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Social Support and Treatment Response in Older Depressed Primary Care Patients

Bibliographic Data

ID12440916
AuthorsThomas E Oxman (Dartmouth–Hitchcock Medical Center, corresponding author), Jay G Hull
Year2001
Volume56
Issue1
PagesP35-P45
Publication date2001-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Journals of Gerontology Series B (JOURNAL)
Journal identifiersISSN: 1079-5014 • E-ISSN: 1758-5368
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/geronb/56.1.p35
PMID11192336
OpenAlexW2118949186
LanguageEN
Citations received16
References cited7

A previously tested theoretical model that specifies relationships among depression, activities of daily living (ADL) impairment, and social support components was validated with 307 patients aged 60 and older from a multisite effectiveness trial of 3 treatments (antidepressant, placebo, Problem-Solving Treatment) for dysthymia or minor depression in primary care. Participants completed interviews and self-reports at baseline and at 6 and 12 weeks. The short-term, longitudinal data were analyzed with covariance structure modeling techniques. Consistent with the previous model, impairment in ADLs was associated with subsequent increases in depression, a larger emotionally close network that made frequent visits was associated with subsequent increases in perceived support, and perceived support was associated with subsequent decreases in depression. This last effect was significant only among participants randomly assigned to receive placebo with clinical management. The similar results in 2 different studies are a substantial validation of the theoretical model. The effect of perceived support primarily in the placebo group suggests that those with greater perceived social support and subsyndromal depression may be more likely to have a positive response to nonspecific clinical treatment components

Activities of daily living · Alternative medicine · Depression (economics · Placebo · Primary care · Psychiatry · Psychotherapist · Social support · Medicine · Mental Health Research Topics · Mental Health Treatment and Access · Psychology · Schizophrenia research and treatment · Clinical Psychology

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Unique citing works16
Citations per year0,7
Citation span2003 - 2025 (23)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 16

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