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Developing an intervention for depressed, chronically medically ill elders: a model from COPD.

George S Alexopoulos1, Patrick J Raue, Jo Anne Sirey

  • 1Department of Psychiatry, Weill Cornell Medical College, NY 10605, USA. gsalexop@med.cornell.edu

International Journal of Geriatric Psychiatry
|October 13, 2007
PubMed
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Geriatric depression, often seen with chronic illness, can be improved. An intervention targeting adherence and problem-solving skills helps manage depression in medically ill older adults.

Area of Science:

  • Geriatric medicine
  • Psychiatry
  • Internal medicine

Background:

  • Geriatric depression is prevalent in patients with chronic medical conditions.
  • Factors like disability and poor treatment acceptance hinder adherence and outcomes.
  • Chronic obstructive pulmonary disease (COPD) serves as a model for comorbid depression.

Observation:

  • Depression's behavioral inertia and cognitive issues impede adherence to complex medical regimens.
  • Patients struggle with both COPD rehabilitation and antidepressant treatment demands.
  • Identifying and addressing adherence barriers is crucial for effective management.

Findings:

  • An intervention combining adherence identification with problem-solving therapy improves outcomes.
  • This approach targets treatment adherence, depressive symptoms, and functional disability.

Related Experiment Videos

  • Integrating specific treatments addresses the complex interplay of issues in depressed, medically ill patients.

    • Implications:

    • This intervention model can enhance care for medically ill older adults with depression.
    • Focusing on adherence and problem-solving skills provides a foundational treatment platform.
    • Improved adherence and outcomes are achievable through tailored, integrated interventions.