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“Pull Yourself Up by Your Bootstraps”

A Response to Depression in Older Adults

Bibliographic Data

ID18955129
AuthorsJulia F Switzer (Department of Family Medicine and Community Health at the University of Pennsylvania, Philadelphia, corresponding author), Marsha N Wittink (Department of Family Medicine and Community Health at the University of Pennsylvania, Philadelphia), Marsha Wittink (0000-0002-3037-9723, University of Pennsylvania), Brearley B Karsch (Department of Family Medicine and Community Health at the University of Pennsylvania, Philadelphia), F K Barg (0000-0003-3328-1980, Department of Family Medicine and Community Health and the Department of Anthropology at the University of Pennsylvania, Philadelphia)
Year2006
Volume16
Issue9
Pages1207-1216
Publication date2006-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/1049732306290148
PMID17038753
PMCIDPMC2782756
OpenAlexW2105005608
LanguageEN
Citations received9
References cited16

Although depression is one of the most common problems among adults in primary care settings, many do not seek or adhere to the treatment regimens suggested by their providers. Understanding the cultural model surrounding depression and its treatment in older adults might provide insight into the development of more effective strategies for addressing the problem in the clinical setting. In this study, the authors conducted semi-structured interviews with adults over age 65. Personal responsibility for the management of depression emerged as a pervasive approach to dealing with depression. Older adults used orientational and movement metaphors to describe the process of moving out of depression. They viewed initiation and follow-through of this process as the sole responsibility of the depressed individual. This attitude might be rooted in the cultural experiences of this particular cohort of older adults and has implications for their use of physical and mental health services for depression

Cohort · Family medicine · Management of depression · Mental health · Primary care · Psychiatry · Art Therapy and Mental Health · Clinical Psychology · Community Health and Development · Medicine · Mental Health and Psychiatry · Psychology · Gerontology

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Unique citing works9
Citations per year0,5
Citation span2008 - 2024 (17)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 9

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