BE-ACTIV for depression in nursing homes: primary outcomes of a randomized clinical trial
Open accessAbstract
OBJECTIVES: To report the primary outcomes of a cluster randomized clinical trial of Behavioral Activities Intervention (BE-ACTIV), a behavioral intervention for depression in nursing homes. METHOD: Twenty-three nursing homes randomized to BE-ACTIV or treatment as usual (TAU); 82 depressed long-term care residents recruited from these nursing homes. BE-ACTIV participants received 10 weeks of individual therapy after a 2-week baseline. TAU participants received weekly research visits. Follow-up assessments occurred at 3- and 6-month posttreatment. RESULTS: BE-ACTIV group participants showed better diagnostic recovery at posttreatment in intent-to-treat analyses adjusted for clustering. They were more likely to be remitted than TAU participants at posttreatment and at 3-month posttreatment but not at 6 months. Self-reported depressive symptoms and functioning improved in both groups, but there were no significant treatment by time interactions in these variables. DISCUSSION: BE-ACTIV was superior to TAU in moving residents to full remission from depression. The treatment was well received by nursing home staff and accepted by residents. A large proportion of participants remained symptomatic at posttreatment, despite taking one or more antidepressants. The results illustrate the potential power of an attentional intervention to improve self-reported mood and functioning, but also the difficulties related to both studying and implementing effective treatments in nursing homes.
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Only one published protocol paper and three trial registrations were located for the included studies.
“We located only one published protocol paper (Dozeman 2011) and three trial registrations (Meeks 2008;Meeks 2015;Travers 2017).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The citing sentence identifies Meeks 2015 as a trial registration, but our copy is a report of the trial’s primary outcomes, not a registration. The Recruitment and Attrition section reports completed data collection and an intent-to-treat analysis of 82 participants; the copy does not establish the citing authors’ counts of other protocols or registrations. (LLM, conf=0.84)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredIn the single study reporting long-term depression remission, participants allocated to the non-therapy comparator had an MDD prevalence increase from 25.0% at baseline to 65.2% at long-term follow-up, a 40.2% increase.
“Amongst participants allocated to the non-therapy comparator, the prevalence of MDD increased from 25.0% to 65.2% (40.2% increase).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Sample Characteristics section reports that 69.1% of the entire sample met criteria for a major depressive episode at baseline, with proportionally more major depressive disorder in the treatment-as-usual control group than in the BE-ACTIV group. That contradicts a 25.0% baseline MDD prevalence in the non-therapy comparator. The Diagnostic Recovery section reports follow-up recovery outcomes, not the claimed increase to 65.2%. Page numbers are unavailable in our copy. (LLM, conf=0.84)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredIn Meeks 2015, among participants allocated to psychological therapy, MDD prevalence decreased from 47.6% at baseline to 43.4% at end-of-intervention (4.2% decrease); among non-therapy comparator, it increased from 25.0% to 75.0% (50.0% increase); net difference in change was 54.2%.
“Amongst participants allocated to psychological therapy, the prevalence of MDD decreased from 47.6% at baseline to 43.4% at end-of-intervention follow-up (4.2% decrease).Amongst participants allocated to the non-therapy comparator, the prevalence of MDD increased from 25.0% at baseline to 75.0% at end-of-intervention follow-up (50.0%increase).The net difference in change in prevalence between”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
Sample Characteristics (page unavailable) says the Be-ACTIV group had proportionally fewer participants with major depressive disorder at baseline than the usual-care group—the opposite of the claimed 47.6% versus 25.0%. Diagnostic Recovery (page unavailable) reports posttreatment remission of 45.2% versus 15.0%, not the claimed prevalence changes or 54.2% net difference. (LLM, conf=0.86)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredIn Meeks 2015, at short-term follow-up, MDD prevalence among psychological therapy participants decreased from 47.6% to 43.4% (4.2% decrease), while among non-therapy comparator it increased from 25.0% to 75.0% (50.0% increase); net difference was 54.2%.
“Amongst participants allocated to psychological therapy, the prevalence of MDD decreased from 47.6% at baseline to 43.4% at short-term follow-up (4.2% decrease).Amongst participants allocated to the non-therapy comparator, the prevalence of MDD increased from 25.0% at baseline to 75.0% at short-term follow-up (50.0%increase).The net difference in change in prevalence between conditions was 54.2%.”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Sample Characteristics section reports that major depressive disorder was proportionally less common in the Be-actiV group than in the treatment-as-usual group at baseline—the opposite of the claimed 47.6% versus 25.0%. The Diagnostic Recovery section reports improvement and remission at follow-up, not the stated MDD prevalence figures or a 54.2-percentage-point net difference. Page numbers are unavailable in our copy. (LLM, conf=0.86)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredOnly four studies reported independent assessments of treatment fidelity.
“Only four studies reported that independent assessments of treatment fidelity were conducted (Bailey 2017;Meeks 2008;Meeks 2015;Zerhusen 1991), although two of these studies had additional potential bias (Meeks 2008;Meeks 2015).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Discussion (page not supplied) explicitly identifies the lack of an independent evaluator of treatment adherence as a limitation. The Treatment Integrity passage says the first author rated adherence from session recordings. Thus, although the paper reports fidelity assessments, it contradicts the claim that its assessments were independent. (LLM, conf=0.90)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measured
In the single study reporting medium-term depression remission, participants allocated to the non-therapy comparator had an MDD prevalence increase from 25.0% at baseline to 73.1% at medium-term follow-up, a 48.1% increase.
“Amongst participants allocated to the non-therapy comparator, the prevalence of MDD at medium-term follow-up increased from 25.0% to 73.1% (48.1% increase).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Sample Characteristics section reports that 69.1% of all participants met criteria for a major depressive episode at baseline and that major depressive disorder was proportionally more common in the treatment-as-usual group than in the therapy group. That contradicts the claimed 25.0% baseline prevalence for the non-therapy comparator. The Diagnostic Recovery section reports follow-up improvement and remission outcomes, not a rise in comparator MDD prevalence to 73.1%. (LLM, conf=0.88)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredOne study reported that lower rates of major depressive disorder in the psychological therapy group compared with the control group continued through to long-term follow-up.
“although one study reported that the lower rates of major depressive disorder in the psychological therapy group compared with the control group continued through to long-term follow-up (Meeks 2015).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Diagnostic Recovery section reports an advantage for participants remaining in the study at three months, but says the groups were not significantly different at six months. The Discussion explicitly states that Be-actiV no longer had an advantage in diagnostic recovery at six months, contrary to the claimed persistence through long-term follow-up. Page numbers were not supplied for these passages. (LLM, conf=0.90)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredFor Meeks 2015, 56% of the social contact group was white, versus 86% of the problem-solving therapy group.
“only 56% of the social contact group was white, compared to 86% of the problem-solving therapy group”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Sample Characteristics section reports that 92.6% of participants were white, rather than the claimed 56% and 86% in two groups. The Treatment Groups section identifies the comparison as BE-ACTIV versus treatment as usual, not social contact versus problem-solving therapy. Page numbers were not available in our copy. (LLM, conf=0.88)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredFor Meeks 2015, MDD prevalence appeared unbalanced between groups (47.6% in the psychological therapy group vs 25% in the non-therapy comparator group).
“the prevalence of MDD appeared to be unbalanced between groups (47.6% in psychological therapy group vs 25% in non-therapy comparator group)”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Sample Characteristics section reports a baseline imbalance in major depressive disorder, but in the opposite direction: proportionally fewer participants in the BE-ACTIV therapy group had the diagnosis than in the treatment-as-usual group. The Discussion reiterates that direction. Neither passage gives the claimed 47.6% versus 25% figures. (LLM, conf=0.90)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredFive studies restricted eligibility to participants meeting defined diagnostic criteria for a mood disorder, typically MDD, minor depression, and dysthymia, plus adjustment disorder with depression.
“Five studies restricted eligibility to participants who met defined diagnostic criteria for a mood disorder, which typically included MDD, 'minor depression', and dysthymia (Meeks 2008;Meeks 2015;Reinhardt 2014;Rosen 1997), in addition to adjustment disorder with depression (Hyer 2009).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Inclusion and Exclusion Criteria section says participants had to meet DSM-IV criteria for a depressive disorder, and Sample Characteristics identifies major depressive disorder and minor depression among participants. Our copy does not identify dysthymia among this study’s eligible diagnoses. The sentence attributes adjustment disorder with depression to a different citation, not Meeks 2015; page numbers were not available in our copy. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe net difference in change in MDD prevalence between psychological therapy and non-therapy comparator at long-term follow-up was 32.3%.
“The net difference in change in prevalence between conditions was 32.3%.”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Diagnostic Recovery section reports greater remission with Be-ACTIV than with treatment as usual at posttreatment (45.2% versus 15.0%). It does not report a 32.3-percentage-point net change in MDD prevalence at long-term follow-up; instead, it says the groups were not significantly different by six months. (LLM, conf=0.82)
Experimental — accuracy not yet measuredA single study reporting remission of MDD indicated that BT may reduce the prevalence of MDD compared with treatment as usual at end-of-intervention, short-term, medium-term, and long-term follow-up, but the evidence is very uncertain.
“A single study reporting remission of MDD indicated that BT may reduce the prevalence of MDD compared to treatment as usual at end-ofintervention, short-term, medium-term, and long-term follow-up, but the evidence was very uncertain.”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Diagnostic Recovery section reports more remission with Be-ACTIV than treatment as usual at the end of treatment (45.2% versus 15.0%). At three months, the intent-to-treat comparison was not significant, although participants remaining in the study were more likely to have improved or remitted; at six months, the groups were not significantly different. The paper therefore supports a possible benefit, but not a reduction in MDD prevalence at every follow-up named in the claim. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe net difference in change in MDD prevalence between psychological therapy and non-therapy comparator at medium-term follow-up was 47.2%.
“The net difference in change in prevalence between conditions was 47.2%.”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Diagnostic Recovery section reports better improvement or remission with BE-ACTIV than with usual care among participants remaining at three months (66.7% versus 40.7%). It does not report a 47.2-percentage-point net change in MDD prevalence at medium-term follow-up; its posttreatment remission figures are 45.2% versus 15.0%. (LLM, conf=0.81)
Experimental — accuracy not yet measuredFor Meeks 2015, activities of daily living were reported in the methods but not in the results due to limitations of the administrative data.
“Activities of daily living were reported in the methods and not in the results due to limitations of this administrative data”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Health data passage describes an activities-of-daily-living (ADL) impairment scale derived from nursing-home records. But Sample Characteristics reports an ADL result: study participants had lower ADL functioning than randomly selected nonstudy residents (t = 2.56, p = .011). The cited passages do not say that administrative-data limitations prevented ADL results from being reported; the claim is therefore supported only as to the methods description. (LLM, conf=0.88)
Experimental — accuracy not yet measuredFor Meeks 2015, the two groups had similar sociodemographic characteristics at baseline.
“Pretreatment: the 2 groups had similar sociodemographic characteristics”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Sample Characteristics section says the BE-ACTIV and treatment-as-usual groups were similar on most baseline demographics and health variables. It also reports significantly more education in the BE-ACTIV group, so the unqualified statement overlooks a sociodemographic difference. (LLM, conf=0.85)
Experimental — accuracy not yet measuredFor Meeks 2015, the groups were equivalent on major screening and outcome variables at baseline.
“The groups were equivalent on major screening and outcome variables at baseline”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Sample Characteristics section (page not available) says the Be-actiV and treatment-as-usual groups were similar on most baseline characteristics. But it reports a significant difference in baseline depression diagnosis, as well as differences in antidepressant-use duration, education, and physician visits; the unqualified claim of baseline equivalence is therefore too broad. (LLM, conf=0.88)
Experimental — accuracy not yet measuredMeeks 2015 was judged at high risk of other bias.
“Other bias High risk Judgement comment: the prevalence of MDD appeared to be unbalanced between groups (47.6% in psychological therapy group vs 25% in non-therapy comparator group).Author developed the intervention, so potential researcher allegiance.”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Sample Characteristics section reports a significant baseline imbalance in depressive diagnoses, with proportionally fewer participants with major depressive disorder in the BE-ACTIV group. The paper also describes the authors’ role in developing the intervention and acknowledges possible bias from a study author’s unblinded initial interviews (Discussion). It does not itself classify the trial as at high risk of other bias, and the cited 47.6% and 25% figures are not shown in the passages found. (LLM, conf=0.84)
Experimental — accuracy not yet measuredIncomplete data were typically handled by excluding participants from analyses, and only two studies imputed missing data.
“Incomplete data were typically handled by excluding participants from analyses, and only two studies imputed missing data (Dozeman 2011; Meeks 2015).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
Two studies reported depression remission data.
“Two studies reported data on depression remission (Meeks 2008;Meeks 2015).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
Only one study in this review provided data on remission of MDD, with positive findings.
“Only one study in this review provided data on remission of MDD, with positive findings.”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
For Meeks 2015, the author developed the intervention, indicating potential researcher allegiance.
“Author developed the intervention, so potential researcher allegiance.”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
Only two studies were at low risk of reporting bias, with all relevant outcomes from a prospective trial registration reported in the paper.
“Only two studies were at low risk of reporting bias, with all relevant outcomes listed in a prospective trial registration reported in the paper (Meeks 2015;Travers 2017).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The paper describes diagnostic recovery as its primary outcome (Geriatric Depression Scale section) and reports outcome data (Discussion, Table 2). But our copy does not identify a prospective trial registration or compare registered outcomes with reported outcomes. Searches for registration and reporting bias did not establish the citing paper’s low-risk assessment. (LLM, conf=0.74)
Experimental — accuracy not yet measuredIn the single study reporting medium-term depression remission, participants allocated to psychological therapy had an MDD prevalence increase from 47.6% at baseline to 48.5% at medium-term follow-up, a 0.9% increase.
“Amongst participants allocated to psychological therapy, the prevalence of MDD increased from 47.6% at baseline to 48.5% at medium-term follow-up (0.9% increase).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Diagnostic Recovery section reports improvement or remission at three months, but not MDD prevalence in the treatment group at baseline and medium-term follow-up. Searches for 47.6%, 48.5%, and the claimed prevalence increase found no supporting figures in our copy; the recovery results do not establish whether MDD prevalence increased. (LLM, conf=0.76)
Experimental — accuracy not yet measuredIn the single study reporting long-term depression remission, participants allocated to psychological therapy had an MDD prevalence increase from 47.6% at baseline to 55.5% at long-term follow-up, a 7.9% increase.
“Amongst participants allocated to psychological therapy, the prevalence of MDD increased from 47.6% at baseline to 55.5% at long-term follow-up (7.9% increase).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Diagnostic Recovery section reports remission and improvement at follow-up, but not MDD prevalence in the treatment group at baseline and long-term follow-up. Searches for 47.6%, 55.5%, and follow-up MDD prevalence found no passage establishing the claimed 7.9-percentage-point increase. (LLM, conf=0.73)
Experimental — accuracy not yet measuredFor Meeks 2015, reported outcomes matched those in the trial registration posted in 2007.
“reported outcomes matched those in trial registration posted 2007”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Measures section identifies diagnostic recovery as the primary outcome, and the Discussion reports trial outcomes. Our copy does not give the outcomes listed in a 2007 trial registration or compare them with the reported outcomes (searched: registration, 2007, and registered outcomes). (LLM, conf=0.76)
Experimental — accuracy not yet measuredMeeks 2015 was judged at low risk of reporting bias.
“Selective reporting (reporting bias) Low risk Judgement comment: reported outcomes matched those in trial registration posted 2007.Activities of daily living were reported in the methods and not in the results due to limitations of this administrative data (personal correspondence).”
From Psychological therapies for depression in older adults residing in long-term care settings (2024) · cites this paper as Meeks 2015
The Measures/Health data passage describes activities-of-daily-living data, but our copy does not assess selective reporting or compare reported outcomes with a 2007 trial registration. The Discussion mentions possible bias in sample inclusion, which is a different issue. Searches for registration, selective reporting, and an explanation for omitted ADL results did not establish the low-risk judgment. (LLM, conf=0.73)
Experimental — accuracy not yet measured
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Cuijpers, P. J., Čihařová, M., Miguel, C., Harrer, M., Ebert, D. D., Brakemeier, E.-L., & Karyotaki, E. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.03.017 · Cited by 24 · see citing works
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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
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Effective Treatments of Late-Life Depression in Long-Term Care Facilities
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Innovative Approaches for Long Term Care
Bhar, S. S., Koder, D., Jayaram, H., Davison, T. E., Knight, B. G., & Laidlaw, K. (2021) · Comprehensive Clinical Psychology · doi:10.1016/b978-0-12-818697-8.00107-2 · Cited by 10 · see citing works
Almeida, O. P., Patel, H., Velásquez, D., Kelly, R., Lai, R., Ford, A. H., Curran, E. M., Flicker, L. A., Chong, T. W. H., Etherton‐Beer, C., et al. (2022) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2022.05.009 · Cited by 10 · see citing works
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Gellert, P. R., Lech, S., Hoppmann, F., O’Sullivan, J. L., & Kessler, E. (2024) · Clinical Gerontologist · doi:10.1080/07317115.2024.2353702 · Cited by 7 · see citing works
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Segovia, F. A. R., & Benuto, L. T. (2022) · Behavior Therapy · doi:10.1016/j.beth.2022.03.003 · Cited by 7 · see citing works
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Tegeler, C., Hoppmann, F., Gellert, P. R., O’Sullivan, J. L., & Kessler, E. (2021) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2021.07.020 · Cited by 7 · see citing works
Depression in Older Adults in Nursing Homes: A Review of the Literature
McCarthy-Zelaya, I. (2016) · doi:10.15760/honors.259 · Cited by 7 · see citing works
Abbott, K. M., Heid, A. R., Noble, M., Kotterman, A., Unroe, K. T., & Haitsma, K. V. (2025) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2025.105700 · Cited by 4 · see citing works
Lapp, M., Quadéri, A., & Corveleyn, X. (2019) · Pratiques Psychologiques · doi:10.1016/j.prps.2018.12.002 · Cited by 5 · see citing works
Davison, T. E., McCabe, M. P., Busija, L., & Graham, A. L. (2022) · Clinical Gerontologist · doi:10.1080/07317115.2022.2100729 · Cited by 6 · see citing works
Velasquez Reyes, D., Patel, H., Lautenschlager, N., Ford, A. H., Curran, E., Kelly, R., Lai, R., Chong, T., Flicker, L., Ekers, D., et al. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-032421 · Cited by 5 · see citing works
Addressing Mental Health in Aged Care Residents
Bhar, S. S., Koder, D., Jayaram, H., Silver, M., & Davison, T. E. (2022) · Advances in Psychiatry and Behavioral Health · doi:10.1016/j.ypsc.2022.06.002 · Cited by 5 · see citing works
Meeks, S., Ludwin, B. M., & Looney, S. W. (2016) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2016.05.006 · Cited by 5 · see citing works
Self-citationDiegelmann, M., Wahl, H., Schilling, O. K., Jansen, C.-P., Claßen, K., & Hauer, K. A. (2016) · International Psychogeriatrics · doi:10.1017/s1041610216001563 · Cited by 5 · see citing works
The Course of Depressive Symptoms Over 36 Months in 696 Newly Admitted Nursing Home Residents
Borza, T., Selbæk, G., Lichtwarck, B., Benth, J. Š., & Bergh, S. (2022) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2022.08.007 · Cited by 8 · see citing works
Meeks, S., Getz, B. R., Hess, L. S., Kostiwa, I. M., Ludwin, B. M., Rodgers, J. R., & Shah, S. N. (2015) · Gerontology & Geriatrics Education · doi:10.1080/02701960.2015.1031893 · Cited by 5 · see citing works
Self-citationMental health and treatment challenges in older adults
Laidlaw, K., Charlesworth, G. M., & Bhar, S. S. (2025) · Nature Reviews Psychology · doi:10.1038/s44159-025-00500-7 · Cited by 4 · see citing works
Plys, E., Morrow, C. D., Portz, J. D., Jones, C. D., Piper, C., & Boxer, R. S. (2021) · Rehabilitation Psychology · doi:10.1037/rep0000383 · Cited by 4 · see citing works
Green, P. (2016) · British Journal of Learning Disabilities · doi:10.1111/bld.12160 · Cited by 4 · see citing works
Heid, A. R., Rovine, M. J., Eshraghi, K. J., Akter, N., Abbott, K. H., & Haitsma, K. S. V. (2025) · Aging & Mental Health · doi:10.1080/13607863.2025.2468895 · Cited by 3 · see citing works
Bhar, S. S., Davison, T. E., Schofield, P. E., Quinn, S. J., Ratcliffe, J., Waloszek, J. M., Dunkerley, S., Silver, M., Linossier, J., Koder, D., et al. (2023) · BMC Geriatrics · doi:10.1186/s12877-023-04257-7 · Cited by 3 · see citing works
Calidad asistencial en la atención prestada a los ancianos en los centros residenciales
Guerra-Martín, M. D., & Fernández-Pro, M. I. R. (2020) · Gerokomos · doi:10.4321/s1134-928x2020000500007 · Cited by 3 · see citing works
Social Art Activities in a Nursing Home: A Pilot Study in Indonesia
Roswiyani, R., Satiadarma, M. P., Spijker, J., & Witteman, C. L. M. (2016) · IAFOR Journal of Psychology & the Behavioral Sciences · doi:10.22492/ijpbs.2.1.04 · Cited by 2 · see citing works
Treating Later-Life Depression
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · doi:10.1093/med-psych/9780190068431.001.0001 · Cited by 2 · see citing works
Cognitive-Behavioral Therapies 101
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0004 · Cited by 2 · see citing works
Professional Development Resources
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.005.0001 · Cited by 2 · see citing works
Koder, D., Bhar, S. S., Armstrong, R., Joffe, R., Silver, M., Linossier, J., Collins, R., Dunkerley, S., & Waloszek, J. M. (2025) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x24000382 · Cited by 1 · see citing works
Module 8: Skills for Caregiving: Reducing Stress While Helping Others
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0014 · Cited by 1 · see citing works
Commentary on Special Issue on Geriatric Assessment
Molinari, V., & Rosowsky, E. (2018) · Assessment · doi:10.1177/1073191117711023
The Cognitive Behavioral Therapy in Later Life
Steffen, A. M., & Schmidt, N. E. (2021) · Comprehensive Clinical Psychology · doi:10.1016/b978-0-12-818697-8.00106-0
Clinical Psychology and Developmental Considerations Across the Lifespan
Comer, J. S., Nelson, C. L., Freitag, G. F., Silva, K., & Molinari, V. (2021) · Comprehensive Clinical Psychology · doi:10.1016/b978-0-12-818697-8.00202-8
Module 2: Skills for Feeling: Recognizing and Managing Strong Emotions
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0007
Module 1: Skills for Getting Started: Planning Your Treatment
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0006
Module 4: Skills for Thinking: Self-Compassion and Helpful Thoughts
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0009
Assessment with Aging Individuals
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0003
Module 3: Skills for Doing: Values-Based Living and Solving Problems
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0008
Psychotherapy Modifications with Aging Clients
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0005
Module 5: Skills for Brain Health: Healthy Cognitive Aging
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0011
Module 6: Skills for Managing Chronic Pain: Improving Daily Life
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0012
Module 7: Skills for Healthy Sleep: Resting Better and Longer
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0013
Module 11: Skills for Wrapping Up: Finishing Treatment
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0010
Depression and Age-Related Issues
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0002
Module 10: Skills for Relating: Getting Along and Communicating Your Needs
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0016
How to Use This Treatment Approach
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0001
Module 9: Skills for Living with Loss: Bereavement and Grief
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.003.0015
Worrall, R., Boyd, M. L., Connolly, M. J., & Balmer, D. (2019) · Cambridge University Press eBooks · doi:10.1017/9781108593946.023
The Promise of Behavioral Activation to Treat Depression in Nursing Homes
Cuijpers, P. J. (2022) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2022.06.001
Recommendations for Group Treatments
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.005.0002
Afterword: Professional Development
(2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.002.0010
(2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.002.0004
(2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.002.0011
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.005.0004
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.005.0005
(2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.002.0006
Master List of Learn Pages and Practice Forms inTreating Later-Life Depression Workbook
(2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.002.0009
California Older Person’s Positive Experiences Schedule-Revised (COPPES-R)
Steffen, A. M., Thompson, L. W., & Gallagher-Thompson, D. E. (2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.005.0003
(2021) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190068431.002.0007
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Self-citationPrévenir le suicide des personnes âgées institutionnalisées
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Prevalence and Predictors of Depressive Symptom Trajectories in Older Adults: A Systematic Review
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- Authors
- Meeks, S., Van Haitsma, K., Schoenbachler, B., & Looney, S. W.
- Affiliations
- University of Louisville (US)
- Augusta University (US)
- ORCID
- Meeks, Suzanne
- Venue
- The Journals of Gerontology: Series B
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-04-01
- Volume
- 70
- Issue
- 1
- Pages
- 13-23
- ISSN
- 1079-5014 (ISSN-L)
- 1758-5368
- PMC
- PMC4342721
- OpenAlex
- W2109566249
- Cited by
- 95
- References
- 62
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 2 · 2023: 2 · 2022: 8 · 2021: 38 · 2020: 4 · 2019: 8 · 2018: 9 · 2017: 4 · 2016: 7 · 2015: 5
- FWCI
- 9.66
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journals of Gerontology Series B (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Institute of Mental Health (R01MH074865)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- depression, nursing homes, behavioral interventions, long-term care residents, remission, depressive symptoms, functional recovery, antidepressants, treatment acceptability
- MeSH terms
- Aged, Aged, 80 and over, Behavior Therapy, Female, Homes for the Aged, Humans, Male, Middle Aged, Nursing Homes, Remission Induction, Treatment Outcome
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