An Update on Evidence-Based Treatments for Depression Among Older Adults

2013 ◽  
Author(s):  
Forrest Scogin ◽  
Mark Floyd ◽  
Avani Shah
GeroPsych ◽  
2015 ◽  
Vol 28 (2) ◽  
pp. 67-76
Author(s):  
Grace C. Niu ◽  
Patricia A. Arean

The recent increase in the aging population, specifically in the United States, has raised concerns regarding treatment for mental illness among older adults. Late-life depression (LLD) is a complex condition that has become widespread among the aging population. Despite the availability of behavioral interventions and psychotherapies, few depressed older adults actually receive treatment. In this paper we review the research on refining treatments for LLD. We first identify evidence-based treatments (EBTs) for LLD and the problems associated with efficacy and dissemination, then review approaches to conceptualizing mental illness, specifically concepts related to brain plasticity and the Research Domain Criteria (RDoc). Finally, we introduce ENGAGE as a streamlined treatment for LLD and discuss implications for future research.


Author(s):  
Cristin D. Runfola ◽  
Jessica H. Baker ◽  
Cynthia M. Bulik

It is not infrequent to see older adults present with eating disorder behaviors or diagnoses. This chapter reviews the prevalence, incidence, and clinical presentation of eating disorders at midlife. Following characterization of midlife eating disorders, evidence-based treatments for these disorders at midlife are discussed. Reviewed data suggest that eating disorders exist at midlife but that research is inadequate to state definitively the frequency with which they occur and how they differ from presentations earlier in life. Existing research on mid- and late-life eating disorders suggests that providers must consider the eating disturbances within the developmental context of the individuals under study. Similarly, treatment for individuals with eating disorders at midlife should consider enlisting family support and must be tailored to address the impact of aging and responsibilities on the individual because they may serve as very different triggering and maintaining factors than those seen in youth.


Author(s):  
Sabine Heuer

Purpose Future speech-language pathologists are often unprepared in their academic training to serve the communicative and cognitive needs of older adults with dementia. While negative attitudes toward older adults are prevalent among undergraduate students, service learning has been shown to positively affect students' attitudes toward older adults. TimeSlips is an evidence-based approach that has been shown to improve health care students' attitudes toward older adults. The purpose of this study is to explore the change in attitudes in speech-language pathology students toward older adults using TimeSlips in service learning. Method Fifty-one students participated in TimeSlips service learning with older adults and completed the Dementia Attitude Scale (DAS) before and after service learning. In addition, students completed a reflection journal. The DAS data were analyzed using nonparametric statistics, and journal entries were analyzed using a qualitative analysis approach. Results The service learners exhibited a significant increase in positive attitude as indexed on the DAS. The reflective journal entries supported the positive change in attitudes. Conclusions A noticeable attitude shift was indexed in reflective journals and on the DAS. TimeSlips is an evidence-based, patient-centered approach well suited to address challenges in the preparation of Communication Sciences and Disorders students to work with the growing population of older adults.


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