title: Treatment of depression in low-income older adults.
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.
authors.affiliation: Department of Psychiatry, University of California, San Francisco, CA 94143-0984, USA. pata@lppi.ucsf.edu
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Areán
authors.forename: Amber
authors.initials: A
authors.lastname: Gum
authors.forename: Charles E
authors.initials: CE
authors.lastname: McCulloch
authors.forename: Alan
authors.initials: A
authors.lastname: Bostrom
authors.forename: Dolores
authors.initials: D
authors.lastname: Gallagher-Thompson
authors.forename: Larry
authors.initials: L
authors.lastname: Thompson
mesh_terms: D019090:Case Management; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012959:Socioeconomic Factors; D016896:Treatment Outcome