J Korean Geriatr Psychiatry.  2017 Apr;21(1):35-40. 10.0000/jkgp.2017.21.1.35.

Effect of Community-Based ‘Goal-Achieving Program’ in Patient with Late-Life Depression : Preliminary Study

Affiliations
  • 1Department of Psychiatry, Ajou University School of Medicine, Suwon, Korea. sjsonpsy@ajou.ac.kr, chhong2012@gmail.com
  • 2Ajou Good Hospital, Suwon, Korea.
  • 3Department of Psychiatry, St. Vincent Hospital, The Catholic University of Korea College of Medicine, Suwon, Korea.
  • 4Office of Biostatistics, Ajou University School of Medicine, Suwon, Korea.

Abstract


OBJECTIVE
This study aimed to investigate the effect of community-based Goal-Achieving program in geriatric depressive symptoms preliminarily.
METHODS
We obtained data from elderly Korean subjects with major depressive disorder (n=51) aged 60 years or older at baseline, taking case management from community mental health center. Subjects were randomly assigned to intervention group (n=24) and control group (n=27). We investigated depressive symptoms through Short Form Geriatric Depression Scale-Korean version (SGDS-K) at baseline and every month for 3 months to all subjects. We tested interaction between group and time in SGDS-K score to evaluate the effect of program. And post hoc test examined between group differences of SGDS-K at each time points.
RESULTS
In quadratic linear mixed effects model analysis, interaction between group and time was statistically significant (Total SGDS-K score : coefficient=0.29, p<0.001 ; SGDS-K dysphoria subscale : 0.18, p<0.001 ; SGDS-K hopelessness subscale : 0.05, p=0.089 ; SGDS-K cognitive impairment subscale : 0.06, p=0.003). And significant between group difference was shown in post hoc test at time points of third month (SGDS-K score of control group : SGDS-K score of intervention group=10.74±3.482 : 7.25±4.475, p=0.0184).
CONCLUSION
These results may suggest that ‘Community-based the Goal-Achieving program’ has efficacy in reducing geriatric depressive symptoms.

Keyword

Geriatric depression; Community based; The Goal-Achieving program
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