Evidence map›Paper›PMID 20602424›Full record

ReviewInternational journal of geriatric psychiatry2010

Treating depression in disabled, low-income elderly: a conceptual model and recommendations for care.

Patricia A Areán, Scott Mackin, Eleanor Vargas-Dwyer, Patrick Raue, Jo Anne Sirey, Dora Kanellopolos, George S Alexopoulos

Abstract readReview
In one paragraph

Review in International journal of geriatric psychiatry, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.3field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Effects of Problem-Solving Therapy and Clinical Case Management on Disability in Low-Income Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2015
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Directions for Effectiveness Research to Improve Health Services for Late-Life Depression in the United States.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2016
    Review
  11. Article
  12. Article
  13. Problem-Solving Therapy in the Elderly.Current treatment options in psychiatry · 2014
    Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Patricia A AreánWeill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medical College, University of California, San Francisco, USA. pata@lppi.ucsf.edu
Scott Mackin
Eleanor Vargas-Dwyer
Patrick Raue
Jo Anne Sirey
Dora Kanellopolos
George S Alexopoulos
University of California, San Francisco · USCornell University · US

Funding

Case Management and PST for Depressed Homebound Low-Income EldersR01MH075900 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AREAN, PATRICIA A. · 2007 to 2011
$1.6M
Case Management and PST for Depressed Homebound Low-Income EldersR01MH075897 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI ALEXOPOULOS, GEORGE S · 2007 to 2011
$1.5M
NIMH NIH HHS R01 MH075897NIMH NIH HHS R01 MH075900
6 · The paper itself

Abstract

backgroundThe treatment of depression in low-income older adults who live in poverty is complicated by several factors. Poor access to resources, disability, and mild cognitive impairment are the main factors that moderate treatment effects in this population. Interventions that not only address the depressive syndrome but also manage social adversity are sorely needed to help this patient population recover from depression.

methodsThis paper is a literature review of correlates of depression in late life. In the review we propose a treatment model that combines case management (CM) to address social adversity with problem solving treatment (PST) to address the depressive syndrome.

resultsWe present the case of Mr Z, an older gentleman living in poverty who is also depressed and physically disabled. In this case we illustrate how the combination of CM and PST can work together to ameliorate depression.

conclusionsThe combination of age, disability, and social adversity complicates the management and treatment of depression. CM and PST are interventions that work synergistically to overcome depression and manage social problems.

Indexed as

PovertyAgedAged, 80 and overCase ManagementCommunity Mental Health ServicesDelivery of Health CareDepressive DisorderFemaleHealth Services for the AgedHumansMalePersons with Disabilities

Identifiers

PMID20602424
PMCPMC3025862
OpenAlexW2160841350

What OpenQuestion holds

Textmetadata
LicenceTDM
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.