Evidence map›Paper›PMID 28237826›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2017

Treatment Considerations for Depression Research in Older Married Couples: A Dyadic Case Study.

Sarah T Stahl, Juleen Rodakowski, Ariel G Gildengers, Charles F Reynolds, Jennifer Q Morse, Kevin Rico, Meryl A Butters

Open access · greenAbstract readCase Reports
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. Longitudinal Associations Between Cognitive Functioning and Depressive Symptoms Among Older Adult Spouses in the Cardiovascular Health Study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2018
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Sarah T StahlDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Juleen RodakowskiDepartment of Occupational Therapy, University of Pittsburgh School of Health and Rehabilitation Sciences, Pittsburgh, PA.
Ariel G GildengersDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Charles F ReynoldsDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Jennifer Q MorseDepartment of Counseling Psychology, Chatham University, Pittsburgh, PA.
Kevin RicoDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Meryl A ButtersDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA. Electronic address: ButtersMA@upmc.edu.
University of Pittsburgh · USChatham University · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
University of Pittsburgh Clinical and Translational Science InstitutionKL2TR000146 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$8.7M
RESEARCH METHODS COREP30MH090333 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEW, MARY AMANDA · 2011 to 2015
$8.3M
CLINICAL RESEARCH TRAINING IN LATE-LIFE MOOD DISORDERST32MH019986 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HOWARD J AIZENSTEIN, Carmen Andreescu · 1997 to 2026
$6.9M
A Randomized Pilot Study of Behavioral Self-monitoring to Promote Mental Health among Spousally Bereaved Older AdultsK01MH103467 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STAHL, SARAH T · 2015 to 2018
$599k
NCATS NIH HHS KL2 TR000146NCATS NIH HHS KL2 TR001856NCATS NIH HHS UL1 TR000005NIMH NIH HHS K01 MH103467NIMH NIH HHS L30 MH098406NIMH NIH HHS P30 MH090333NIMH NIH HHS T32 MH019986
6 · The paper itself

Abstract

objectiveCritical gaps remain in understanding optimal approaches to intervening with older couples. The focus of this report is to describe the pros and cons of incorporating spousal dyads into depression-prevention research.

methodsIn an intervention development study, the authors administered problem-solving therapy (PST) dyadically to participants with mild cognitive impairment (MCI) and their caregivers. Dyads worked with the same interventionist in the same therapy session. The dyadic PST (highlighted in a case example of a husband with MCI and his wife/support person) and the potential feasibility of the program are described.

resultsThe authors found that the wife of the individual with MCI could be trained as a PST coach to help her husband learn and use problem-solving skills. A decrease in depressive symptom severity was observed for the individual with MCI, which was sustained over 12 months of follow-up. Neither the husband nor wife experienced an incident episode of major depression over the course of the study.

conclusionDyadic interventions need to be further developed in geriatric psychiatry; proven methods such as PST can be modified to include patients' support persons. Recommendations are offered for developing randomized controlled trials that aim to recruit dyads and prevent depression in at-risk older married couples.

Indexed as

CaregiversSpousesAgedCognitive DysfunctionCognitive RemediationDepressionFemaleHumansMaleProblem SolvingcouplesDepressiondyadspreventionproblem-solving therapy

Identifiers

PMID28237826
PMCPMC5724521
OpenAlexW2570308495

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.