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Treatment preferences for depression in the elderly

Published online by Cambridge University Press:  28 November 2016

Claudia Luck-Sikorski ,
Janine Stein ,
Katharina Heilmann ,
Wolfgang Maier ,
Hanna Kaduszkiewicz ,
Martin Scherer ,
Siegfried Weyerer ,
Jochen Werle ,
Birgitt Wiese  and
Lilia Moor
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Claudia Luck-Sikorski*
Affiliation:
Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany SRH University of Applied Sciences, Gera, Germany
Janine Stein
Affiliation:
Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany
Katharina Heilmann
Affiliation:
Department of Psychiatry, University of Bonn, Bonn, Germany
Wolfgang Maier
Affiliation:
Department of Psychiatry, University of Bonn, Bonn, Germany
Hanna Kaduszkiewicz
Affiliation:
Institute of General Practice, Medical Faculty, University of Kiel, Kiel, Germany
Martin Scherer
Affiliation:
Institute of Primary Medical Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
Siegfried Weyerer
Affiliation:
Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany
Jochen Werle
Affiliation:
Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany
Birgitt Wiese
Affiliation:
Institute of General Practice, Hannover Medical School, Germany, Hannover, Germany
Lilia Moor
Affiliation:
Institute of General Practice, Hannover Medical School, Germany, Hannover, Germany
Jens-Oliver Bock
Affiliation:
Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
Hans-Helmut König
Affiliation:
Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
Steffi G Riedel-Heller
Affiliation:
Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany
*
Correspondence should be addressed to: Claudia Luck-Sikorski, Neue Straße 28–30, 07548 Gera, Germany. Phone: +49 365 773407–45; Fax: 0365 773407–77. Email: Claudia.Luck-Sikorski@srh-gesundheitshochschule.de.
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Abstract

Background:

If patients are treated according to their personal preferences, depression treatment success is higher. It is not known which treatment options for late-life depression are preferred by patients aged 75 years and over and whether there are determinants of these preferences.

Methods:

The data were derived from the German “Late-life depression in primary care: needs, health care utilization, and costs (AgeMooDe)” study. Patients aged 75+ years (N = 1,230) were recruited from primary care practices. Depressive symptoms were determined using the Geriatric Depression Scale (GDS-15). Support for eight treatment options was determined.

Results:

Medication, psychotherapy, talking to friends and family, and exercise were the preferred treatment options. Having a GDS score ≥ 6 significantly lowered the endorsement of some treatment options. For each treatment option, the probability of choosing the indecisive category “I do not know” was significantly increased in participants with moderate depressive symptoms.

Conclusions:

Depressive symptoms influence the preference for certain treatment options and also increase indecision in patients. The high preference for psychotherapy suggests a much higher demand for late-life psychotherapy in the future. Healthcare systems should begin to prepare to meet this anticipated need. Future studies should include previous experience with treatment methods as a confounding variable.

Keywords

depressionold agetreatmentlate-lifeshared decision making
Type
Research Article
Information
International Psychogeriatrics , Volume 29 , Issue 3 , March 2017 , pp. 389 - 398
Copyright
Copyright © International Psychogeriatric Association 2016 

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