J Korean Med Assoc.  2010 Nov;53(11):984-992.

Psychosocial treatment of psychiatric disorders of the elderly

Affiliations
  • 1Department of Psychiatry, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea. shryu@kku.ac.kr

Abstract

Interest in psychosocial treatment as non-pharmacologic treatment in the elderly has been increasing, and this treatment has became an important therapeutic approach for the following common psychiatric disorders: depressive disorder, anxiety disorder, some psychological conditions, and some cognitive disorders. Some examples of the psychosocial treatments frequently used with older people with psychiatric disorders are cognitive behavior therapy, interpersonal therapy, individual psychotherapy, reality orientation, validation therapy, reminiscence therapy, and cognitive training. Those treatment options should be used carefully in light of individual needs and optimal objectives for the elderly and their caregivers. It is crucial for the clinician to understand the characteristics and clinical applications of each psychosocial treatment for the elderly in particular. Further studies are needed to demonstrate the feasibility and effectiveness of old and new psychosocial treatment modalities for older people with psychiatric disorders. Psychosocial treatments are very important with or without pharmacological treatment in the elderly with psychiatric problems. Clinician should become familiar with various psychosocial treatments.

Keyword

Non-pharmacologic treatment; Psychosocial treatment; Aged; Psychiatric disorders

MeSH Terms

Aged
Anxiety Disorders
Caregivers
Cognitive Therapy
Depressive Disorder
Humans
Light
Orientation
Psychotherapy

Figure

  • Figure 1 Cognitive distortion and emotional response.


Reference

1. Wilkinson P. Jacoby R, Oppenheimer C, Dening T, Thomas A, editors. Psychological treatments: introduction. Oxford textbook of old age psychiatry. 2008. New York: Oxford University Press;241–246.
2. Alexopoulos GS. Depression in the elderly. Lancet. 2005. 365:1961–1970.
Article
3. Reynolds CF 3rd, Frank E, Perel JM, Imber SD, Cornes C, Miller MD, Mazumdar S, Houck PR, Dew MA, Stack JA, Pollock BG, Kupfer DJ. Nortriptyline and interpersonal psychotherapy as maintenance therapies for recurrent major depression: a randomized controlled trial in patients older than 59 years. JAMA. 1999. 281:39–45.
Article
4. Jacquemin A. Strategy and methods of cognitive rehabilitation in patients with Alzheimer's disease or other dementia. Psychol Neuropsychiatr Vieil. 2009. 7:265–273.
5. Ayalon L, Gum AM, Feliciano L, Arean PA. Effectiveness of nonpharmacological interventions for the management of neuropsychiatric symptoms in patients with dementia: a systematic review. Arch Intern Med. 2006. 166:2182–2188.
Article
6. Smith GE, Housen P, Yaffe K, Ruff R, Kennison RF, Mahncke HW, Zelinski EM. A cognitive training program based on principles of brain plasticity: results from the Improvement in Memory with Plasticity-based Adaptive Cognitive Training (IMPACT) study. J Am Geriatr Soc. 2009. 57:594–603.
Article
7. Smith NM, Floyd MR, Scogin F, Jamison CS. Three-year follow-up of bibliotherapy for depression. J Consult Clin Psychol. 1997. 65:324–327.
Article
8. Ransom D, Heckman TG, Anderson T, Garske J, Holroyd K, Basta T. Telephone-delivered, interpersonal psychotherapy for HIV-infected rural persons with depression: a pilot trial. Psychiatr Serv. 2008. 59:871–877.
Article
9. Mohlman J, Gorman JM. The role of executive functioning in CBT: a pilot study with anxious older adults. Behav Res Ther. 2005. 43:447–465.
Article
10. Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive therapy of depression. 1979. New York: Guilford Press.
11. Beck AT, Rush AJ. A cognitive model of anxiety formation and anxiety resolution. Issues Ment Health Nurs. 1985. 7:349–365.
Article
12. James IA, Kendell K, Reichelt FK. Conceptualizations of depression in older people: the interaction of positive and negative beliefs. Behav Cogn Psychother. 1999. 27:285–290.
Article
13. Thompson LW. Cognitive-behavioral therapy and treatment for late-life depression. J Clin Psychiatry. 1996. 57:Suppl 5. 29–29.
14. Fennell M, Bennett-Levy J, Westbrook D. Bennett-Levy J, Burtler G, Fennell M, Hackmann A, Mueller M, Westbrook D, editors. Depression. Oxford guide to behavioural experiments in cognitive therapy. 2004. Oxford: Oxford University Press;205–222.
Article
15. Wilkinson P. Cognitive therapy with elderly people. Age Ageing. 1997. 26:53–58.
Article
16. Nordhus IH, Pallesen S. Psychological treatment of late-life anxiety: an empirical review. J Consult Clin Psychol. 2003. 71:643–651.
Article
17. Stuart S, Robertson M. . Interpersonal psychotherapy: a clinician's guide. 2003. London: Arnold.
18. Miller MD, Frank E, Cornes C, Houck PR, Reynolds CF 3rd. The value of maintenance interpersonal psychotherapy (IPT) in older adults with different IPT foci. Am J Geriatr Psychiatry. 2003. 11:97–102.
Article
19. Gruttert T, Huchzermeier C, Aldenhoff J. Interpersonal psychotherapy (IPT) of depression: an overview of the psychiatric historical background and clinical practice of IPT. Fortschr Neurol Psychiatr. 2002. 70:155–163.
Article
20. Carreira K, Miller MD, Frank E, Houck PR, Morse JQ, Dew MA, Butters MA, Reynolds CF 3rd. A controlled evaluation of monthly maintenance interpersonal psychotherapy in late-life depression with varying levels of cognitive function. Int J Geriatr Psychiatry. 2008. 23:1110–1113.
Article
21. Miller MD, Cornes C, Frank E, Ehrenpreis L, Silberman R, Schlernitzauer MA, Tracey B, Richards V, Wolfson L, Zaltman J, Bensasi S, Reynolds CF 3rd. Interpersonal psychotherapy for late-life depression: past, present, and future. J Psychother Pract Res. 2001. 10:231–238.
22. Robertson M, Rushton PJ, Bartrum D, Ray R. Group-based interpersonal psychotherapy for posttraumatic stress disorder: theoretical and clinical aspects. Int J Group Psychother. 2004. 54:145–175.
Article
23. Sholomskas AJ, Chevron ES, Prusoff BA, Berry C. Short-term interpersonal therapy (IPT) with the depressed elderly: case reports and discussion. Am J Psychother. 1983. 37:552–566.
Article
24. Bolton P, Bass J, Neugebauer R, Verdeli H, Clougherty KF, Wickramaratne P, Speelman L, Ndogoni L, Weissman M. Group interpersonal psychotherapy for depression in rural Uganda: a randomized controlled trial. JAMA. 2003. 289:3117–3124.
Article
25. Garner J. Psychotherapies and older adults. Aust N Z J Psychiatry. 2003. 37:537–548.
Article
26. Cohen GD. Perspectives on psychotherapy with the elderly. Am J Psychiatry. 1981. 138:347–350.
Article
27. Lee B. Korean Association for Geriatric Psychiatry. Individual psychotherapy in the elderly. Geriatric psychiatry. 2004. Seoul: Jungang Publisher;333–338.
28. Garner J. Jacoby R, Oppenheimer C, Dening T, Thomas A, editors. Psychological treatments: psychodynamic psychotherapy. Oxford textbook of old age psychiatry. 2008. New York: Oxford University Press;275–283.
29. Clare L, Woods RT, Moniz Cook ED, Orrell M, Spector A. Cognitive rehabilitation and cognitive training for early-stage Alzheimer's disease and vascular dementia. Cochrane Database Syst Rev. 2003. 4:CD003260.
Article
30. Wilson BA. Deelman BG, Saan RJ, van Zomeren AH, editors. Cognitive rehabilitation for brain injured adults. Traumatic brain injury: clinical, social and rehabilitation aspects. 1990. Amsterdam: Swets and Zeitlinger;126.
31. Davis RN, Massman PJ, Doody RS. Cognitive intervention in Alzheimer disease: a randomized placebo-controlled study. Alzheimer Dis Assoc Disord. 2001. 15:1–9.
Article
32. Lustig C, Shah P, Seidler R, Reuter-Lorenz PA. Aging, training, and the brain: a review and future directions. Neuropsychol Rev. 2009. 19:504–522.
Article
33. Practice guideline for the treatment of patients with Alzheimer's disease and other dementias of late life: American Psychiatric Association. Am J Psychiatry. 1997. 154:5 Suppl. 1–39.
34. Feil NW. Group therapy in a home for the aged. Gerontologist. 1967. 7:192–195.
Article
35. Scogin F, McElreath L. Efficacy of psychosocial treatments for geriatric depression: a quantitative review. J Consult Clin Psychol. 1994. 62:69–74.
Article
36. Haight BK, Burnside I. Reminiscence and life review: explaining the differences. Arch Psychiatr Nurs. 1993. 7:91–98.
Article
37. Baker R, Dowling Z, Wareing LA, Dawson J, Assey J. Snoezelen: its long-term and short-term effects on older people with dementia. Br J Occup Ther. 1997. 60:213–218.
Article
38. Erickson KI, Colcombe SJ, Wadhwa R, Bherer L, Peterson MS, Scalf PE, Kim JS, Alvarado M, Kramer AF. Training-induced plasticity in older adults: effects of training on hemispheric asymmetry. Neurobiol Aging. 2007. 28:272–283.
Article
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