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Centre for Policy on Ageing | |
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| The effectiveness of geropsychological treatment in improving pain, depression, behavioral disturbances, functional disability and health care utilizations | | Author(s) | Daisha J Cipher, P Andrew Clifford, Kristi D Roper |
| Journal title | Clinical Gerontologist, vol 30, no 3, 2006 |
| Pages | 23-40 |
| Source | http://www.tandfonline.com |
| Keywords | Psychiatric treatment ; Pain ; Depression ; Cognitive impairment ; Behaviour disorders ; Health services ; Usage [services] ; Residents [care homes] ; Clinical surveys ; United States of America. |
| Annotation | Geropsychological interventions have become a necessary component of quality long-term care (LTC) designed to address residents' co-morbidities involving emotional, functional and behavioural difficulties. This two-part empirical study was conducted to investigate the impact of multimodal cognitive-behavioural therapy (MCBT) for the treatment of pain, depression, behavioural dysfunction, functional disability and health care utilization in a sample of cognitively impaired LTC residents who were suffering from persistent pain. In Study one, 44 consecutive new patients received a comprehensive psychological evaluation, eight sessions of cognitive-behavioural therapy and follow-up psychological evaluation over a five week period. Analyses indicated that patients exhibited significant reductions in pain, activity interference and emotional distress due to pain, depression and significant increases in most activities of daily living. They also exhibited significant reductions in the intensity, frequency and duration of their behavioural disturbances but not the number of behavioural disturbances. In Study two, as a follow-up, a retrospective chart review was conducted to compare the treatment group with a matched-control group on post-treatment health care use. Comparisons between the two groups on Minimum Data Set (MDS) ratings indicated that the treatment group required significantly fewer physician visits and change orders than the control group. Implications of these collective findings are that geropsychological treatment is likely to improve certain aspects of residents' quality of LTC. (KJ/RH). |
| Accession Number | CPA-070618205 A |
| Classmark | LP: CT7: ENR: E4: EP: L: QLD: KX: 3G: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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