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Cited by 95Aging, Health, and DisabilityHealth and Well-being StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Social support and treatment response in older depressed primary care patients

Oxman, T. E., Hull, J. G.·2001·The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
DOI 10.1093/geronb/56.1.p35
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Abstract

A previously tested theoretical model that specifies relationships among depression, activities of daily living (ADL) impairment, and social support components was validated with 307 patients aged 60 and older from a multisite effectiveness trial of 3 treatments (antidepressant, placebo, Problem-Solving Treatment) for dysthymia or minor depression in primary care. Participants completed interviews and self-reports at baseline and at 6 and 12 weeks. The short-term, longitudinal data were analyzed with covariance structure modeling techniques. Consistent with the previous model, impairment in ADLs was associated with subsequent increases in depression, a larger emotionally close network that made frequent visits was associated with subsequent increases in perceived support, and perceived support was associated with subsequent decreases in depression. This last effect was significant only among participants randomly assigned to receive placebo with clinical management. The similar results in 2 different studies are a substantial validation of the theoretical model. The effect of perceived support primarily in the placebo group suggests that those with greater perceived social support and subsyndromal depression may be more likely to have a positive response to nonspecific clinical treatment components.

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Authors
Oxman, T. E., & Hull, J. G.
Affiliations
Dartmouth–Hitchcock Medical Center (US)
Corresponding author
Oxman, T. E.
Venue
The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Publisher
Oxford University Press (OUP)
Published
2001-01-01
Volume
56
Issue
1
Pages
P35-P45
ISSN
  • 1079-5014 (ISSN-L)
  • 1758-5368
DOI
10.1093/geronb/56.1.p35
OpenAlex
W2118949186
Cited by
95
References
74
Citations by year
2026: 2 · 2025: 1 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 7 · 2017: 4 · 2015: 5 · 2014: 2 · 2013: 4 · 2012: 5
FWCI
6.20
Type
journal article
Language
en
Open access
closed
Locations
  • The Journals of Gerontology Series B (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • John D. and Catherine T. MacArthur Foundation
  • John A. Hartford Foundation
  • Dartmouth College
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
social support, depression, older adults, primary care, activities of daily living, perceived social support, emotional support, problem-solving therapy, antidepressants, placebo, dysthymia, minor depression, treatment response, theoretical model validation
MeSH terms
Aged, Depressive Disorder, Female, Humans, Male, Middle Aged, Patient Care Team, Primary Health Care, Problem Solving, Social Support, Cognitive Behavioral Therapy, Treatment Outcome, Paroxetine, Antidepressive Agents, Second-Generation, Dysthymic Disorder

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