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Tijdschrift voor Psychiatrie 53 (2011) 9, 579 - 584

Short report

Prevention of depression and anxiety in older people

P.J. van 't Veer-Tazelaar, P. Cuijpers, A.J. Beekman

summary
background
In older people, sub-threshold symptom levels of depression or anxiety are characterised by a high prevalence and an unfavourable prognosis. They are the best predictors of the onset of full-blown disorders. There is an urgent need to develop effective preventative strategies.
aim To determine the effectiveness and feasibility of an indicated depression- and anxiety- prevention programme for older people.
methods 170 individuals (75+) with sub-threshold symptom levels of depression or anxiety were randomized between a preventive intervention programme consisting of watchful waiting, bibliotherapy, problem-solving treatment, and re-referral to primary care to discuss medication, or usual care.
results The intervention halved the incidence of (dsm-iv) depressive and anxiety disorders.
conclusion A stepped-care approach to the prevention of depression and anxiety in later life was successful in halving the incidence of depressive and anxiety disorders after one year, were cost-effective, and the favourable effects were sustained for up to 24 months.

 

keywords anxiety, depression, prevention