Thirty-one community-residing older adults age 60 or over either received 16 sessions of individual cognitive psychotherapy (Beck, Rush, Shaw, & Emery, 1979) or read Feeling Good (Burns, 1980) for bibliotherapy. Posttreatment comparisons with the delayed-treatment control indicated that both treatments were superior to a delayed-treatment control. Individual psychotherapy was superior to bibliotherapy at posttreatment on self-reported depression, but there were no differences on clinician-rated depression. Further, bibliotherapy participants continued to improve after posttreatment, and there were no differences between treatments at 3-month follow-up. Results suggest that bibliotherapy and that individual psychotherapy are both viable treatment options for depression in older adults.
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References
1.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
2.
Beck, A. T., Rush, J., Shaw, B., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.
3.
Blazer, D. (1989). Depression in the elderly. The New England Journal of Medicine, 320, 164-166.
4.
Blazer, D. (1991, November). Epidemiology of depressive disorders in late life. Paper presented at the NIMH Consensus Development Conference: Diagnosis and Treatment of Depression in Late Life, Washington, DC.
5.
Burns, D. (1980). Feeling good. New York: New American Library.
6.
Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A., & Kaemmer, B. (1989). MMPI-2 (Minnesota Multiphasic Personality Inventory-2): Manual for administration and scoring. Minneapolis, MN: University of Minnesota Press.
7.
Cohen, J. (1977). Statistical power for the behavioral sciences. San Diego, CA: Academic Press
8.
Derogatis, L. R. (1983). SCL-90R administration, scoring, and procedures manual. Baltimore, MD: Johns Hopkins University Press.
9.
Derogatis, L., & Spencer, P. (1983). BSI manual I: Administration and procedures. Baltimore: Johns Hopkins University School of Medicine, Clinical Psychometrics Unit.
10.
Derogatis, L. R., (1993). Brief Symptom Inventory (BSI) administration, scoring, and procedures manual (3rd ed.). Minneapolis, MN: National Computer Systems.
11.
Dick, L. P., & Gallagher-Thompson, D. (1996). Late-life depression. In M. Hersen & V. B. Van Hasselt (Eds.), Psychological treatment of older adults (pp. 181-208). New York: Plenum.
12.
Elkin, I. (1994). The NIMH treatment of depression collaborative research program: Where we began and where we are. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change (4th ed., pp. 114-139). New York: John Wiley.
13.
Gallagher-Thompson, D., & Thompson, L. W. (1995). Psychotherapy with older adults in theory and practice. In B. Bongar & L. E. Beutler (Eds.), Comprehensive textbook of psychotherapy (pp. 359-379). New York: Oxford University Press.
14.
Hamilton, M. (1967). Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology, 6, 278-296.
15.
Jacobson, N., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19.
16.
Kahn, H. L., Goldfarb, A. I., Pollack, M., & Peck, A. (1960). Brief objective measures for the determination of mental status in the aged. American Journal of Psychiatry, 117, 326-328.
17.
Kazdin, A. E., & Bass, D. (1989). Power to detect differences between alternative treatments in comparative psychotherapy outcome research. Journal of Consulting and Clinical Psychology, 57, 138-147.
18.
Koenig, H. G., & Blazer, D. (1992). Mood disorders and suicide. In J. E. Birren, R. B. Sloane, & G. D. Cohen (Eds.), Handbook of mental health and aging (pp. 379-407). San Diego, CA: Academic Press.
19.
Neimeyer, R. A., & Feixas, G. (1990). The role of homework and skill acquisition in the outcome of group cognitive therapy for depression. Behavior Therapy, 21, 281-292.
20.
Newman, J. P. (1989). Aging and depression. Psychology and Aging, 4, 150-165.
21.
Olin, J. T., Schneider, L. S., Eaton, E. E., Zemansky, M. F., & Pollock, V. E. (1992). The Geriatric Depression Scale and the Beck Depression Inventory as screening instruments in an older adult outpatient population. Psychological Assessment, 4, 190-192.
22.
Persons, J. B., Burns, D. D., & Perloff, J. M. (1988). Predictors of dropout and outcome in cognitive therapy for depression in a private practice setting. Cognitive Therapy and Research, 12, 557-575.
23.
Reynolds, C. F., III, Frank, E., Kupfer, D. J., Thase, M. E., Perel, J. M., Mazumdar, S., et al. (1996). Treatment outcome in recurrent major depression: A post hoc comparison of elderly “young old” and midlife patients. American Journal of Psychiatry, 153, 1288-1292.
24.
Scogin, F. (1994). Assessment of depression in older adults: A guide for practitioners. In M. Storandt & G. R. VandenBos (Eds.), Neuropsychological assessment of dementia and depression in older adults: A clinician’s guide (pp. 61-80). Washington, DC: American Psychological Association.
25.
Scogin, F., Floyd, M., Jamison, C., Ackerson, J., Landreville, P., & Bissonnette, L. (1996). Negative outcomes: What is the evidence on self-administered treatments? Journal of Consulting and Clinical Psychology, 64, 1086-1089.
26.
Scogin, F., Hamblin, D., & Beutler, L. (1987). Bibliotherapy for depressed older adults: A selfhelp alternative. The Gerontologist, 27, 383-387.
27.
Scogin, F., Jamison, C., Floyd, M., & Chaplin, W. F. (1998). Measuring learning in depression treatment: A Cognitive Bibliotherapy Test. Cognitive Therapy and Research, 22, 475-482.
28.
Scogin, F., Jamison, C., & Gochneaur, K. (1989). Comparative efficacy of cognitive and behavioral bibliotherapy for mildly and moderately depressed older adults. Journal of Consulting and Clinical Psychology, 57, 403-407.
29.
Scogin, F., & McElreath, L. (1994). Efficacy of psychosocial treatments for geriatric depression: A quantitative review. Journal of Consulting and Clinical Psychology, 62, 69-74.
30.
Teri, L., & McCurry, S. M. (2000). Psychosocial therapies with older adults. In C. E. Coffey & J. L. Cummings (Eds.), Textbook of geriatric neuropsychiatry (2nd ed., pp. 861-890). Washington, DC: American Psychiatric Press.
31.
Thompson, L. W., Gallagher, D., & Breckinridge, J. S. (1987). Comparative effectiveness of psychotherapies for depressed elders. Journal of Consulting and Clinical Psychology, 55, 385-390.
32.
Vallis, T. M., Shaw, B. F., & Dobson, K. S. (1986). The Cognitive Therapy Scale: Psychometric properties. Journal of Consulting and Clinical Psychology, 54, 381-385.
33.
Yesavage, J., Brink, T., Rose, T., Lum, O., Huang, O., Adey, V., et al. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37-49.
34.
Yost, E. B., Beutler, L. E., Corbishley, M. A., & Allender, J. R. (1986). Group cognitive therapy: A treatment approach for depressed older adults. Elmsford, NY: Pergamon.
35.
Young, J., & Beck, A. T. (1980). Cognitive Therapy Scale: Rating manual. Unpublished manuscript.
