Treating late-life depression with interpersonal psychotherapy in the primary care sector

2007 ◽  
Vol 22 (2) ◽  
pp. 106-114 ◽  
Author(s):  
Herbert C. Schulberg ◽  
Edward P. Post ◽  
Patrick J. Raue ◽  
Thomas Ten Have ◽  
Mark Miller ◽  
...  
2008 ◽  
Vol 23 (11) ◽  
pp. 1110-1113 ◽  
Author(s):  
Kristen Carreira ◽  
Mark D. Miller ◽  
Ellen Frank ◽  
Patricia R. Houck ◽  
Jennifer Q. Morse ◽  
...  

2019 ◽  
Vol 12 (1) ◽  
pp. 1420300
Author(s):  
Amit Dias ◽  
Fredric Azariah ◽  
Miriam Sequeira ◽  
Revathi Krishna ◽  
Jennifer Q. Morse ◽  
...  

2002 ◽  
Vol 15 (3) ◽  
pp. 134-140 ◽  
Author(s):  
Deborah Banazak Wagenaar ◽  
Maureen A. Mickus ◽  
Kris A. Gaumer ◽  
Christopher C. Colenda

Author(s):  
Philip Wilkinson

Interpersonal psychotherapy (IPT) is a structured psychological treatment developed for the management of depressive disorder that has been further refined and evaluated in the treatment of older adults. IPT is based on attachment, communication and social theories and focuses on the interpersonal origins and effects of depression. In this chapter, the delivery of IPT is described and illustrated with a case example. The four possible foci in IPT (complicated bereavement, role transition, interpersonal disputes, and interpersonal deficits) are explained. The evidence base for the efficacy of IPT in late-life depression is reviewed, including the Maintenance Therapies in Late Life Depression trials. Newer applications, including care management interventions and the treatment of anxiety, are described.


2005 ◽  
Vol 17 (4) ◽  
pp. 533-538 ◽  
Author(s):  
Hari Subramaniam ◽  
Alex J. Mitchell

Depression in late life is extremely common. Of those aged 65 years or older, 2–5% have syndromal depression, but up to 20% of elderly people have depressive symptoms (Horwath et al., 2002). Both syndromal and subsyndromal depression carry a high risk of long-term complications and both are associated with elevated risks of morbidity and mortality (Penninx et al., 1999). Despite repeated alerts, depression is consistently under-recognized in acute medical settings, in nursing homes and in primary care (Volkers et al., 2004). For reasons that are inadequately understood, late-life depression seems to be under-treated to an even greater extent than depression in mid-life (Mackenzie et al., 1999). This issue is particularly important, given that effective and safe treatments for depression are available (Bartels et al., 2003), even though the evidence regarding maintenance therapies in older people is inconsistent (Geddes et al., 2003; Wilson et al., 2003). Recent evidence suggests that a package of care can improve the care of older depressed patients in primary care settings (Bruce et al., 2004) and in nursing homes (Ciechanowski et al., 2004). This has led to the development of several clinical guidelines specifically for late-life depression (Baldwin et al., 2003; Charney et al., 2003; Lebowitzet al., 1997). Yet, in the recent National Institute of Clinical Excellence (NICE) guidelines for the management of depression in primary and secondary care, no distinction was made between early, middle and late-life depression (Malone and Mitchell, 2005).


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