Visual scanning behavior during processing of emotional faces in older adults with major depression

ObjectiveThe study aims to explore the associations of elder abuse, crime victimhood and perceived safety with depression among older adults and examine the interactive effects of sex and place of residence in those associations.DesignA cross-sectional study was conducted using a large survey data.Setting and participantsThe study used data from the Longitudinal Ageing Study in India wave 1 (2017–2018). The effective sample size was 31 464 older adults (aged 60 years or older).Primary and secondary outcome measuresThe outcome variable was major depression, calculated using Short Form Composite International Diagnostic Interview. Descriptive statistics along with bivariate and multivariate analyses were performed to fulfil the objectives.Results5.22% of the older adults (n=1587) experienced abuse in the past 1 year. 1.33% of the older individuals (n=402) were victims of a violent crime, and 14.30% (n=1886) perceived an unsafe neighbourhood. Also, 8.67% of the older adults (n=2657) were suffering from depression. Older adults who were abused had 2.5 odds of suffering from depression (adjusted OR (AOR): 2.47, CI: 1.96 to 3.10) and victims of a violent crime were 84% more likely to be depressed (AOR: 1.84, CI: 1.15 to 2.95) compared with their counterparts. Besides, older individuals who perceived as living in unsafe neighbourhood were 61% more likely to be depressed (AOR: 1.61, CI: 1.34 to 1.93) compared with their counterparts. In the interaction analysis, older women who reported abuse had higher odds of suffering from depression (AOR: 3.27; CI: 2.34 to 4.57) compared with older men who were not abused. Similar result was found in older adults reporting abuse and residing in rural areas (AOR: 3.01, CI: 2.22 to 4.07) compared with those urban residents reporting no abuse.ConclusionsHealthcare providers should pay more attention to the mental health implications of elder abuse, crime victimhood and perceived safety to grasp the underlying dynamics of the symptomology of late-life depression.

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A double blind, placebo-controlled pilot study of galantamine augmentation of antidepressant treatment in older adults with major depression

International Journal of Geriatric Psychiatry ◽

10.1002/gps.1951 ◽

2008 ◽

Vol 23 (6) ◽

pp. 625-631 ◽

Cited By ~ 29

Author(s):

Paul E. Holtzheimer ◽

Thomas W. Meeks ◽

Mary E. Kelley ◽

Mustafa Mufti ◽

Raymond Young ◽

...

Keyword(s):

Older Adults ◽

Pilot Study ◽

Major Depression ◽

Antidepressant Treatment ◽

Double Blind ◽

Double Blind Placebo

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Facial recognition of happiness among older adults with active and remitted major depression

Psychiatry Research ◽

10.1016/j.psychres.2016.06.020 ◽

2016 ◽

Vol 243 ◽

pp. 287-291 ◽

Cited By ~ 7

Author(s):

Paulo R. Shiroma ◽

Paul Thuras ◽

Brian Johns ◽

Kelvin O. Lim

Keyword(s):

Older Adults ◽

Major Depression ◽

Facial Recognition

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Lifetime Major Depression is Associated With Coronary Heart Disease in Older Adults: Results From the National Epidemiologic Survey on Alcohol and Related Conditions

Psychosomatic Medicine ◽

10.1097/psy.0b013e3181574977 ◽

2007 ◽

Vol 69 (8) ◽

pp. 729-734 ◽

Cited By ~ 25

Author(s):

Sarah Herbst ◽

Robert H. Pietrzak ◽

Julie Wagner ◽

William B. White ◽

Nancy M. Petry

Keyword(s):

Older Adults ◽

Coronary Heart Disease ◽

Heart Disease ◽

Major Depression ◽

Epidemiologic Survey

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Hospital Outcomes in Major Depression Among Older Adults: Differences by Alcohol Comorbidity

Journal of Dual Diagnosis ◽

10.1080/15504263.2014.993295 ◽

2015 ◽

Vol 11 (1) ◽

pp. 83-92 ◽

Cited By ~ 8

Author(s):

Paul Sacco ◽

George Jay Unick ◽

Faika Zanjani ◽

Elizabeth A. S. Camlin

Keyword(s):

Older Adults ◽

Major Depression ◽

Hospital Outcomes

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Depression, cognitive, and functional outcomes of Problem Adaptation Therapy (PATH) in older adults with major depression and mild cognitive deficits

International Psychogeriatrics ◽

10.1017/s1041610219001716 ◽

2020 ◽

Vol 32 (4) ◽

pp. 485-493

Author(s):

Dora Kanellopoulos ◽

Paul Rosenberg ◽

Lisa D. Ravdin ◽

Dalynah Maldonado ◽

Nimra Jamil ◽

...

Keyword(s):

Older Adults ◽

Cognitive Impairment ◽

Treatment Group ◽

Major Depression ◽

Rating Scale ◽

Treatment Options ◽

Supportive Therapy ◽

Psychosocial Interventions ◽

World Health ◽

Time Interaction

ABSTRACTObjectives:Antidepressants have limited efficacy in older adults with depression and cognitive impairment, and psychosocial interventions for this population have been inadequately investigated. Problem Adaptation Therapy (PATH) is a psychosocial intervention for older adults with major depression, cognitive impairment, and disability.Design:This study tests the efficacy of PATH versus Supportive Therapy for Cognitively Impaired Older Adults (ST-CI) in reducing depression (Montgamery Asberg Depression Rating Scale [MADRS]) and disability (World Health Organization Disability Assessments Schedule-II [WHODAS-II]) and improving cognitive outcomes (Mini Mental State Examination [MMSE]) over 24 weeks (12 weeks of treatment and 12-week post-treatment follow-up).Setting:Participants were recruited through collaborating community agencies of Weill Cornell Institute of Geriatric Psychiatry. Both interventions and all research assessments were conducted at home.Participants:Thirty-five older adults (age ≥ 65 years) with major depression and cognitive impairment no dementia (CIND).Interventions:PATH aims to increase emotion regulation by incorporating a problem-solving approach, teaching compensatory strategies, and inviting caregiver participation. Supportive Therapy aims to facilitate the expression of affect, as well as promote empathy.Measurements:Depression was measured using the MADRS, disability using the WHODAS-II, and cognition using the MMSE.Results:PATH participants showed significantly greater reduction in MADRS total score (7.04 points at 24 weeks, treatment group by time interaction: F[1,24.4] = 7.61, p = 0.0108), greater improvement in MMSE total score (2.30 points at 24 weeks, treatment group by time interaction: F[1,39.8] = 13.31, p = 0.0008), and greater improvement in WHODAS-II total score (2.95 points at 24 weeks, treatment group by time interaction: F[1,89] = 4.93, p = 0.0290) than ST-CI participants over the 24-week period.Conclusions:PATH participants had better depression, cognitive, and disability outcomes than ST-CI participants over 6 months. PATH may provide relief to depressed older adults with CIND who currently have limited treatment options.

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