Recovering the ability to function socially in elderly depressed patients: a prospective, controlled trial

Arch Gerontol Geriatr. 2005 Jul-Aug;41(1):41-9. doi: 10.1016/j.archger.2004.11.001. Epub 2004 Dec 25.

Abstract

Among elderly patients with depressive disorders, restrictions of the ability to function socially apparently linger long after the depressive symptoms abate. In a 16-week long, prospective, controlled study on 30 elderly, depressed patients who were still living at home (response rate, 93.3%), we wanted to find out whether recovering the ability to function socially takes a different course through integrative treatment than it does subsequent to purely psychopharmacological therapy. We used the Beck Depression Inventory (BDI) and the Social Adaptation Self-Evaluation Scale (SASS) to measure our results. Both forms of therapy did afford a relatively rapid reduction of depressive symptoms, however, the integrative treatment not only led to a more expeditious reduction of the BDI score [in the fourth week (P<0.05) and starting with the eighth week (P<0.01)] but was also the only one that led to a significant improvement in the ability to function socially [in the 12th week, P<0.05; in the 16th week, P<0.01]. These findings could contribute to improved treatment and rehabilitation of elderly patients, thereby prolonging the periods in their lives in which they can live independently.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Depressive Disorder / complications*
  • Depressive Disorder / therapy
  • Female
  • Geriatric Assessment
  • Deutschland
  • Humans
  • Prospective Studies
  • Recovery of Function*
  • Social Adjustment*
  • Statistics, Nonparametric