A collaborative, stepped-care intervention is more effective in treating late-life depression than usual care, researchers in the United States have found.
They report 45 percent of patients receiving the intervention had a 50 percent or greater reduction in depressive symptoms at 12 months, compared with only 19 percent of patients receiving usual care.
“Intervention patients had significantly higher rates of depression treatment, greater satisfaction with depression care and greater improvements in depression,” say investigators led by Dr. Jurgen Unutzer from the University of California at Los Angeles Neuropsychiatric Institute in Los Angeles.
“Subjects assigned to the IMPACT intervention also reported less health-related impairment in work, family and social functioning and better quality of life than usual-care patients, suggesting that the effects of this intervention on health extended beyond reducing depressive symptoms.”
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