Centre for Policy on Ageing



Social support and treatment response in older depressed primary care patients
Author(s)	Thomas E Oxman, Jay G Hull
Journal title	Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, vol 56B, no 1, January 2001
Pages	pp P35-P45
Keywords	Depression ; Self care capacity ; Drugs ; Therapy ; General practice ; United States of America.
Annotation	A previously tested theoretical model that specifies relationships between depression, activities of daily living (ADL) impairment, and social support components was validated with 307 patients aged 60+ from a multi-site effectiveness trial of three treatments (antidepressant, placebo, Problem Solving Treatment) for dysthymia or minor depression in primary care. Consistent with the previous model, impairment with ADLs was associated with subsequent increases in depression, a larger emotionally close network that made frequent visits, was associated with subsequent increases in perceived support, and perceived support was associated with a subsequent decrease in depression. This last effect was significant only in participants randomly assigned to receive placebo with clinical management, suggesting that there be a more positive response to non-specific clinical treatment components. (RH).
Accession Number	CPA-010307219 A
Classmark	ENR: CA: LLD: LO: L5: 7T
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...from the Ageinfo database published by Centre for Policy on Ageing.