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
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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In the citing paper
“and chronic depression in the elderly (Lynch, Morse, Mendelson & Robins, 2003)”
From Effects of mindfulness on psychological health: A review of empirical studies (2011) · cites this paper as Lynch, Morse, Mendelson & Robins, 2003
In the citing paper
“Among several evidence-based approaches, DBT has received empirical support in its efficacy in treating patients with BPD and other conditions, such as binge eating disorder and treatment-resistant depression [6, 12, 13].”
In the citing paper
“In addition to BPD, DBT has been found to be effective in several psychiatric disorders characterized by ED, e.g., complex post-traumatic stress disorder (c-PTSD), depression, anxiety and eating disorders (Safer et al., 2001; Lynch et al., 2003; Chen et al., 2008; Harley et al., 2008; Bohus et al., 2013; Neacsiu et al., 2014).”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Lynch et al., 2003
In the citing paper
“Other studies have found that changes in depression (e.g. Lynch et al., 2003; Neacsiu et al., 2014; Mehlum et al., 2019), hopelessness (e.g. Mehlum et al., 2019) and quality of life (Carter et al., 2010) measures were sustained at follow-up.”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Lynch et al., 2003
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Mindfulness: Theoretical Foundations and Evidence for its Salutary Effects
Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007) · Psychological Inquiry · doi:10.1080/10478400701598298 · Cited by 3,654
Effects of mindfulness on psychological health: A review of empirical studies
Keng, S.-L., Smoski, M. J., & Robins, C. J. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.04.006 · Cited by 2,687
“Finally, modifications of DBT have been found to be effective in binge eating disorder (Telch et al., 2001), bulimia (Safer et al., 2001), and chronic depression in the elderly (Lynch et al., 2003).”
BackgroundSelf-citationDepression in Late Life: Review and Commentary
Blazer, D. G. (2003) · The Journals of Gerontology Series A · doi:10.1093/gerona/58.3.m249 · Cited by 2,383
Mindful emotion regulation: an integrative review
Chambers, R., Gullone, E., & Allen, N. B. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.06.005 · Cited by 1,360
Hayes, S. C., Villatte, M., Levin, M., & Hildebrandt, M. (2011) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032210-104449 · Cited by 800
Metadata
- Authors
- Lynch, T. R., Morse, J. Q., Mendelson, T., & Robins, C. J.
- Affiliations
- Duke University (US)
- Corresponding author
- Lynch, Thomas R.
- 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)
- 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
- 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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