TY  - JOUR
PY  - 2015//
TI  - Depression and suicidal ideation during two psychosocial treatments in older adults with major depression and dementia
JO  - Advances in Alzheimer's Disease
A1  - Kiosses, D.N.
A1  - Rosenberg, P.B.
A1  - McGovern, A.
A1  - Fonzetti, P.
A1  - Zaydens, H.
A1  - Alexopoulos, G.S.
SP  - 367
EP  - 376
VL  - 4
IS  - 
N2  - BACKGROUND: Depression is prevalent in dementia and contributes to poor outcomes for patients and their families. Antidepressants have limited efficacy in older adults with major depression and dementia, and psychosocial interventions are under-investigated. <br><br>OBJECTIVE: To examine the course and predictors of depression and suicidal ideation during 12 weeks of home-delivered Problem Adaptation Therapy (PATH) versus Supportive Therapy for Cognitively Impaired Older Adults (ST-CI) in 39 older adults with major depression and dementia. <br><br>METHODS: Thirty-nine older adults with major depression, mild or moderate dementia, and disability participated in a randomized controlled trial that compared the efficacy of PATH versus ST-CI. Depression and suicidal ideation were assessed with Cornell Scale for Depression in Dementia Total Score and Suicide Item. <br><br>RESULTS: PATH participants had significantly greater reduction in depression than ST-CI participants over 12 weeks of treatment. PATH participants with high social support had the greatest reduction in depression. Both treatments had comparable reduction in suicidal ideation. <br><br>CONCLUSION: PATH is more effective in reducing depression in older adults with major depression and dementia compared to ST-CI. These results are clinically significant as antidepressant medication treatments have limited efficacy in this population. Home-delivered psychosocial treatments may reduce suicidal ideation in this population. © 2015 The authors and IOS Press. All rights reserved.<p /> <p>Language: en</p>
LA  - en
SN  - 2210-5727
UR  - http://dx.doi.org/10.3233/978-1-61499-542-5-367
ID  - ref1
ER  -