Treating depressed older adults in primary care : narrowing the gap between efficacy and effectiveness.
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.
Mots-clés Pascal : Etat dépressif, Traitement, Personne âgée, Efficacité, Evaluation, Santé mentale, Epidémiologie
Mots-clés Pascal anglais : Depression, Treatment, Elderly, Efficiency, Evaluation, Mental health, Epidemiology
Notice produite par :
ENSP - Ecole nationale de la santé publique (devenue EHESP)
Cote : 99 V
Code Inist : 002B30A11. Création : 18/05/2000.