Treatment of depressive symptoms in diverse, rural, and vulnerable older adults
Version of Record online: 25 JUL 2013
Copyright © 2013 John Wiley & Sons, Ltd.
International Journal of Geriatric Psychiatry
Volume 29, Issue 3, pages 310–316, March 2014
How to Cite
Scogin, F. R., Moss, K., Harris, G. M. and Presnell, A. H. (2014), Treatment of depressive symptoms in diverse, rural, and vulnerable older adults. Int. J. Geriat. Psychiatry, 29: 310–316. doi: 10.1002/gps.4009
- Issue online: 11 FEB 2014
- Version of Record online: 25 JUL 2013
- Manuscript Accepted: 26 JUN 2013
- Manuscript Received: 21 FEB 2013
We examined the effects of home-delivered cognitive-behavior therapy (CBT) on depressive symptoms among rural, diverse, and vulnerable older adults. Furthermore, we differentiated depression into its two salient aspects: psychological and somatic.
Data came from a randomized controlled experiment of CBT on 134 individuals residing in rural Alabama.
Cognitive-behavior therapy resulted in significantly lower depressive symptom severity scores. When depressive symptoms were categorized as psychological or somatic, CBT was found to significantly improve the former but not the latter. Notably, there was a trend toward somatic symptom improvement.
Cognitive-behavior therapy can be an effective treatment for depression in a hard-to-reach group of older adults. Home delivery affords advantages but is also an expensive delivery modality. Diverse older adults responded to the CBT intervention. Copyright © 2013 John Wiley & Sons, Ltd.