Problem-solving therapy and supportive therapy in older adults with major depression and executive dysfunction: effect on disability.

ABSTRACT:

Context

Older patients with depression and executive dysfunction represent a population with significant disability and a high likelihood of failing pharmacotherapy.

Objectives

To examine whether problem-solving therapy (PST) reduces disability more than does supportive therapy (ST) in older patients with depression and executive dysfunction and whether this effect is mediated by improvement in depressive symptoms.

Design

Randomized controlled trial.

Setting

Weill Cornell Medical College and University of California at San Francisco.

Participants

Adults (aged >59 years) with major depression and executive dysfunction recruited between December 2002 and November 2007 and followed up for 36 weeks. Intervention Twelve sessions of PST modified for older depr

SUBMITTER: Alexopoulos GS 

PROVIDER: S-EPMC3018861 | biostudies-literature | 2011 Jan

REPOSITORIES: biostudies-literature