Psychosocial treatment of depression in older adults with dementia

Linda Teri, Glenise McKenzie, David LaFazia

Research output: Contribution to journalReview article

40 Scopus citations

Abstract

Depression and dementia commonly coexist and are associated with higher rates of behavioral and functional problems. Caregivers of these individuals report higher levels of physical and mental distress, as well. Effective treatment, therefore, has the potential to help both the older adult and their caregiver. This article provides an overview of the current literature on treatment of depression in demented older adults, with particular emphasis on providing guidelines for evidence-based clinical care. Eleven randomized controlled clinical trials were identified following an extensive review of the literature. These studies are reviewed with particular attention to the methodological issues of most relevance to clinicians attempting to use the findings from these studies to guide their practice. Issues of particular relevance when working with this population are also addressed, including (a) for assessment - differential and coexistent diagnosis of depression in dementia, use of collateral informants, self-report and interviewer-obtained information; and b) for treatment - the need for caregiver involvement, individualizing of goals, and planning for future deterioration of cognitive function.

Original languageEnglish (US)
Pages (from-to)303-316
Number of pages14
JournalClinical Psychology: Science and Practice
Volume12
Issue number3
DOIs
StatePublished - Sep 1 2005

Keywords

  • Dementia
  • Depression
  • Empirically supported treatments
  • Geropsychology
  • Psychosocial intervention

ASJC Scopus subject areas

  • Clinical Psychology

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