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Depression care for the old-old in a...

Williams, Emily Van Leeuwen.

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Depression care for the old-old in a primary care setting.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Depression care for the old-old in a primary care setting./
Author:	Williams, Emily Van Leeuwen.
Description:	36 p.
Notes:	Adviser: Stephanie McFall.
Contained By:	Masters Abstracts International46-05.
Subject:	Gerontology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=1452300
ISBN:	9780549480198

Depression care for the old-old in a primary care setting.
Williams, Emily Van Leeuwen.

Depression care for the old-old in a primary care setting. - 36 p.

Adviser: Stephanie McFall.

Thesis (M.P.H.)--The University of Texas School of Public Health, 2008.

Objective. Although those age 75 and older are the fastest growing age group in the U.S., few studies focus on the course and treatment of depression in this age group. This study examines the differences between the young-old (age 60 to 74) and the old-old (age 75 and older) in regards to their response to a collaborative care model for depression in primary care. We hypothesized that old-old participants would have more severe depression and have a lower rate of treatment response compared to young-old participants.

ISBN: 9780549480198Subjects--Topical Terms:

533633
Gerontology.

Depression care for the old-old in a primary care setting.
LDR:02965nam 2200337 a 45 001 949108
005 20110525
008 110525s2008 ||||||||||||||||| ||eng d
020 $a 9780549480198
035 $a (UMI)AAI1452300
035 $a AAI1452300
040 $a UMI $c UMI
100 1 $a Williams, Emily Van Leeuwen. $3 1272489
245 1 0 $a Depression care for the old-old in a primary care setting.
300 $a 36 p.
500 $a Adviser: Stephanie McFall.
500 $a Source: Masters Abstracts International, Volume: 46-05, page: 2648.
502 $a Thesis (M.P.H.)--The University of Texas School of Public Health, 2008.
520 $a Objective. Although those age 75 and older are the fastest growing age group in the U.S., few studies focus on the course and treatment of depression in this age group. This study examines the differences between the young-old (age 60 to 74) and the old-old (age 75 and older) in regards to their response to a collaborative care model for depression in primary care. We hypothesized that old-old participants would have more severe depression and have a lower rate of treatment response compared to young-old participants.
520 $a Methods. The sample consisted of 906 participants (n = 606 young-old; n = 300 old-old) who were randomized to receive the intervention with a depression care manager in the IMPACT trial. This study compared young-old and old-old patients on process of care and outcome variables to identify potential differences between the two age groups. Process of care was determined by the type of treatment and level of stepped care received. Clinical outcomes included SCL-20 depression scores, treatment response (defined as a ≥50% decrease in SCL-20 score from baseline) and complete remission (defined as a SCL-20 score <0.5) at 3-, 6-, and 12-months follow-up.
520 $a Results. The process of care variables did not differ between the two age groups. SCL-20 depression scores did not significantly differ between the two age groups at all follow-up intervals. Treatment response was significantly different between young-old and old-old participants at 6- and 12-months. Complete remission rates were significantly different between the two age-groups at 12-months follow-up.
520 $a Conclusions. Young-old and old-old patients have a similar clinical response to initial collaborative depression care in a primary care setting, but old-old patients may have lower rates long-term treatment response and complete remission. These findings will help guide future clinical and public health approaches to treat old-old patients with depression.
590 $a School code: 0219.
650 4 $a Gerontology. $3 533633
650 4 $a Health Sciences, Mental Health. $3 1017693
690 $a 0347
690 $a 0351
710 2 $a The University of Texas School of Public Health. $b Health Promotion & Behavioral Sciences Management. $3 1022444
773 0 $t Masters Abstracts International $g 46-05.
790 $a 0219
790 1 0 $a McFall, Stephanie, $e advisor
790 1 0 $a Noel, Polly H. $e committee member
790 1 0 $a Smith, David W. $e committee member
791 $a M.P.H.
792 $a 2008
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=1452300