Perceived Social Support and Interpersonal Functioning as Predictors of Treatment Response Among Depressed Older Adults.
Depression
social isolation
treatment response
Journal
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
ISSN: 1545-7214
Titre abrégé: Am J Geriatr Psychiatry
Pays: England
ID NLM: 9309609
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
received:
08
09
2020
revised:
11
12
2020
accepted:
12
12
2020
pubmed:
10
1
2021
medline:
24
8
2021
entrez:
9
1
2021
Statut:
ppublish
Résumé
Social isolation is highly common in late life and is associated with devastating mental health and physical outcomes. This study investigated whether components of social isolation (marital status, perceived social support, and interpersonal problems) predict change in depression severity over the course of a brief adherence intervention delivered in a primary care setting. A sample of 189 older adults with major depressive disorder were randomized to either an adherence intervention, "Treatment Initiation Program," or treatment as usual. Marital status, perceived social support and interpersonal problems were assessed at baseline. A mixed-effects regression was used to test whether these factors predicted the change trajectory in depression severity over 24 weeks. Being married (F(2,176) = 6.60; p = 0.001), reporting higher perceived social support (F(2,177) = 4.70; p = 0.01), and fewer interpersonal problems (F(2, 176) = 4.34; p = 0.01) predicted lower depression severity on average over the course of 24 weeks. Social variables such as living in partnership, perceiving others as supportive, and reporting few interpersonal problems may reduce older adults' vulnerability to depression and enhance their ability to benefit from treatment. These findings can guide development of interventions that will target these social factors early in treatment to increase efficacy.
Identifiants
pubmed: 33419660
pii: S1064-7481(20)30590-X
doi: 10.1016/j.jagp.2020.12.021
pmc: PMC8255325
mid: NIHMS1700869
pii:
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
843-852Subventions
Organisme : NIMH NIH HHS
ID : K23 MH123864
Pays : United States
Organisme : NIMH NIH HHS
ID : P50 MH113838
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH087557
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH087562
Pays : United States
Informations de copyright
Copyright © 2020 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.
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