Randomised controlled trial of effect of intervention by psychogeriatric team on depression in frail elderly people at home.

摘要: Abstract Objective: To investigate the efficacy of intervention by a psychogeriatric team in treatment depression elderly disabled people receiving home care from their local authority. Design: Randomised controlled trial with blind follow up six months after recruitment. Setting: Community south east London. Subjects: 69 aged 65 or over who received and were depressed according to criteria standardised automatic geriatric examination for computer assisted taxonomy (AGECAT). 33 randomly allocated an group 36 control group. Intervention: Members individual package that was formulated community catchment area implemented researcher working as member team. The normal general practitioner care. Main outcome measures: Recovery (AGECAT case at recruitment but non-case up). Results: Data analysed on intention treat basis. 19 (58%) recovered compared only nine (25%) group, difference 33% (95% confidence interval 10% 55%). This powerful effect persisted controlling possible confounders logistic regression analysis, members more likely than have (odds ratio 9.0 (2.0 41.5)). did not seem be simple antidepressant prescription: use antidepressants significant (multiply adjusted odds 0.3 (0.0 1.9)). Conclusions: Depression is treatable Therapeutic nihilism based assumed poor response these socially isolated, supported. Key messages randomised evaluated whether psychi- atric would improve Overall, 58% those had later 25% unsup- plemented These results should achievable other old age psychiatry services current comparative inaction part health social needs changed