Adherence to depression treatment in older adults: a narrative review.

摘要: Depression in older adults has been detected, diagnosed and treated more frequently recent years. However, substantial gaps effective treatment remain. Adherence to depression can be viewed as the 'next frontier' of late-life depression. Using Theory Reasoned Action, a model health behaviours, this paper conceptualizes reviews current evidence for key patient-level factors associated with adherence among adults. We categorize these according how their impact on might affected by specialized approaches or interventions as: (i) modifiable; (ii) potentially (iii) non-modifiable. Based evidence, modifiable include patient attitudes, beliefs social norms. Patient attitudes perceptions effectiveness treatment, preferences type concepts regarding aetiology (e.g. resistance viewing medical illness). There is also from literature that spiritual religious may important determinants care. Social norms such caregiver agreement recommendations stigma affect treatment. Other less per se, but they have an interventions. upon review literature, co-morbid anxiety, substance use, cognitive status, polypharmacy co-morbidity, support cost Finally, non-modifiable gender race. Importantly, interact behavioural intent race beliefs). Thus, multiple factors. Strategies improve need multidimensional, including consideration age-related co-morbidity factors, environmental functional status belief systems. Evidence-based involving greater patient, caregiver, provider public education should developed decrease stigma, negative other barriers detection, diagnosis, These tailored individual well setting. While progress made increasing detection adults, focus now needs placed engagement continuation improvements quality life, reducing suffering achieving better outcomes.