Never too old to learn : the effectiveness of the Coping with Depression course for elderly

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Never too old to learn : the effectiveness of the Coping with Depression course for elderly

Type: Doctoral Thesis
Title: Never too old to learn : the effectiveness of the Coping with Depression course for elderly
Author: Haringsma, Rimke
Publisher: Department of Clinical- Health- and Neuropsychology, Faculty of Social and Behavioural Sciences, Leiden University
Issue Date: 2008-01-31
Keywords: Late-life depression
Effectiveness
Coping
CWD course
Elderly
Abstract: In the Netherlands the Coping with Depression (CWD; Lewinsohn & Clark, 1984) course for elderly has been implemented in the prevention arm of the community-based mental health care system. The study’s aim was the effectiveness (immediate and long-term) of the course in this real life setting. Enrolment of all 318 participants was the responsibility of the mental health care professionals in charge of the course. The immediate effect was studied in a random design using a waitlist group as control group; the long-term effect was analyzed in a naturalistic design. The Center for Epidemiological studies Depression scale (CES-D; Radloff, 1977) was used as the outcome measure. A wide range of variables related to incidence, severity, course and remittance of depression were included as predictors of immediate and long-term outcome. Results. The level of depressive symptoms varied from slight to being severely depressed i.e., meeting the criteria for a major depressive episode (MDE). Effect size: for non-depressed 0.32, for those with a MDE 0.92. The four predictors – anxiety, MDE, previous MDE, and education level - that were statistically significant had no clinical significance and did not justify further triage at intake. At the conclusion of the course 62% still had a CES-D score above 16, which is an indication that a clinical relevant depression is persisting. These participants should be advised to seek further treatment.
Description: Promotor: P. Spinhoven, Co-promotor: G.I. Engels
With Summary in English
Faculty: Faculteit der Sociale Wetenschappen
Citation: Haringsma, R., 2008, Doctoral Thesis, Leiden University
ISBN: 9789088910272
Sponsor: Netherlands Organisation Health Research and Development (Zorgonderzoek Nederland – ZonMw)
Handle: http://hdl.handle.net/1887/12620
 

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