COMMENTS

  1. Problem-Solving Therapy in the Elderly

    PST has two premises: 1) Finding the best possible solution to current everyday problems may reduce the experience of stress and improve peoples' lives, and 2) teaching people problem-solving skills will help them solve future problems. Because older adults experience many stressors in everyday life as a result of medical illnesses, losses ...

  2. Psychotherapy & Older Adults

    The study compares a primary-care-based psychotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psychotherapy in treating late-life major depression and dysthymia. Older adults who received PST-PC had more depression-free days at both 12 and between 12 and 24 months and they had fewer depressive symptoms ...

  3. PROBLEM-SOLVING THERAPY FOR OLDER ADULTS

    Problem solving therapy (PST) is an effective intervention for treating older adults who struggle with stress related health and mental health issues (D'Zurilla & Nezu, 1999; Nezu, Nezu & D'Zurilla 2013). Clients are trained to overcome major obstacles that inhibit effective coping and heighten stress by means of problem identification ...

  4. Problem-Solving Therapy in the Elderly

    Abstract. We systematically reviewed randomized clinical trials of problem-solving therapy (PST) in older adults. Our results indicate that PST led to greater reduction in depressive symptoms of late-life major depression than supportive therapy (ST) and reminiscence therapy. PST resulted in reductions in depression comparable with those of ...

  5. Chapter 5

    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 ...

  6. PROBLEM-SOLVING THERAPY FOR OLDER ADULTS

    Problem solving therapy (PST) is an effective intervention for treating older adults who struggle with stress related health and mental health issues (D'Zurilla & Nezu, 1999; Nezu, Nezu & D'Zurilla 2013). Clients are trained to overcome major obstacles that inhibit effective coping and heighten stress by means of problem identification ...

  7. PDF Problem-Solving Therapy in the Elderly

    teaching people problem-solving skills will help them solve future problems. Because older adults experience many stressors in everyday life as a result of medical illnesses, losses, disability, and cognitive impairment, a hands-on approach using discrete and easily taught steps to solve problems is appealing and practical.

  8. Problem-Solving Therapy in the Elderly

    Problem-solving therapy (PST) is a psychotherapy that has been used widely in psychiatry. Meta-analyses have highlighted the use of PST in a variety of conditions, including depressive disorders, conduct disorders, obesity, and substance abuse, across different populations (including children and young and older adults) and settings (including ...

  9. Problem Solving Therapy Improves Social Problem Solving Skills in Older

    Introduction: Depressive disorders and chronic low back pain (CLBP) are highly comorbid in older adults. Problem Solving Therapy has been used successfully in primary care with older adults with medical comorbidity to treat depression. A modified version - 'Problem Solving Therapy for Depression and Pain' (PST-DP) has been developed for the treatment of older adults with depression and ...

  10. Problem-solving therapy and supportive therapy in older adults with

    Objective: The purpose of this study was to determine whether problem-solving therapy is an effective treatment in older patients with depression and executive dysfunction, a population likely to be resistant to antidepressant drugs. Method: Participants were adults age 60 and older with major depression and executive dysfunction. . Problem-solving therapy was modified to be accessible to this ...

  11. Problem-Solving Therapy and Supportive Therapy in Older Adults With

    The efficacy demonstrated by problem-solving therapy is particularly important because depressed elderly patients with executive dysfunction have poor or slow response to pharmacotherapy (3-6). This is the first study to demonstrate the efficacy of problem-solving therapy in older patients with major depression and executive dysfunction.

  12. Problem-Solving Therapy for Older Adults at Risk for Depression: A

    Problem-Solving Therapy for Older Adults at Risk for Depression: A Qualitative Analysis of the Depression in Later Life Trial Fredric Azariah, M.Sc., Miriam Sequeira ...

  13. Problem-Solving Therapy and Supportive Therapy in Older Adults With

    Context Older patients with depression and executive dysfunction represent a population with significant disability and a high likelihood of failing pharmacotherapy.. Objectives To examine whether problem-solving therapy (PST) reduces disability more than does supportive therapy (ST) in older patients with depression and executive dysfunction and whether this effect is mediated by improvement ...

  14. Problem-solving therapy for adult depression: An updated meta-analysis

    Choi, N.G. Marti, C.N. Bruce, M.L. Hegel, M.T. Depression in homebound older adults: problem-solving therapy and personal and social resourcefulness. Beh Ther 44 (September) 2013; 489-500.CrossRef Google Scholar PubMed ... Table 1 Selected characteristics of studies examining problem solving therapy for adult depression (N = 3.357).

  15. Problem adaptation therapy for older adults with major ...

    Importance: Problem adaptation therapy (PATH) is a treatment for older adults with major depression, cognitive impairment (from mild cognitive deficits to moderate dementia), and disability. Antidepressants have limited efficacy in this population and psychosocial interventions are inadequately investigated. Objective: To test the efficacy of 12-week PATH vs supportive therapy for cognitively ...

  16. Effectiveness of Case Management with Problem-Solving Therapy for Rural

    PST teaches problem solving skills that can be used to address various life challenges, reduce stress, and facilitate adaptation. 21 Over 25 years of clinical research supports PST as an evidence-based behavioral treatment for late life depression proven effective in urban settings with ambulatory, and medically ill older adults; and older ...

  17. The Use of Problem-Solving Therapy for Primary Care to Enhance Complex

    Effectiveness of problem-solving therapy for older, primary care patients with depression: results from the IMPACT project. Gerontologist 48 311-323. 10.1093/geront/48.3.311 ... Older adults make less advantageous decisions than younger adults: cognitive and psychological correlates. J. Int. Neuropsychol.

  18. Problem Adaptation Therapy for Older Adults

    Importance Problem adaptation therapy (PATH) is a treatment for older adults with major depression, cognitive impairment (from mild cognitive deficits to moderate dementia), and disability. Antidepressants have limited efficacy in this population and psychosocial interventions are inadequately investigated. Objective To test the efficacy of 12-week PATH vs supportive therapy for cognitively ...

  19. Problem-Solving Therapy for Older Adults at Risk for Depression: A

    Objective: As a sequel to the Depression in Later Life trial of lay counselor-delivered problem-solving therapy for depression prevention among older adults in Goa, India, this qualitative study aimed to explore participant experiences to illuminate the reasons for the trial's positive findings and implications for further efforts at depression prevention in low-resource settings. Methods ...

  20. Meta-analysis of problem solving therapy for the treatment of major

    Objective: Major depressive disorder (MDD) affects many older adults and is associated with poor medical and mental health outcomes. Problem Solving Therapy (PST) has emerged as a promising psychotherapy for MDD in older adults, although the efficacy of PST in this population has not been well described. We examined the effectiveness of PST for ...

  21. Problem-Solving Therapy: Theory and Practice

    Areas for which problem-solving therapy has been found useful are summarized, including depression, anxiety, relationship difficulties, and distress related to medical problems such as cancer and diabetes. The chapter describes contexts for practice, including primary care and home care, as well as adaptations for the use of PST with older adults.

  22. Problem-Solving Therapy and Supportive Therapy in Older Adults With

    Objective: The purpose of this study was to determine whether problem-solving therapy is an effective treatment in older patients with depression and executive dysfunction, a population likely to be resistant to antidepressant drugs. Method: Participants were adults age 60 and older with major depression and executive dysfunction. Problem-solving therapy was modified to be accessible to this ...

  23. Adapting Systems Training for Emotional Predictability and Problem

    Key Points What is already known about this topic: (1) Systems Training for Emotional Predictability and Problem Solving (STEPPS) is an evidence-based psychotherapeutic treatment for patients with borderline personality disorder. (2) Promising results have been found for STEPPS in older adults. (3) Several studies recommend adapting psychotherapeutic treatments for older adults. What this ...

  24. Problem-solving therapy for major depressive disorders in older adults

    Background: Major depressive disorder is a global public health problem among older adults. Many studies show that problem-solving therapy (PST) is a cognitive behavioral approach that can effectively treat late-life depression. Aim: To summarize and assess the effects of PST on major depressive disorders in older adults.