Psychosocial treatment of depression in older adults with dementia

Linda Teri, Glenise McKenzie, David LaFazia

Research output: Contribution to journalArticle

39 Citations (Scopus)

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 2005
Externally publishedYes

Fingerprint

Caregivers
Dementia
Depression
Self Report
Cognition
Differential Diagnosis
Therapeutics
Randomized Controlled Trials
Guidelines
Interviews
Population
Study Guide
Problem Behavior

Keywords

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

ASJC Scopus subject areas

  • Psychology(all)
  • Clinical Psychology

Cite this

Psychosocial treatment of depression in older adults with dementia. / Teri, Linda; McKenzie, Glenise; LaFazia, David.

In: Clinical Psychology: Science and Practice, Vol. 12, No. 3, 09.2005, p. 303-316.

Research output: Contribution to journalArticle

@article{541fc9c99e244594988573a59667d90d,
title = "Psychosocial treatment of depression in older adults with dementia",
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.",
keywords = "Dementia, Depression, Empirically supported treatments, Geropsychology, Psychosocial intervention",
author = "Linda Teri and Glenise McKenzie and David LaFazia",
year = "2005",
month = "9",
doi = "10.1093/clipsy/bpi032",
language = "English (US)",
volume = "12",
pages = "303--316",
journal = "Clinical Psychology: Science and Practice",
issn = "0969-5893",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Psychosocial treatment of depression in older adults with dementia

AU - Teri, Linda

AU - McKenzie, Glenise

AU - LaFazia, David

PY - 2005/9

Y1 - 2005/9

N2 - 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.

AB - 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.

KW - Dementia

KW - Depression

KW - Empirically supported treatments

KW - Geropsychology

KW - Psychosocial intervention

UR - http://www.scopus.com/inward/record.url?scp=27144498250&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=27144498250&partnerID=8YFLogxK

U2 - 10.1093/clipsy/bpi032

DO - 10.1093/clipsy/bpi032

M3 - Article

AN - SCOPUS:27144498250

VL - 12

SP - 303

EP - 316

JO - Clinical Psychology: Science and Practice

JF - Clinical Psychology: Science and Practice

SN - 0969-5893

IS - 3

ER -