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Cited by 384Personality Disorders and PsychopathologyPsychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 72 of the 72 references it cites were found in a registry or an index.

Dialectical Behavior Therapy for Depressed Older Adults: A Randomized Pilot Study

Lynch, Thomas R., Morse, Jennifer Q., Mendelson, Tamar, Robins, Clive J.·2003·The American Journal of Geriatric Psychiatry
DOI 10.1097/00019442-200301000-00006
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Abstract

Objective Although there is evidence for the efficacy of antidepressants and for some individual and group psychotherapy interventions for depressed older adults, a significant number of these do not respond to treatment. Authors assessed the benefits of augmenting medication with group psychotherapy.Methods They randomly assigned 34 (largely chronically) depressed individuals age 60 and older to receive 28 weeks of antidepressant medication plus clinical management, either alone (MED) or with the addition of dialectical behavior therapy skills-training and scheduled telephone coaching sessions (MED+DBT).Results Only MED+DBT showed significant decreases on mean self-rated depression scores, and both treatment groups demonstrated significant and roughly equivalent decreases on interviewer-rated depression scores. However, on interviewer-rated depression, 71% of MED+DBT patients were in remission at post-treatment, in contrast to 47% of MED patients. At a 6-month follow-up, 75% of MED+DBT patients were in remission, compared with only 31% of MED patients, a significant difference. Only patients receiving MED+DBT showed significant improvements from pre- to post-treatment on dependency and adaptive coping that are proposed to create vulnerability to depression.Conclusion Results from this pilot study suggest that DBT skills training and telephone coaching may offer promise to effectively augment the effects of antidepressant medication in depressed older adults.

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Crossref · 10.1097/00019442-200301000-00006

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Research works printed but not linked: 1

  1. Beck, 1983, Cognitions, attitudes, and personality dimensions in depression, British Journal of Cognitive Psychotherapy, 1, 1

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Metadata

Authors
Lynch, T. R., Morse, J. Q., Mendelson, T., & Robins, C. J.
Affiliations
Duke University (US)
Corresponding author
Lynch, Thomas R.
ORCID
Venue
The American Journal of Geriatric Psychiatry
Publisher
Elsevier BV
Published
2003-01
Volume
11
Issue
1
Pages
33-45
ISSN
1064-7481 (ISSN-L)
DOI
10.1097/00019442-200301000-00006
OpenAlex
W2032583580
Cited by
384
References
72
Citations by year
2026: 2 · 2025: 8 · 2024: 9 · 2023: 9 · 2022: 17 · 2021: 45 · 2020: 15 · 2019: 6 · 2018: 15 · 2017: 25 · 2016: 12 · 2015: 30 · 2014: 24 · 2013: 24 · 2012: 17
FWCI
14.25
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • American Journal of Geriatric Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • ePrints Soton (University of Southampton) (submittedVersion)
Funders
National Institute of Mental Health (R01 MH-54846, P30 MH401159-14, R01MH054846, R03MH057799)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
dialectical behavior therapy, geriatric depression, antidepressant augmentation, group therapy, telephone coaching, DBT skills training, chronic depression, treatment-resistant depression, remission, dependency, adaptive coping
MeSH terms
Adaptation, Psychological, Affect, Aged, Aged, 80 and over, Behavior Therapy, Chronic Disease, Depressive Disorder, Female, Humans, Male, Middle Aged, Pilot Projects, Psychotherapy, Group

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