Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-25T06:48:38.943Z Has data issue: false hasContentIssue false
  • English
  • Français

Relations entre certaines caractéristiques des sujets et la réponse à la thérapie cognitive de la dépression avec des personnes âgées

Published online by Cambridge University Press:  29 November 2010

Philippe Cappeliez ,
David Latour  and
Manal Guirguis
Philippe Cappeliez
Affiliation:
Université d'Ottawa
David Latour
Affiliation:
Université d'Ottawa
Manal Guirguis
Affiliation:
Université d'Ottawa
Get access Rights & Permissions [Opens in a new window]

Abstract

Available research supports the therapeutic usefulness of cognitive therapy for depressed older adults. Few studies have addressed the issue of response prediction. This research investigates the associations between several pre-intervention characteristics of subjects and therapy outcomes in the context of a group intervention. The characteristics under study were severity of depressive symptommatology, endogenous depression profile, subjective health status, perceived social support, and frequency of cognitive depressive symptoms representing a negative view of oneself. A more severe depressive symptomatology and a more negative health perception were associated with a less favourable outcome of therapy. Although the majority of endogenous patients benefitted from the intervention, only a minority reached the level of symptom remission at the end of treatment. A more pronounced cluster of symptoms characterized by negative thoughts about oneself tended to be associated with a worse outcome. Perceived social support was unrelated to therapy outcome.

Résumé

Les recherches actuelles témoignent de l'utilité de la thérapie cognitive pour le traitement de la dépression des personnes âgées. Toutefois ces recherches nous renseignent mal sur les prédicteurs de la réponse à cette intervention. La présente étude envisage les associations entre une série de caractéristiques des sujets avant le début de l'intervention et Tissue de la thérapie, dans le cadre d'une intervention en format de groupe. Les caractéristiques étudiées sont la sévérité de la symptomatologie dépressive, un profil de dépression endogène, l'état de santé subjectif, le niveau de soutien social perçu, et la fréquence de symptômes cognitifs dénotant une attitude négative envers soi. Une symptomatologie dépressive plus sévère et une perception plus négative de sa propre santé étaient associées à une issue moins favorable de l'intervention. Bien que la majorité des sujets avec un profil endogène ont bien répondu à la thérapie, cette amélioration n'a atteint le statut de rémission que pour une minorité d'entre eux. La présence plus marquée de symptômes dépressifs dénotant une attitude négative envers soi tendait à être associée à un résultat moins favorable. Le degré de soutien social perçu n'était pas associé à l'issue de l'intervention.

Keywords

Cognitive TherapyDepressionOlder AdultsResponseThérapie cognitivedépressionpersonnes âgéesréponse
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 16 , Issue 1 , Printemps/Spring 1997 , pp. 70 - 83
Copyright
Copyright © Canadian Association on Gerontology 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Références

Arean, P.A., Perri, M.G., Nezu, A.M., Schein, R.L., Christopher, F., & Joseph, T.X. (1993). Comparative effectiveness of social problem-solving therapy and reminiscence therapy as treatments for depression in older adults. Journal of Consulting and Clinical Psychology, 61, 1003–1010.CrossRefGoogle ScholarPubMed
Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive therapy for depression. New York: Guilford.Google Scholar
Beck, A.T., Steer, R A., & Garbin, M.G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.CrossRefGoogle Scholar
Beck, A.T., Ward, C, Mendelson, M., Mock, J.E., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.Google Scholar
Beutler, L.E., Scogin, F., Kirkish, P., Schretlen, D., Corbishley, A., Hamblin, D., Meredith, K., Potter, R., Bamford, C.R., & Levenson, A.I. (1987). Group cognitive therapy and alprazolam in the treatment of depression in older adults. Journal of Consulting and Clinical Psychology, 55, 550–556.Google Scholar
Bisno, B., Thompson, L.W., Breckenridge, J., & Gallagher, D. (1984). Cognitive variables and the prediction of outcome following an intervention for controlling depression. Cognitive Therapy and Research, 9, 527–538.Google Scholar
Blazer, D., Hughes, D.C., & George, L.K. (1992). Age and impaired subjective support: Predictors of depressive symptoms at one-year follow-up. Journal of Nervous and Mental Diseases, 180, 172–178.CrossRefGoogle ScholarPubMed
Cohen, J. (1988). Statistical power analysis in the behavioral sciences (2e éd.). Hillsdale, NJ: Lawrence Erlbaum.Google Scholar
Elkin, I., Shea, M.T., Watkins, J.T., Imber, S.D., Sotsky, S.M., Collins, J.F., Glass, D.R., Pilkonis, P.A, Leber, W.R., Docherty, J.P., Fiester, S.J., & Parloff, M.B. (1989). National Institute of Mental Health Treatment of Depression Collaborative Research Program: General effectiveness of treatments. Archives of General Psychiatry, 46, 971–982.CrossRefGoogle ScholarPubMed
Folstein, M., Folstein, S., & McHugh, P. (1975). “Mini-Mental State” - A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.Google Scholar
Fry, P.S. (1984). Cognitive training and cognitive-behavioral variables in the treatment of depression in the elderly. Clinical Gerontologist, 3, 25–45.CrossRefGoogle Scholar
Gallagher, D. (1981). Behavioral group therapy with elderly depressives: An experimental study. Upper, Dans D. & Ross, S.M. (Éds.), Behavioral group therapy: An annual review (pp. 187–224). Champaign, IL: Research Press.Google Scholar
Gallagher, D.E., & Thompson, L.W. (1982). Treatment of major depressive disorder in older adult outpatients with brief psychotherapies. Psychotherapy: Theory, research and practice, 19, 482–490.CrossRefGoogle Scholar
Gallagher, D.E., & Thompson, L.W. (1983). Effectiveness of psychotherapy for both endogenous and nonendogenous depression in older adult outpatients. Journal of Gerontology, 38, 707–712.CrossRefGoogle ScholarPubMed
Gallagher-Thompson, D., Futterman, A., Hanley-Peterson, P., Zeiss, A., Ironson, G., & Thompson, L.W. (1992). Endogenous depression in the elderly: Prevalence and agreement among measures. Journal of Consulting and Clinical Psychology, 60, 300–303.Google Scholar
Gallagher-Thompson, D., Hanley-Peterson, P., & Thompson, L.W. (1990). Maintenance of gains versus relapse following brief psychotherapy for depression. Journal of Consulting and Clinical Psychology, 58, 371–374.CrossRefGoogle ScholarPubMed
George, L.K, Blazer, D.F., Hughes, D.C., & Fowler, N. (1989). Social support and the outcome of major depression. British Journal of Psychiatry, 154, 478–485.CrossRefGoogle ScholarPubMed
Hollon, S.D., Shelton, R.C., & Loosen, P.T. (1991). Cognitive therapy and pharmacology for depression. Journal of Consulting and Clinical Psychology, 59, 88–99.CrossRefGoogle Scholar
Jacobson, N.S., Follette, W.C., & Revenstorf, D. (1984). Psychotherapy outcome research: Methods for reporting variability and evaluating clinical significance. Behavior Therapy, 15, 336–352.CrossRefGoogle Scholar
Kazdin, A.E. (1994). Methodology, design, and evaluation in psychotherapy research. Bergin, Dans A.E., & Garfield, S.L. (Éds.), Handbook of psychotherapy and behavior change (4e éd.) (pp. 19–71). New York: Wiley.Google Scholar
Kemp, B.J., Corgiat, M., & Gill, C. (1991–1992). Effects of brief cognitive-behavioral group psychotherapy on older persons with and without disabling illness. Behavior, Health, and Aging, 2, 21–28.Google Scholar
Landreville, P., & Cappeliez, P. (1992) Soutien social et symptômes dépressifs au sein des personnes âgées. La Revue canadienne du vieillissement, 11 (4) 322–346.CrossRefGoogle Scholar
Latour, D., & Cappeliez, P. (1994). Pretherapy training for group cognitive therapy with depressed older adults. La Revue canadienne du vieillissement, 13(2), 221–235.CrossRefGoogle Scholar
McLean, P., & Taylor, S. (1992). Severity of unipolar depression and choice of treatment. Behaviour Research &. Therapy, 30, 443–451.Google Scholar
NIH Consensus Development Panel on Depression in Late Life. (1992). Diagnosis and treatment of depression in late life. Journal of the American Medical Association, 268, 1018–1024.Google Scholar
Norman, W.H., Miller, I.W., & Dow, M.G. (1988). Characteristics of depressed patients with elevated levels of dysfunctional cognitions. Cognitive Therapy & Research, 12, 39–52.Google Scholar
Ogles, B.M., Lambert, M.J., & Sawyer, J.D. (1995). Clinical significance of the National Institute of Mental Health Treatment of Depression Collaborative Research Program data. Journal of Consulting and Clinical Psychology, 63, 321–326.Google Scholar
Robinson, L.A., Berman, J.S., & Neimeyer, R.A. (1990). Psychotherapy for the treatment of depression: A comprehensive review of controlled outcome research. Psychological Bulletin, 108, 30–49.CrossRefGoogle ScholarPubMed
Rude, S.S., & Rehm, L.P. (1991). Response to treatments for depression: The role of initial status on targeted cognitive and behavioral skills. Clinical Psychology Review, 11, 493–514.Google Scholar
Scogin, F., Hamblin, D., & Beutler, L. (1987). Bibliotherapy for depressed older adults: A self-help alternative. The Gerontologist, 27, 383–387.CrossRefGoogle ScholarPubMed
Scogin, F., Jamison, C., & Davis, N. (1990). Two-year follow-up of bibliotherapy for depression in older adults. Journal of Consulting and Clinical Psychology, 58, 665–667.Google Scholar
Scogin, F., Jamison, C. & Gochneaur, K. (1989). The comparative efficacy of cognitive and behavioral bibliotherapy for mildly and moderately depressed older adults. Journal of Consulting and Clinical Psychology, 57, 403–407.CrossRefGoogle ScholarPubMed
Scogin, F., & McElreath, L. (1994). Efficacy of psychosocial treatments for geriatric depression: A quantitative review. Journal of Consulting and Clinical Psychology, 62, 69–74.CrossRefGoogle ScholarPubMed
Sotsky, S.M., Glass, D.R., Shea, T., Pilkonis, P.A., Collins, J.F., Elkin, I., Watkins, J.T., Imber, S.D., Leber, W.R., & Oliveri, M.E. (1991). Patient predictors of response to psychotherapy and pharmacotherapy: Findings in the NIMH Treatment of Depression Collaborative Research Program. American Journal of Psychiatry, 148, 997–1008.Google Scholar
Spitzer, R., Endicott, J., & Robins, E. (1978). Research diagnostic criteria: Rationale and reliability. Archives of General Psychiatry, 35, 773–782.Google Scholar
Steuer, J., Mintz, J., Hammen, C., Hill, M.A., Jarvik, L.F., McCarley, T., Motoike, P., & Rosen, R. (1984). Cognitive-behavioral and psychodynamic group psychotherapy in treatment of geriatric depression. Journal of Consulting and Clinical Psychology, 52, 180–189.Google Scholar
Thase, M.E. (1994). After the fall: Perspectives on cognitive behavioral treatment of depression in the “Post-collaborative” era. The Behavior Therapist, 12, 48–52.Google Scholar
Thase, M.E., Simons, A.D., Cahalane, J., McGeary, J., & Harden, T. (1991). Severity of depression and response to cognitive behavior therapy. American Journal of Psychiatry, 148, 784–789.Google Scholar
Thompson, L.W., & Gallagher, D. (1984). Efficacy of psychotherapy in the treatment of late-life depression. Advance in Behaviour Research and Therapy, 6,127–139.CrossRefGoogle Scholar
Thompson, L.W., Gallagher, D., & Breckenridge, J.S. (1987). Comparative effectiveness of psychotherapies for depressed elders. Journal of Consulting and Clinical Psychology, 55, 385–390.CrossRefGoogle ScholarPubMed
Thompson, L.W., Gallagher, D., & Czirr, R. (1988). Personality disorder and outcome in the treatment of late-life depression. Journal of Geriatric Psychiatry, 21, 133–147.Google ScholarPubMed
Vézina, J., Landreville, P., Bourque, P., & Blanchard, L. (1991). Questionnaire de dépression de Beck: Étude psychométrique aupres d'une population agee francophone. La Revue canadienne du vieillissement, 10 (1), 29–39.CrossRefGoogle Scholar
Viney, L.L., Benjamin, Y.N., & Preston, C.A. (1989). An evaluation of personal construct therapy for the elderly. British Journal of Medical Psychology, 62, 35–41.CrossRefGoogle ScholarPubMed
Yesavage, J.A., Brink, T.L., Rose, T.L., Lum, O., Huang, V., Adey, M., & Leirer, V.O. (1983). Development and validation of a geriatric depression scale: A preliminary report. Journal of Psychiatric Research, 17, 37–39.CrossRefGoogle Scholar
Yost, E.B., Beutler, L.E., Corbishley, M.A., & Allender, J.R. (1986). Group cognitive therapy: A treatment approach for depressed older adults. Elmsford, NJ: Pergamon.Google Scholar
Yost, E.B., Beutler, L.E., Corbishley, M.A., & Allender, J.R. (1989). Thérapie cognitive de groupe: Une approche de traitement pour personnes âgées dépressives. Ottawa: Éditions Saint-Yves.Google Scholar
Zimmerman, M., Coryell, W., Corenthal, C., & Wilson, S. (1986). A self-report scale to diagnose major depressive disorder. Archives of General Psychiatry, 43, 1076–1081.CrossRefGoogle ScholarPubMed