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Inicio Revista Española de Geriatría y Gerontología Intervenciones cognitivo-conductuales para la depresión en personas mayores. La...
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Vol. 36. Issue 4.
Pages 189-194 (January 2001)
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Vol. 36. Issue 4.
Pages 189-194 (January 2001)
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Intervenciones cognitivo-conductuales para la depresión en personas mayores. La eficacia de la terapia cognitivo-conductual para el tratamiento de la depresión en personas mayores
CBT interventions for late-life depression. The efficacy of cognitive-behavioral therapy for the treatment of depression in older adults
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N. Solano
,
Corresponding author
nhsolano@aol.com

Correspondencia: VA Palo Alto Health Care System & Stanford University School of Medicine. Older Adult Family Center. 795 Willow Road (182 C/MP). Menlo Park, CA 94025.
, D. Gallagher-Thompson*,***
* Centro de la Persona Mayor y la Familia. VA Sistema de Atención a la Salud de Palo Alto. California
** MIRECC (Centro de Investigación sobre Enfermedades Mentales, Educación y Clínica). Departamento de Psiquiatría y Ciencias Conductuales. Escuela de Medicina de la Universidad de Stanford. EE. UU
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Resumen

Numerosos estudios han documentado la eficacia de la terapia cognitivo conductual (TCC) para el tratamiento de la depresión en la vejez. Sin embargo, dada la heterogeneidad existente entre las personas mayores, las técnicas terapéuticas deben ser modificadas para tratar los problemas, necesidades y expectativas específicas de las personas mayores. En este trabajo se comienza realizando una presentación de los conceptos básicos de la terapia cognitivo-conductual y una descripción de las ventajas de utilizar este enfoque con adultos mayores. Seguidamente se revisan recientes estudios de meta-análisis y de resultado en los que se documenta la utilidad de la TCC para la depresión en la vejez. Finalmente, se plantea cómo puede ser modificada la TCC para tratar las necesidades específicas de los adultos mayores y se proporcionan sugerencias para futuras líneas de trabajo.

Palabras clave:
Depresión
Terapia conductual
Eficacia
Summary

Numerous studies have documented the effectiveness of cognitive-behavioral therapy (CBT) for the treatment of late-life depression. However, given the diversity that exists among older adults, therapeutic techniques must be modified to address the specific problems, needs, and expectations of elders. In this paper, we begin with an overview of the basic concepts of cognitive-behavioral therapy and describe the benefits of using this approach with older adults. Next, we review recent meta-analytic and outcome studies documenting the utility of CBT for late-life depression. Lastly, we outline how CBT can be modimodified to meet the unique needs of older adults and provide suggestions for future directions.

Key words:
Depression
Behavior therapy
Efficacy
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Bibliografía
[1.]
M. Gatz, A. Fiske, L.S. Fox, B. Kaskie, J.E. Kasl-Godely, T.J. McCallum, J.L. Wetherell.
Empirically validated psychological treatments for older adults.
J Mental Health Aging, 4 (1998), pp. 9-46
[2.]
F. Scogin, L. McElreath.
Efficacy of psychosocial treatments for geriatric depression: A qualitative review.
J Consulting Clinical Psychol, 62 (1994), pp. 69-74
[3.]
A.T. Beck, A.J. Rush, B.F. Shaw, G. Emery.
Cognitive therapy of depression.
[4.]
P.M. Lewinsohn, J. Libet.
Pleasant events, activity schedules, and depressions.
J Abnor Psychol, 79 (1972), pp. 291-295
[5.]
P.M. Lewinsohn, M. Graf.
Pleasant activities and depression.
J Consulting Clinical Psychol, 41 (1973), pp. 261-268
[6.]
L. Dick, D. Gallagher-Thompson, D. Coon, D. Powers, L.W. Thompson.
Cognitive –behavioral therapy for late-life depression: A patient's manual. Stanford,
[7.]
L.W. Thompson, D. Gallagher-Thompson, L. Dick.
Cognitive-behavioral therapy for late-life depression: A therapist's manual. Stanford.
[8.]
D. Coon, K. Rider, D. Gallagher-Thompson, L.W. Thompson.
Cognitive-behavioral therapy for the treatment of late-life distress.
Handbook of psychotherapy with older adults, pp. 487-510
[9.]
L.W. Thompson.
Cognitive-behavioral therapy and treatment for late-life depression.
J Clinical Psychiatry, 57 (1996), pp. 29-37
[10.]
P. Lichtenburg.
Handbook of Assessment in Clinical Gerontology,
[11.]
K.P. Riley.
Assessment of dementia in the older adult.
Handbook of Assessment in Clinical Gerontology, pp. 134-166
[12.]
G. Niedereche.
Psychosocial therapies with depressed older adults.
Diagnosis and treatment of depression in late life: result of the NIH Consensus Development Conference, pp. 293-315
[13.]
G. Niedereche.
Psychosocial treatments with depressed older adults: A research update.
Am J Geriatr Psychiatry, 4 (1996), pp. S66-S78
[14.]
L. Teri, J. Curtis, D. Gallagher-Thompson, L. Thompson.
Cognitive-behavioral therapy with depressed older adults.
Diagnosis and treatment of depression in late life: Results of the NIH Consensus Development Conference. Washington, pp. 279-291
[15.]
L. Teri, S.M. McCurry.
Psychosocial therapies.
Textbook of Geriatric Neuropsychiatry (2nd ed). Washington, pp. 861-890
[16.]
L. Robinson, J. Berman, R.A. Neimeyer.
Psychotherapy for the treatment of depression: A comprehensive review of controlled outcome research.
Psychol Bulletin, 108 (1990), pp. 30-49
[17.]
L.S. Schneider.
Meta-analysis from a clinician's perspective.
Diagnosis and treatment of depression in late life: Results of the NIH consensus development conference. Washington, pp. 361-374
[18.]
D. Gallagher, L.W. Thompson.
Differential effectiveness of psychotherapies for the treatment of major depressive disorder in older adults patients.
Psychotherapy: Theory, Research and Practice, 19 (1982), pp. 482-490
[19.]
L.W. Thompson, D. Gallagher-Thompson, J.S. Breckenridge.
Comparative effectiveness of psychotherapies for depressed elders.
J Consulting Clinical Psychol, 55 (1987), pp. 385-390
[20.]
L.W. Thompson, D. Gallagher-Thompson.
Cziir, R. Personality disorder and outcome in the treatment of late-life depression.
J Geriatr Psychiatry, 21 (1988), pp. 133-146
[21.]
Thompson LW, Coon DW, Gallagher-Thompson D, Sommer B, Koin D. Comparison of Desipramine and Cognitive/Behavioral Therapy in the treatment of late life depression. Am J Geriatr Psychiatry. En prensa.
[22.]
L. Thompson, D. Powers, D. Coon, K. Takagi, C. Mckibben, D. Gallgher-Thompson.
Older Adults.
Cognitivebehavioral group therapy for specific problems and populations. Washington, pp. 235-261
[23.]
L.E. Beutler, F. Scogin, P. Kirkish, D. Schretlen, A. Corbishley, D. Hamblin, K. Meredith, R. Potter, C.R. Bamford, A.I. Levenson.
Group cognitive therapy and alprazolam in the treatment of depression in older adults.
J Consulting Clinical Psychol, 55 (1987), pp. 550-556
[24.]
Department of Health and Human Services.
Older Americans 2000: Key Indicators of Well-being, (2000),
[25.]
A.M. Zeiss, P.M. Lewinsohn, P. Rohde, J.R. Seeley.
Relationship to physical disease and functional impairment to depression in older people.
Psychol Aging, 11 (1996), pp. 572-581
[26.]
D.G. Blazer.
Epidemiology of late-life depression.
Diagnosis and treatment of depression in late life: Results of the NIH consensus development conference. Washington, pp. 9-19
[27.]
P. Arean, J. Miranda.
The treatment of depression in elderly primary care patients: A naturalistic study.
J Clinical Geropsychology, 2 (1996), pp. 153-160
[28.]
M.A. López, R.J. Mermelstein.
A cognitive-behavioral program to improve geriatric rehabilitation outcome.
Gerontologist, 35 (1995), pp. 696-700
[29.]
B. Rybarczyk, D. Gallagher-Thompsn, J. Rodman, A. Zeiss, F. Gantz, J. Yesavage.
Applying cognitive-behavioral psychotherapy to the chronically ill elderly: Treatment issues and case illustrations.
International Psychogeriatrics, 4 (1992), pp. 127-140
[30.]
L. Teri, A. Wagner.
Alzheimer's disease and depression.
J Consulting Clinical Psychol, 60 (1991), pp. 379-391
[31.]
L. Teri, R.G. Logsdon, J. Uomoto, et al.
Behavioral treatment of depression in dementia patients: A controlled clinical trial.
J Gerontology B: Psychological Science and Social Science, 52 (1997), pp. 159-166
[32.]
R. Schulz, A.T. O'Brien, J. Bookwala, K. Fleissner.
Psychiatric and physical morbidity effects of dementia caregiving: Prevalence, correlates and causes.
Gerontologist, 35 (1995), pp. 771-791
[33.]
D. Gallagher-Thompson, S. Lovett, J. Rose, C. McKibben, D. Coon, A. Futterman, L.W. Thompson.
Impact of psychoeducational interventions on distressed family caregivers.
J Clinical Geropsychology, 6 (2000), pp. 91-110
[34.]
D. Gallagher-Thompson, P. Arean, D. Coon, A. Menéndez, K. Takagi, W. Haley, T. Arguelles, D. Loenstein, J. Szapocznik.
Development and implementation of intervention strategies for culturally diverse caregiving populations.
Handbook on dementia caregiving, pp. 151-185
[35.]
D. Gallagher-Thompson, A. Steffen.
Comparative effectiveness of cognitive-behavioral and brief psychodynamic psychotherapies for depressed family caregivers.
J Consulting Clinical Psychol, 62 (1994), pp. 543-549
Copyright © 2001. Sociedad Española de Geriatría y Gerontología
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