‐behavioral group therapy, or both for 6 months. Outcomes were assessed at baseline, post‐treatment, and 6 and 12 months after treatment. Results Dropout and depression diagnoses were similar across groups. Participants with comorbidity had more depressive and anxiety symptoms at most time points; degree of improvement did not differ significantly. Of participants with personality disorder, none met criteria at post‐treatment (three relapsed by 12‐month follow‐up). Conclusions Findings suggest depressed low‐income elders with anxiety or personality disorders can be retained and benefit from depression treatment, but may require additional interventions to achieve similar levels of depressive symptoms. Copyright © 2006 John Wiley & Sons, Ltd.