Evidence map›Paper›PMID 18515689›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2008

Preventing late-life depression in age-related macular degeneration.

Barry W Rovner, Robin J Casten

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Prevention of depression in adults with long-term physical conditions.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Pooled it
  3. Challenges and Solutions for Depression Prevention Research: Methodology for a Depression Prevention Trial for Older Adults with Knee Arthritis and Emotional Distress.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2016
    Trial
  4. Trial
  5. Trial
  6. Problem-solving strategies of women undergoing chemotherapy for breast cancer.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2012
    Trial
  7. Trial
  8. Trial
  9. Review
  10. Why visually impaired older adults often do not receive mental health services: the patient's perspective.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2015
    Article
  11. Article
  12. The mediating role of disability and social support in the association between low vision and depressive symptoms in older adults.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2014
    Article
  13. Problem-Solving Therapy in the Elderly.Current treatment options in psychiatry · 2014
    Article
  14. Article
  15. Article
  16. Article
  17. Current methods of visual rehabilitation.Deutsches Arzteblatt international · 2011
    Review
  18. Depressive symptoms moderate the influence of the apolipoproteine epsilon4 allele on cognitive decline in a sample of community dwelling older adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2009
    Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Barry W RovnerDepartment of Psychiatry and Neurology, Jefferson Medical College, Jefferson Medical College, Philadelphia, PA 19107, USA. barry.rovner@jefferson.edu
Robin J Casten
Jefferson College · US

Funding

Improving Function In Age-Related Macular DegenerationU01EY015839 · NEI · THOMAS JEFFERSON UNIVERSITY · PI ROVNER, BARRY W. · 2005 to 2009
$3.9M
PREVENTING DEPRESSION IN MACULAR DEGENERATIONR01MH061331 · NIMH · THOMAS JEFFERSON UNIVERSITY · PI ROVNER, BARRY W · 2001 to 2005
$2.4M
NEI NIH HHS U01 EY 015839NEI NIH HHS U01 EY015839NIMH NIH HHS R01 MH061331NIMH NIH HHS R0 1 MH61331
6 · The paper itself

Abstract

objectiveTo determine whether problem-solving treatment (PST) can prevent depressive disorders in patients with age-related macular degeneration (AMD).

designTwo hundred six patients with AMD were randomly assigned to PST (n = 105) or usual care (n = 101). PST therapists delivered six PST sessions over 8 weeks in subjects' homes. MEASUREMENTS: Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition Diagnoses of Depressive Disorders, Hamilton Depression Rating Scale scores, and rates of relinquishing valued activities were assessed at 2 months for short-term effects and 6 months for maintenance effects.

resultsThe 2-month incidence rate of depressive disorders in PST-treated subjects was significantly lower than controls (11.6% versus 23.2%, respectively; OR = 0.43; 95% CI [0.20, 0.95]). PST also reduced the odds of relinquishing a valued activity (OR = 0.48; 95% CI [0.25, 0.96]); this effect mediated the relationship between treatment group and depression. By 6 months most earlier observed benefits had diminished. Secondary analyses showed that a minimal level of depressive symptoms were disabling and predicted incident depressive disorders.

conclusionPST prevented depressive disorders and loss of valued activities as a short-term treatment but these benefits were not maintained over time. To sustain PST's effect, an intervention that uses a problem-solving framework to enhance rehabilitative skills may be necessary.

Indexed as

Problem SolvingActivities of Daily LivingAgedBehavior TherapyDepressive DisorderFemaleFollow-Up StudiesGoalsHumansMacular DegenerationMajor Depressive DisorderMaleMiddle AgedPsychotherapy, BriefRisk FactorsSick Role

Identifiers

PMID18515689
PMCPMC3591459
OpenAlexW1986542115

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.