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Treatment Considerations for Depression Research in Older Married Couples: A Dyadic Case Study
- Source :
- The American Journal of Geriatric Psychiatry. 25:388-395
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Objective Critical gaps remain in understanding optimal approaches to intervening with older couples. The focus of this report is to describe the pros and cons of incorporating spousal dyads into depression-prevention research. Methods In an intervention development study, the authors administered problem-solving therapy (PST) dyadically to participants with mild cognitive impairment (MCI) and their caregivers. Dyads worked with the same interventionist in the same therapy session. The dyadic PST (highlighted in a case example of a husband with MCI and his wife/support person) and the potential feasibility of the program are described. Results The authors found that the wife of the individual with MCI could be trained as a PST coach to help her husband learn and use problem-solving skills. A decrease in depressive symptom severity was observed for the individual with MCI, which was sustained over 12 months of follow-up. Neither the husband nor wife experienced an incident episode of major depression over the course of the study. Conclusion Dyadic interventions need to be further developed in geriatric psychiatry; proven methods such as PST can be modified to include patients' support persons. Recommendations are offered for developing randomized controlled trials that aim to recruit dyads and prevent depression in at-risk older married couples.
- Subjects :
- Male
medicine.medical_specialty
media_common.quotation_subject
education
Psychological intervention
Support person
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Intervention (counseling)
medicine
Humans
Wife
Cognitive Dysfunction
Spouses
Psychiatry
Problem Solving
Depression (differential diagnoses)
Aged
media_common
030214 geriatrics
Depression
Cognitive Remediation
Psychiatry and Mental health
Caregivers
Cognitive remediation therapy
behavior and behavior mechanisms
Female
Geriatrics and Gerontology
Psychology
030217 neurology & neurosurgery
Geriatric psychiatry
Clinical psychology
Subjects
Details
- ISSN :
- 10647481
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- The American Journal of Geriatric Psychiatry
- Accession number :
- edsair.doi.dedup.....ca8d5caea3c80aacc61d62aa4d79ccb2