Social reinforcement of activity and problem-solving training in the treatment of depressed institutionalized elderly patients
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Thirty-six depressed nursing-home patients over 60 were divided into two experimental groups to test the relative effectiveness of two approaches to reduce geriatric depression. Twelve subjects received social reinforcement (SR)for their participation in an activity, 12 received problem-solving training (PS),and 12 served as a waiting list control condition (WLC).During the 2nd treatment week, the subjects were randomly divided into the following conditions: PS-PS, PS-SR, SR-SR, SR-PS, WLC-WLC, and WLC-IC. The BDI, a self-rating scale (SRS),and the HAS were administered to the subjects. After the initial treatment week, the two experimental conditions showed significantly lower BDI and SRS scores than the WLC group. After the random division of the groups (treatment week 2),when compared with the waiting list controls, only those groups that received problem-solving training significantly reduced their scores on the BDI.
- Beck, A. T.Cognitive therapy and the emotional disorders. New York: International Universities Press, 1976.
- Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. An inventory for measuring depression.Archives of General Psychiatry 1961,4 561–571.
- Coche, E., & Flick, A. Problem-solving training groups for hospitalized psychiatric patients.Journal of Psychology 1975,91 19–29.
- Gaebelein, J. W., & Soderquist, D. R.Computational formulae for utility indices. Unpublished manuscript, University of North Carolina at Greensboro, 1974.
- Goldfried, M. R., & Davison, G. C.Clinical behavior therapy. New York: Holt, Rinehart & Winston, 1976.
- Hoyer, W. J. Application of operant techniques to the modification of elderly behavior.Gerontologist 1973,13 18–22.
- Hoyer, W. J., Kafer, R. A., Simpson, S. C., & Hoyer, F. W. Reinstatement of verbal behavior in elderly mental patients using operant procedures.Gerontologist 1974,14 149–152.
- Lawton, P., & Yaffe, S. Mortality, morbidity, and voluntary change of residence by older people.Journal of American Gerontological Society 1970,18 823–831.
- Lewinsohn, P. M. A behavioral approach to depression. In R. J. Friedman & M. M. Katz (Eds.),The psychology of depression: Contemporary theory and research. Washington: Winston-Wiley, 1974. Pp. 157–178.
- MacDonald, M. L., & Butler, A. K. Reversal of helplessness: Producing walking behavior in nursing home wheelchair residents using behavior modification procedures.Journal of Gerontology 1974,29 97–101.
- McReynolds, P., & Ferguson, J. T.Clinical manual for the hospital adjustment scale. Palo Alto: Consulting Psychologists Press, 1953.
- Petty, B. J., Moeller, T. P., & Campbell, R. Z. Support groups for elderly persons in the community.Gerontologist 1976,16 522–528.
- Pino, C. J., Rosica, L. M., & Carter, T. J. The differential effects of relocation on nursing home patients.Gerontologist 1978,18 167–172.
- Platt, J. J., & Spivack, G. Problem-solving thinking of psychiatric patients.Journal of Consulting and Clinical Psychology 1972,39 148–151.
- Seligman, M. E. P. Depression and learned helplessness. In R. J. Friedman & M. M. Katz (Eds.),The psychology of depression: Contemporary theory and research. Washington: Winston-Wiley, 1974. Pp. 83–113.
- Siegel, J. M., & Spivack, G. Problem-solving therapy: The description of a new program for chronic psychiatric patients.Psychotherapy: Theory, Research and Practice 1976,13 368–373.
- Spangler, P. F., Edwards, K. A., & Risley, T. R.Behavioral care of non-ambulatory geriatric patients. Poster presented at the Association for the Advancement of Behavior Therapy, Atlanta, December 1977.
- Social reinforcement of activity and problem-solving training in the treatment of depressed institutionalized elderly patients
Cognitive Therapy and Research
Volume 5, Issue 1 , pp 57-69
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links