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Related Concept Videos

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Related Experiment Videos

Does a Depression Management Program Decrease Mortality in Older Adults with Specific Medical Conditions in Primary

Hillary R Bogner1, Jin H Joo2, Seungyoung Hwang3

  • 1Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Journal of the American Geriatrics Society
|January 20, 2016
PubMed
Summary
This summary is machine-generated.

Treating depression in older adults with diabetes mellitus significantly reduced mortality risk. This intervention showed promise for managing depression and chronic conditions in primary care settings.

Keywords:
depressionmedical comorbidityprimary carerandomized clinical trial

Related Experiment Videos

Area of Science:

  • Geriatrics
  • Public Health
  • Clinical Medicine

Background:

  • Older adults with depression and chronic medical conditions present a significant health challenge.
  • Effective interventions are needed to reduce mortality in this vulnerable population.

Purpose of the Study:

  • To investigate if treating depression in older adults can decrease mortality from various chronic medical conditions.
  • To assess the impact of a depression care management intervention on mortality in elderly primary care patients.

Main Methods:

  • A multisite randomized controlled trial (Prevention of Suicide in Primary Care Elderly: Collaborative Trial) involving 1,226 individuals aged 60 and older.
  • Practices were randomized to either an intervention group receiving algorithm-based depression care or usual care for two years.
  • Mortality risk was assessed over a median follow-up of 98 months, with chronic conditions self-reported.

Main Results:

  • Individuals with major depression and diabetes mellitus in the intervention group showed a statistically significant reduction in mortality (hazard ratio=0.47).
  • For heart disease, major depression was associated with increased mortality risk regardless of treatment group.
  • Other medical conditions did not show statistically significant intervention effects on mortality, though trends favored the intervention.

Conclusions:

  • Treating depression in older adults with comorbid diabetes mellitus can significantly reduce mortality.
  • Depression management in primary care holds potential for improving outcomes in elderly patients with chronic conditions.
  • Addressing depression in medically complex older adults remains a critical public health priority.