[Effect of schema-focused therapy on depression, anxiety and maladaptive cognitive schemas in the elderly.]
, Burlacu S
, Louville P
, Limosin F
Service universitaire de psychiatrie de l'adulte et du sujet âgé, hôpital Corentin-Celton, hôpitaux universitaires Paris Ouest (AP-HP), 4, parvis Corentin-Celton, 92133 Issy-les-Moulineaux, France; Chargé d'enseignement, université Paris Descartes, 75006P
Depression is one of the most frequent mental disorders in older people, known to increase rates of disability and mortality. Depression in late life, commonly accompanied by multiple medical illnesses, reduces quality of life and is a strong risk factor for suicide. Despite its clinical significance, depression remains underdiagnosed and inadequately treated in older patients. Cognitive-behavioural psychotherapies have the most empirical support in treating late-life depression, and are recommended by numerous guidelines in this indication. Group interventions are also recommended for older adults because they offer peer support, mitigate social isolation, encourage shared empathy and provide a context for peer feedback help from the group. Previous studies have shown that maladaptive schemas have an important role in the development or maintenance of depression and anxiety in older people, either as risk factors or as vulnerability markers, but there are no studies that have examined the effectiveness of schema-focused therapy to improve depression in late life.
PMID: 23830011 [PubMed - as supplied by publisher]