Book contents
- Psychotherapy in Later Life
- Psychotherapy in Later Life
- Copyright page
- Contents
- Contributors
- Foreword
- Preface
- Part 1 Introduction to Psychotherapy in Later Life
- Part 2 Evidence-Based Psychotherapy in Later Life
- Chapter 4 Cognitive Behavioral Therapy in Late Life
- Chapter 5 Problem-Solving Therapy
- Chapter 6 Interpersonal Psychotherapy in Later Life
- Chapter 7 Short-Term Psychodynamic Psychotherapy
- Chapter 8 Other Therapies: Reminiscence Therapy, Cognitive Behavioral Therapy for Insomnia, and Cognitive Behavioral Therapy for Hoarding Disorder
- Part 3 Special Topics in Psychotherapy in Later Life
- Index
- References
Chapter 5 - Problem-Solving Therapy
from Part 2 - Evidence-Based Psychotherapy in Later Life
Published online by Cambridge University Press: 09 January 2020
Book contents
- Psychotherapy in Later Life
- Psychotherapy in Later Life
- Copyright page
- Contents
- Contributors
- Foreword
- Preface
- Part 1 Introduction to Psychotherapy in Later Life
- Part 2 Evidence-Based Psychotherapy in Later Life
- Chapter 4 Cognitive Behavioral Therapy in Late Life
- Chapter 5 Problem-Solving Therapy
- Chapter 6 Interpersonal Psychotherapy in Later Life
- Chapter 7 Short-Term Psychodynamic Psychotherapy
- Chapter 8 Other Therapies: Reminiscence Therapy, Cognitive Behavioral Therapy for Insomnia, and Cognitive Behavioral Therapy for Hoarding Disorder
- Part 3 Special Topics in Psychotherapy in Later Life
- Index
- References
Summary
Problem-solving therapy (PST) is an evidence-based psychotherapy for depression, with particularly robust evidence for use among older adults. It is based on the premise that depression is maintained by ineffective problem-solving and resultant poor coping, low self-efficacy, and negative emotions. Problem-solving therapy aims to reduce symptomatology and maximize quality of life by developing problem-solving skills and emphasizing goal setting and action planning to achieve those goals. This chapter presents the theoretical framework of PST and reviews a typical course of treatment, illustrated by a case of an older depressed patient with cognitive impairment and complex biopsychosocial needs. Problem-solving therapy is a brief and effective intervention for older adults with depression, including those with concurrent medical problems. Recent empirical findings and considerations for special populations are presented, along with resources for further PST training.
Keywords
- Type
- Chapter
- Information
- Psychotherapy in Later Life , pp. 75 - 91Publisher: Cambridge University PressPrint publication year: 2020
References
D’Zurilla, TJ. Problem-solving therapy: a social competence approach to clinical intervention. New York: Springer; 1986.Google Scholar
Nezu, CM, Perri, MG, Nezu, AM. Problem-solving therapy for depression: theory, research, and clinical guidelines. New York: Wiley; 1989.Google Scholar
Seligman, ME. Depression and learned helplessness. The psychology of depression: contemporary theory and research. Oxford: John Wiley & Sons; 1974. p. xvii, 318.Google Scholar
Alexopoulos, GS, Kiosses, DN, Klimstra, S, Kalayam, B, Bruce, ML. Clinical presentation of the “depression–executive dysfunction syndrome” of late life. Am J Geriatr Psychiatry. 2002;10(1):98–106.Google Scholar
Kiosses, DN, Alexopoulos, GS. Problem-solving therapy in the elderly. Curr Treat Options Psych. 2014;1(1):15–26.Google Scholar
Cuijpers, P, Karyotaki, E, Pot, AM, Park, M, Reynolds, CF. Managing depression in older age: psychological interventions. Maturitas. 2014;79(2):160–169.Google Scholar
Areán, PA, Raue, P, Mackin, RS, et al. Problem-solving therapy and supportive therapy in older adults with major depression and executive dysfunction. Am J Psychiatry. 2010;167(11):1391–1398.CrossRefGoogle ScholarPubMed
Mackin, RS, Nelson, JC, Delucchi, K, et al. Cognitive outcomes after psychotherapeutic interventions for major depression in older adults with executive dysfunction. Am J Geriatr Psychiatry. 2014;22(12):1496–1503.Google Scholar
Williams, JJW, Barrett, J, Oxman, T, et al. Treatment of dysthymia and minor depression in primary care: a randomized controlled trial in older adults. JAMA. 2000;284(12):1519–1526.Google Scholar
Zhang, AA, Park, S, Sullivan, J, Jing, SJ. The effectiveness of problem-solving therapy for primary care patients’ depressive and/or anxiety disorders: a systematic review and meta-analysis. J Am Board Fam Med. 2018; 31:139–150.Google Scholar
Kasckow, JW, Karp, JF, Whyte, E, et al. Subsyndromal depression and anxiety in older adults: health related, functional, cognitive and diagnostic implications. J Psychiatr Res. 2013;47(5):599–603.CrossRefGoogle ScholarPubMed
Kroenke, K, Spitzer, RL, Williams, JBW. The PHQ-9 validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–613.Google Scholar
Lejuez, CW, Hopko, DR, Acierno, R, Daughters, SB, Pagoto, SL. Ten year revision of the brief behavioral activation treatment for depression: revised treatment manual. Behav Modif. 2011;35(2):111–161.Google Scholar
Crabb, RC, Areán, PA. Problem-solving treatment for late-life depression. In: Areán, PA, editor. Treatment of late-life depression, anxiety, trauma, and substance abuse. Washington, DC: American Psychological Association; 2015.Google Scholar
Alexopoulos, GS, Raue, PJ, Kiosses, DN, et al. Problem-solving therapy and supportive therapy in older adults with major depression and executive dysfunction: effect on disability. Arch Gen Psychiatry. 2011;68(1):33–41.Google Scholar
Gellis, ZD, Bruce, ML. Problem-solving therapy for subthreshold depression in home healthcare patients with cardiovascular disease. Am J Geriatr Psychiatry. 2010;18(6):464–474.Google Scholar
Robinson, RG, Jorge, RE, Long, J. Prevention of poststroke mortality using problem-solving therapy or escitalopram. Am J Geriatr Psychiatry. 2017;25(5):512–519.Google Scholar
Robinson, RG, Jorge, RE, Moser, DJ, et al. Escitalopram and problem-solving therapy for prevention of poststroke depression: a randomized controlled trial. JAMA. 2008;299(20):2391–2400.Google Scholar
Villamil-Salcedo, V, Vargas-Terrez, BE, Caraveo-Anduaga, J, et al. Glucose and cholesterol stabilization in patients with type 2 diabetes mellitus with depressive and anxiety symptoms by problem-solving therapy in primary care centers in Mexico City. Prim Health Care Res Dev. 2018;19(1):33–41.Google Scholar
Hoseini, Z, Azkhosh, M, Younesi, J, Soltani, E. The effectiveness of problem solving therapy on coping skills in women with type 2 diabetes. Iranian Rehabilitation Journal. 2014;12(2):39–43.Google Scholar
Taveira, TH, Dooley, AG, Cohen, LB, Khatana, SAM, Wu, W-C. Pharmacist-led group medical appointments for the management of type 2 diabetes with comorbid depression in older adults. Ann Pharmacother. 2011;45(11):1346–1355.Google Scholar
Katon, W, Unützer, J, Fan, M-Y, et al. Cost-effectiveness and net benefit of enhanced treatment of depression for older adults with diabetes and depression. Diabetes Care. 2006;29(2):265.Google Scholar
Hopko, DR, Funderburk, JS, Shorey, RC, et al. Behavioral activation and problem-solving therapy for depressed breast cancer patients: preliminary support for decreased suicidal ideation. Behav Modif. 2013;37(6):747–767.Google Scholar
Fann, JR, Fan, M-Y, Unützer, J. Improving primary care for older adults with cancer and depression. J Gen Intern Med. 2009;24(2):417–424.Google Scholar
Choi, NG, Marti, CN, Bruce, ML, Hegel, MT. Depression in homebound older adults: problem-solving therapy and personal and social resourcefulness. Behav Ther. 2013;44(3):489–500.Google Scholar
Kiosses, DN, Teri, L, Velligan, DI, Alexopoulos, GS. A home-delivered intervention for depressed, cognitively impaired, disabled elders. Int J Geriatr Psychiatry. 2011;26(3):256–262.Google Scholar
Kiosses, DN, Areán, PA, Teri, L, Alexopoulos, GS. Home-delivered problem adaptation therapy (PATH) for depressed, cognitively impaired, disabled elders: a preliminary study. Am J Geriatr Psychiatry. 2010;18(11):988–998.CrossRefGoogle ScholarPubMed
Gellis, Z, McGinty, J, Horowitz, A, Bruce, M, Misener, E. Problem-solving therapy for late-life depression in home care: a randomized field trial. Am J Geriatr Psychiatry. 2007;15(11):968–978.CrossRefGoogle ScholarPubMed
Choi, NG, Marti, CN, Marinucci, ML, et al. Telehealth problem-solving therapy for depressed low-income homebound older adults. Am J Geriatr Psychiatry. 2013;22(3).Google Scholar
Arnaert, A, Klooster, J, Chow, V. Attitudes towards videotelephones: an exploratory study of older adults with depression. J Gerontol Nurs. 2007;33(9):5–13.Google Scholar
Kleiboer, A, Donker, T, Seekles, W, et al. A randomized controlled trial on the role of support in internet-based problem solving therapy for depression and anxiety. Behav Res Ther. 2015;72:63–71.Google Scholar
Nguyen, CM, Chen, KH, Denburg, NL. The use of problem-solving therapy for primary care to enhance complex decision-making in healthy community-dwelling older adults. Front Psychol. 2018;9:870.Google Scholar
Areán, P, Hegel, M, Vannoy, S, Fan, M-Y, Unüzter, J. Effectiveness of problem-solving therapy for older, primary care patients with depression: results from the IMPACT project. The Gerontologist. 2008;48(3):311–323.Google Scholar
Reinhardt, JP, Horowitz, A, Cimarolli, VR, Eimicke, JP, Teresi, JA. Addressing depression in a long-term care setting: a phase II pilot of problem-solving treatment. Clin Ther. 2014;36(11):1531–1537.Google Scholar
Stahl, ST, Rodakowski, J, Gildengers, AG, et al. Treatment considerations for depression research in older married couples: a dyadic case study. Am J Geriatr Psychiatry. 2017;25(4):388–395.CrossRefGoogle ScholarPubMed
Rovner, BW, Casten, RJ, Hegel, MT, Leiby, BE, Tasman, WS. Preventing depression in age-related macular degeneration. Arch Gen Psychiatry. 2007;64(8):886–892.Google Scholar
Raue, P, McGovern, A, Kiosses, D, Sirey, J. Advances in psychotherapy for depressed older adults. Cur Psychiatry Rep. 2017;19(9):1–9.Google Scholar
Lin, EHB, Katon, W, Von Korff, M, et al. Effect of improving depression care on pain and functional outcomes among older adults with arthritis: a randomized controlled trial. JAMA. 2003;290(18):2428–2429.Google Scholar
Fiske, A, Wetherell, JL, Gatz, M. Depression in older adults. Annu Rev Clin Psychol. 2009;5:363–389.CrossRefGoogle ScholarPubMed
Gustavson, KA, Alexopoulos, GS, Niu, GC, et al. Problem-solving therapy reduces suicidal ideation in depressed older adults with executive dysfunction. Am J Geriatr Psychiatry. 2016;24(1):11–7.Google Scholar
Choi, NG, Marti, CN, Conwell, Y. Effect of problem‐solving therapy on depressed low‐income homebound older adults’ death/suicidal ideation and hopelessness. Suicide Life Threat Behav. 2016;46(3):323–336.CrossRefGoogle Scholar
Unützer, J, Katon, W, Callahan, CM, et al. Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. JAMA. 2002;288(22):2836–2845.Google Scholar
Ciechanowski, P, Wagner, E, Schmaling, K, et al. Community-integrated home-based depression treatment in older adults: a randomized controlled trial. JAMA. 2004;291(13):1569–1577.Google Scholar
Choi, NG, Sirey, JA, Bruce, ML. Depression in homebound older adults: recent advances in screening and psychosocial interventions. Curr Transl Geriatr Exp Gerontol Rep. 2013;2(1):16.Google Scholar
Choi, NG, Hegel, MT, Sirrianni, L, Marinucci, ML, Bruce, ML. Passive coping response to depressive symptoms among low-income homebound older adults: Does it affect depression severity and treatment outcome? Behav Res Ther. 2012;50(11):668–674.Google Scholar
Chu, JP, Huynh, L, Areán, P. Cultural adaptation of evidence‐based practice utilizing an iterative stakeholder process and theoretical framework: problem solving therapy for Chinese older adults. Int J Geriatr Psychiatry. 2012;27(1):97–106.Google Scholar
- 1
- Cited by