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Updated: Jul 11, 2026

Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression

Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression

Published on: January 7, 2019

Recommendations for treating depression in community-based older adults.

Lesley E Steinman¹, John T Frederick, Thomas Prohaska

¹Department of Health Services, University of Washington School of Public Health and Community Medicine, Seattle, Washington, USA.

American Journal of Preventive Medicine

|September 11, 2007

Summary

Community-based care management and individual cognitive behavioral therapy are recommended for late-life depression. Other interventions lack sufficient evidence for treating depression in older adults.

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Last Updated: Jul 11, 2026

Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression

Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression

Published on: January 7, 2019

Area of Science:

Geriatric Psychiatry
Public Health Interventions
Evidence-Based Practice

Background:

Late-life depression poses a significant public health challenge.
Effective community-based treatment strategies are needed for older adults.
Existing interventions require evaluation for efficacy and feasibility in community settings.

Framework:

Consensus-based recommendations developed by an expert panel.
Systematic literature review of evidence through 2005.
Consideration of feasibility and appropriateness for community-based delivery.

Implementation:

Strong recommendation for depression care management modeled interventions (home or primary care).
Recommendation for individual cognitive behavioral therapy.
Interventions like education, exercise, and comprehensive geriatric evaluations were not recommended as primary treatments.

Implications:

Dissemination of recommended interventions through public health and aging networks is crucial.
Lack of evidence for some interventions highlights the need for rigorous research.
Findings support clinicians and policymakers in delivering effective mental health services to diverse older populations.