Treating depressed older adults in primary care : ... Catalogue en ligne

Titre :	Treating depressed older adults in primary care : narrowing the gap between efficacy and effectiveness. (1999)
Auteurs :	Jurgen UNUTZER ; Wayne KATON ; Jeanne MIRANDA ; Mark SULLIVAN
Type de document :	Article
Dans :	Milbank quarterly (the) (vol. 77, n° 2, 1999)
Pagination :	225-256
Langues:	Anglais
Mots-clés :	Etat dépressif ; Traitement ; Personne âgée ; Efficacité ; Evaluation ; Santé mentale ; Epidémiologie
Résumé :	There is a gap between the efficacy of treatments for late-life depression under research conditions and the effectiveness of treatments as they occur in the "real world" of primary care. Considerable evidence supports the efficacy of treatments for late-life depression, but many depressed older adults are not recognized or do not receive effective treatment for depression in primary care. Older adults face a range of special treatment barriers : knowledge deficits ; losses and social isolation ; multiple medical problems ; and lack of financial resources. More research is needed to understand these barriers and to study the effectiveness of multifaceted, population-based disease management interventions for late-life depression in primary care.

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