Psychotherapy in the Maintenance Treatment of Depression

1994 ◽  
Vol 165 (S26) ◽  
pp. 42-50 ◽  
Author(s):  
Myrna M. Weissman

A review of epidemiologic and clinical data on depression suggests that psychotherapy is both an important alternative as well as a supplement to medication for the maintenance treatment of depression. Psychotherapy is an alternative for patients during periods when medication may not be suitable or feasible (e.g. pregnancy, nursing, before or during major surgery, or in the elderly). Psychotherapy also has a role in maintenance treatment in dealing with the social and interpersonal consequences or triggers of recurrent depression. Although the number of continuation or maintenance treatment trials that include psychotherapy is quite limited, the efficacy of maintenance treatment in the delay of recurrence and enhancement of social functioning is best established for interpersonal psychotherapy. There are also some results concerning cognitive and behavioural therapies for maintenance treatment of depression.

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Wina Nurdini Kodaruddin ◽  
Sri Sulastri ◽  
Hery Wibowo

AbstractBased on Central Java Governor Regulation No. 31/2018, the Bojongbata Nursing Home used to providing social services for the elderly. Unfortunately, Bojongbata Nursing Home does not have a special instrument for assessing the elderly's social function. The social function assessment usually used maps of social network and list of questions related to the elderly social relationships. However, this instrument has not been able to thoroughly explore the conditions, problems and needs of the elderly. In fact, an in-depth assessment of social functioning affects the determination of appropriate interventions and helps social workers analyze the conditions and service needs of the elderly. This study aims to identify the social functioning of the elderly through the aspects of Social Resources, Social Activities, Social Networking, Social Support, and Social Role and Role Functioning. This study analyzed several elderly informants with the aim of identifying their social functioning based on potential and non-potential groups. This is done to find differences in the conditions and needs of the two. The results of this study indicate that Levin assessment theory can describe the social functioning of the elderly. There is a relationship between aspects in realizing the better social functioning of the elderly. Elderly who can make good use of social resources and have adequate social activities have a wider and stronger social network. This social network can provide the social support needed by the elderly in carrying out their social roles properly.


Author(s):  
M. Matud ◽  
M. García

Psychological distress has been considered a key component in the psychosocial functioning and functional disability of the elderly, but the determining factors of social functioning and psychological distress in the elderly people are not yet fully known. The aim of this study is to perform a gender analysis of the relevance of psychological distress and psychosocial factors in the social functioning of the elderly. A cross-sectional study with a sample of 589 men and 684 women from the general Spanish population aged between 65 and 94 years was conducted. All participants were evaluated through questionnaires and scales that assess psychological distress, social functioning, stress, coping styles, self-esteem and social support. Results: Women scored higher than men in psychological distress, chronic stress, emotional coping and instrumental social support, whereas men scored higher than women in self-esteem and rational coping. Psychological distress was significantly associated in women and men with worse social functioning, which was also lower in older people and in women with lower self-esteem. Psychological distress has a considerable impact on the social functioning of the elderly, and gender is a relevant factor in the psychological distress experienced and its predictors.


2007 ◽  
Vol 164 (5) ◽  
pp. 761-767 ◽  
Author(s):  
Ellen Frank ◽  
David J. Kupfer ◽  
Daniel J. Buysse ◽  
Holly A. Swartz ◽  
Paul A. Pilkonis ◽  
...  

2001 ◽  
Vol 13 (1) ◽  
pp. 38-44 ◽  
Author(s):  
Gregory M. Bump ◽  
Benoit H. Mulsant ◽  
Bruce G. Pollock ◽  
Sati Mazumdar ◽  
Amy E. Begley ◽  
...  

Author(s):  
E. Frank ◽  
D. J. Kupfer ◽  
E. F. Wagner ◽  
A. B. McEachran ◽  
C. Comes

2019 ◽  
pp. 137-143
Author(s):  
Dennys Christovel Dese ◽  
Cahyo Wibowo

Peningkatan jumlah lansia setiap tahunnya harus dijadikan perhatian, akibat adanya peningkatan jumlah lansia masalah yang dihadapi akan menjadi semakin kompleks, salah satunya adalah masalah yang berkaitan dengan gejala penuaan. Menurunnya kapasitas intelektual berhubungan erat dengan fungsi kognitif pada lansia. Aktivitas fisik diidentifikasi sebagai salah satu faktor yang mempengaruhi fungsi kognitif. Aktivitas fisik bermanfaat untuk lansia sebagai pencegahan dan demensia. Penelitian ini merupakan penelitian analitik observasional dengan menggunakan pendekatan cross sectional. Penelitian dilakukan di yayasan sosial Panti Wredha Salib Putih Salatiga pada bulan Juni 2018. Populasi dalam penelitian ini adalah lansia yang berumur ?60 tahun. Subjek pada penelitian ini berjumlah 16 responden. Variabel independen dalam penelitian ini adalah aktivitas fisik yang dinilai dengan menggunakan instrument GPAQ. Sedangkan variabel dependen dalam penelitian ini adalah fungsi kognitif yang dinilai dengan instrument MMSE. Terdapat 4 orang (25%) yang masuk dalam kategori fungsi kognitif normal dengan kategori aktifitas fisik sedang 1 orang dan aktifitas berat 3 orang, kemudian yang termasuk dalam kategori gangguan fungsi kognitif ringan sebanyak 11 orang (68,75%), dengan kategori aktifitas fisik sedang 8 orang dan aktifitas ringan 3 orang. Sedangkan yang termasuk dalam kategori gangguan fungsi kognitif berat, terdapat 1 orang (6,25%) dengan kategori aktifitasnya ringan. Taraf signifikansi antar variabel tingkat aktifitas fisik dan fungsi kognitif pada lansia adalah p=0.007 atau p<0,05, sehingga dapat disimpulkan ada  hubungan antara tingkat aktifitas fisik dengan fungsi kognitif pada lansia.   Increasing the number of elderly people every year should be a concern, due to an increase in the number of elderly problems faced will become increasingly complex, one of which is a problem related to the symptoms of aging. Decreased intellectual capacity is closely related to cognitive function in the elderly. Physical activity is identified as one of the factors that influence cognitive function. Physical activity is beneficial for the elderly as prevention and dementia. This study was an observational analytic study using a cross sectional approach. The study was conducted at the social foundation nursing home in the white cross in June 2018. The population in this study was elderly aged ≥60 years. The subjects in this study were 16 respondents. The independent variable in this study is physical activity that is assessed using the GPAQ instrument. While the dependent variable in this study was cognitive function which was assessed by the MMSE instrument. There are 4 people (25%) who fall into the category of normal cognitive function with moderate physical activity categories 1 person and heavy activities 3 people, then those included in the category of mild cognitive function disorders are 11 people (68.75%), with the category of physical activity being 8 people and 3 light activities. While those included in the category of severe cognitive function disorders, there is 1 person (6.25%) with a mild activity category. The significance level between the level of physical activity and cognitive function in the elderly is p = 0.007 or p <0.05, so it can be concluded that there is a relationship between the level of physical activity and cognitive function in the elderly.


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