Trial reportBMC family practice2015
Revealing hidden depression in older people: a qualitative study within a randomised controlled trial.
Trial report in BMC family practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Management of depression and referral of older people to psychological therapies: a systematic review of qualitative studies.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Pooled it
- Nursing assessment of mental health issues in the general clinical environment: A descriptive study.Journal of advanced nursing · 2025Observational
- Community-based Collaborative Care for Serious Mental Illness: A Rapid Qualitative Evidence Synthesis of Health Care Providers' Experiences and Perspectives.Community mental health journal · 2025Review
- Risk of suicide and all-cause death in patients with mental disorders: a nationwide cohort study.Molecular psychiatry · 2025Article
- Article
- Unrecognised depression among older people: a cross-sectional study from Norwegian general practice.BJGP open · 2023Article
- Prioritization of indicators of the quality of care provided to older adults with frailty by key stakeholders from five canadian provinces.BMC geriatrics · 2022Article
- 'I wanted to talk about it, but I couldn't', an H70 focus group study about experiencing depression in early late life.BMC geriatrics · 2020Article
- Can support workers from AgeUK deliver an intervention to support older people with anxiety and depression? A qualitative evaluation.BMC family practice · 2019Article
- Talking about depression during interactions with GPs: a qualitative study exploring older people's accounts of their depression narratives.BMC family practice · 2018Article
- How should we implement collaborative care for older people with depression? A qualitative study using normalisation process theory within the CASPER plus trial.BMC family practice · 2018Article
- Factors contributing to the recognition of anxiety and depression in general practice.BMC family practice · 2018Article
- A qualitative study on older primary care patients' perspectives on depression and its treatments - potential barriers to and opportunities for managing depression.BMC family practice · 2018Article
- Article
- Developing a community-based psycho-social intervention with older people and third sector workers for anxiety and depression: a qualitative study.BMC family practice · 2017Article
- Association of Suicidality and Depression With 5α-Reductase Inhibitors.JAMA internal medicine · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe prevalence of depressive symptoms in older people may be as high as 20 %. Depression in older people is associated with loss, loneliness and physical co-morbidities; it is known to be under-diagnosed and under-treated. Older people may find it difficult to speak to their GPs about low mood, and GPs may avoid identifying depression due to limited consultation time and referral options for older patients.
methodsA nested qualitative study in a randomised controlled trial for older people with moderate to severe depression: the CASPER Plus Trial (Collaborative Care for Screen Positive Elders). We interviewed GPs, case managers (CM) and patient participants to explore perspectives and experiences of delivering and receiving a psychosocial intervention, developed specifically for older adults in primary care, within a collaborative care framework. Transcripts were analysed thematically using principles of constant comparison.
resultsThirty three interviews were conducted and, across the three data-sets, four main themes were identified: revealing hidden depression, reducing the 'blind spots', opportunity to talk outside the primary care consultation and 'moving on' from depression.
conclusionsDepression in older people is commonly hidden, and may coexist with physical conditions that are prioritised by both patients and GPs. Being invited to participate in a trial about depression may allow older people to disclose their feelings, name the problem, and seek help. Offering older people an opportunity to talk outside the primary care consultation is valued by patients and GPs. A psychosocial intervention delivered by a case manager in the primary care setting may fill the gap in the care of older people with depression.
trial registrationCurrent Controlled Trials ISRCTN45842879 .
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.