Assessment of patient's experience of the therapeutic relationship (TR) and of therapist ability to foster Understanding and Accepting can play a significant role in the delivery of geriatric psychosocial interventions, according to a recent study. Participants were older patients (n= 220) with major depression and executive dysfunction who received 12 weeks of problem-solving therapy or supportive therapy in a randomized control trial. Multilevel growth curve modeling and latent change scores were used to analyze TR dimensions of Understanding and Accepting at the patient level (individual patient ratings, n=194) and therapist level (ratings of each therapist averaged across participants, n=10). Researchers found:
- TR predicted reduction of depression in both treatment groups, while treatment x TR interactions were not significant.
- Patients treated by therapists with higher average Understanding (patient and therapist level) and Accepting (therapist level) ratings had greater decreases in depression.
- Together, Understanding and Accepting predicted 21% of variance in depression level changes.
Mace RA, Gansler DA, Suvak MK, et al. Therapeutic relationship in the treatment of geriatric depression with executive dysfunction. [Published online ahead of print March 7, 2017]. J Affect Disord. doi:10.1016/j.jad.2017.03.006.
This Week's Must Reads
Family Involvement in Veterans with Schizophrenia, Psychiatr Rehabil J; ePub 2019 Mar 28; Cohen, et al
Cognitive Training Program in Schizophrenia, Schizophr Res; ePub 2019 Mar 28; Mahncke, et al
Continuous Exercise & CI in Schizophrenia, Front Psychiatry; ePub 2019 Mar 13; Herbsleb, et al
MHC Risk Variants in Cortical Thickness, Brain Behav; ePub 2019 Mar 28; Tao, et al
Disclosing the Diagnosis of Schizophrenia, Int J Soc Psychiatry; ePub 2019 Mar 27; Setti, et al
Must Reads in Geriatrics
Disparities in Receipt of ECT in Depressed Elderly, Am J Geriatr Psychiatry; ePub 2018 Nov 29; Jones, et al
Depression in Later Life Intervention is Effective, JAMA Psychiatry; ePub 2018 Nov 7; Dias, et al
More than One-Third of Older Adults Use Sleep Aids, Am J Geriatr Psychiatry; ePub 2018 Sep 14; Maust, et al
Older Adults and Worry: Which Treatments Work Best?, Am J Geriatr Psych; ePub 2018 Aug 7; Stanley, et al
Gender Differences in Schizophrenia May Vary by Age, Am J Geriatr Psychiatry; ePub 2018 Jul 27; Muralidharan, et al