Evidence map›Paper›PMID 33097388›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2021

Improvements in Functional Disability After Psychotherapy for Depression Are Associated With Reduced Suicide Ideation Among Older Adults.

Julie Lutz, R Scott Mackin, Marcela C Otero, Ruth Morin, David Bickford, Duygu Tosun, Derek D Satre, Christine E Gould, J Craig Nelson, Sherry A Beaudreau

Open access · greenAbstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

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  7. Problem-Solving Therapy Effects on Suicidal Ideation: The Role of Reduction in Functional Disability.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Julie LutzDepartment of Psychiatry, Center for the Study and Prevention of Suicide, University of Rochester Medical Center (JL), Rochester, NY; Sierra Pacific Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System (JL, MCO, SAB), Palo Alto, CA. Electronic address: Julie_lutz@urmc.rochester.edu.
R Scott MackinDepartment of Psychiatry, Weill Institute for Neurosciences, University of California San Francisco (RSM, DB, DDS, JCN), San Francisco, CA; San Francisco Veteran's Administration Medical Center (RSM, RM), San Francisco, CA.
Marcela C OteroSierra Pacific Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System (JL, MCO, SAB), Palo Alto, CA; Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine (MCO, CEG, SAB), Stanford, CA.
Ruth MorinSan Francisco Veteran's Administration Medical Center (RSM, RM), San Francisco, CA.
David BickfordDepartment of Psychiatry, Weill Institute for Neurosciences, University of California San Francisco (RSM, DB, DDS, JCN), San Francisco, CA.
Duygu TosunDepartment of Radiology and Biomedical Imaging, University of California San Francisco (DT), San Francisco, CA.
Derek D SatreDepartment of Psychiatry, Weill Institute for Neurosciences, University of California San Francisco (RSM, DB, DDS, JCN), San Francisco, CA; Division of Research, Kaiser Permanente Northern California (DDS), Oakland, CA.
Christine E GouldDepartment of Psychiatry & Behavioral Sciences, Stanford University School of Medicine (MCO, CEG, SAB), Stanford, CA; Geriatric Research, Education, and Clinical Center, VA Palo Alto Health Care System (CEG), Palo Alto, CA.
J Craig NelsonDepartment of Psychiatry, Weill Institute for Neurosciences, University of California San Francisco (RSM, DB, DDS, JCN), San Francisco, CA.
Sherry A BeaudreauSierra Pacific Mental Illness Research Education and Clinical Center, VA Palo Alto Health Care System (JL, MCO, SAB), Palo Alto, CA; Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine (MCO, CEG, SAB), Stanford, CA.
University of California, San Francisco · USStanford University · USKaiser Permanente · USUniversity of California System · USUniversity of Rochester Medical Center · USVA Palo Alto Health Care System · US

Funding

Postdoctoral Training in Suicide Prevention Research (supplement 2)T32MH020061 · NIMH · UNIVERSITY OF ROCHESTER · PI VAN ORDEN, KIMBERLY ALLISON · 2001 to 2025
$5.9M
Multimodal MRI Characteristics of Psychotherapy Response in Late Life DepressionR01MH101472 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MACKIN, ROBERT SCOTT, TOSUN-TURGUT, DUYGU · 2015 to 2019
$3.3M
Reducing Anxiety and Improving Functioning in Older VeteransIK2RX001478 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI GOULD, CHRISTINE E. · 2015 to 2020
–
NIMH NIH HHS R01 MH101472NIMH NIH HHS T32 MH020061RRD VA IK2 RX001478
6 · The paper itself

Abstract

objectiveTo evaluate the association between changes in functional disability and suicide ideation among older adults following psychotherapy for depression.

methodsSixty-five participants (65-91 years old, 72% White, and 66% female) with depression completed 12 sessions of problem solving therapy (PST) and completed measures of disability (WHO Disability Assessment Schedule 2.0) and suicide ideation (Geriatric Suicide Ideation Scale [GSIS]) at baseline and post-treatment.

resultsHierarchical linear regressions found that reductions in functional disability were associated with overall reductions in suicide ideation on the GSIS (F[4,60] = 4.06, p < 0.01), particularly with the Loss of Worth GSIS subscale (F[4,60] = 7.86, p < 0.001, ΔR

conclusionsResults suggest decreased functional disability following depression treatment is associated with decreased suicide ideation, especially thoughts regarding loss of worth. These results highlight the potential for treatments that reduce functional disability (e.g., PST) to reduce risk of suicide among older adults.

Indexed as

DepressionSuicidal IdeationAgedAged, 80 and overFemaleHumansMalePsychotherapydisabilityGeriatricloss of worthproblem solving therapypsychotherapysuicide ideation

Identifiers

PMID33097388
PMCPMC8024402
OpenAlexW3092384728

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.