Depression in Long-Term Care
Abstract
The assessment and treatment of depression in long-term care (LTC) settings poses unique challenges to both clinicians and researchers. In this review we discuss the variety of forms depression can take among LTC residents and the influence the LTC environment can play on the development and maintenance of depression. We describe instruments that can be used to assess depressive symptoms, along with their strengths and liabilities. Additionally, we summarize treatment approaches, with an emphasis on the relatively limited number of empirically informed interventions. Throughout, we describe modifications that may improve the accuracy of assessment and the effectiveness of psychological treatments. Depression, while common among LTC residents, appears amenable to psychological intervention, although the field is far from identifying empirically supported treatments in the LTC setting.
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Previous reviews, both narrative and systematic, have indicated that psychological therapies may have an impact on depressive symptomatology in long-term care residents.
“A number of previous reviews, both narrative and systematic, have indicated that psychological therapies may have an impact on depressive symptomatology in LTC residents (Bharucha 2006;Cody 2013;Hyer 2005;Powers 2008;Simning 2017;Snowden 2003).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Hyer 2005
Some previous reviews examined a broad range of non-pharmacological interventions and were not specific to the effectiveness of psychological therapies.
“some reviews examined a broad range of non-pharmacological interventions and were not specific to the effectiveness of psychological therapies”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Hyer 2005
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The effects of psychotherapy on reducing depression in residential aged care: a meta-analytic review
Cody, R. A., & Drysdale, K. (2013) · Clinical Gerontologist · doi:10.1080/07317115.2012.731474 · Cited by 43 · see citing works
Psychological therapies for depression in older adults residing in long-term care settings
Davison, T. E., Bhar, S., Wells, Y., Owen, P. J., You, E., Doyle, C., Bowe, S. J., & Flicker, L. (2024) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013059.pub2 · Cited by 21 · see citing works
- Authors
- Hyer, L.
- Affiliations
- Washington University in St. Louis (US)
- Venue
- Clinical Psychology: Science and Practice
- Published
- 2005-09-01
- Volume
- 12
- Issue
- 3
- Pages
- 280-299
- ISSN
- 0969-5893 (ISSN-L)
- 1468-2850
- OpenAlex
- W2050607259
- Cited by
- 37
- References
- 0
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 1 · 2016: 3 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 5.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Science and Practice (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- depression, long-term care, older adults, depression assessment instruments, psychological intervention, empirically supported treatments, residential environment, depression maintenance, nursing homes
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