title: Pains, joys, and secrets: nurse-led group therapy for older adults with depression.
abstract: This is the first study of nurse-led group therapy in Mexico. Forty-one depressed older adults with a median age of 71 participated in nurse-led cognitive behavioral group therapy once a week for 12 weeks. Participants' scores on the Patient Health Questionaire-9 showed mild to moderate improvement. Participants experienced positive results in personal growth, changing negative thoughts, and relationships with family. An important therapeutic factor was the support of fellow group members. The nurses experienced positive personal and professional growth. Difficulties included physician resistance and a too-rigid cognitive behavioral group therapy model. A combination of cognitive behavioral therapy and supportive group therapy is recommended.
authors.affiliation: Instituto de Geriatria, Mexico City, Mexico. biggato9@yahoo.com
authors.forename: Douglas C
authors.initials: DC
authors.lastname: Nance
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000554:Ambulatory Care Facilities; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D003219:Confidentiality; D003431:Cross-Cultural Comparison; D019263:Dysthymic Disorder / Q000208:ethnology / Q000451:nursing* / Q000523:psychology*; D005260:Female; D006240:Happiness; D006801:Humans; D007857:Leadership; D008016:Life Change Events; D008297:Male; D008800:Mexico; D008875:Middle Aged; D009720:Nurse Clinicians; D024802:Nurse's Role / Q000523:psychology; D009745:Nursing, Supervisory; D010146:Pain / Q000523:psychology*; D010555:Personality Inventory / Q000706:statistics & numerical data; D019555:Physician-Nurse Relations; D011594:Psychometrics; D011615:Psychotherapy, Group / Q000379:methods*; D012944:Social Support