Publication

Outcome of day treatment for older adults with affective disorders: An observational pre-post design of two transdiagnostic approaches

van Dijk, S. D. M., Bouman, R., Lam, J. C. A. E., den Held, R., van Alphen, S. P. J. & Oude Voshaar, R. C., Mar-2018, In : International Journal of Geriatric Psychiatry. 33, 3, p. 510-516 7 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

van Dijk, S. D. M., Bouman, R., Lam, J. C. A. E., den Held, R., van Alphen, S. P. J., & Oude Voshaar, R. C. (2018). Outcome of day treatment for older adults with affective disorders: An observational pre-post design of two transdiagnostic approaches. International Journal of Geriatric Psychiatry, 33(3), 510-516. https://doi.org/10.1002/gps.4791

Author

van Dijk, S D M ; Bouman, R ; Lam, J C A E ; den Held, R ; van Alphen, S P J ; Oude Voshaar, R C. / Outcome of day treatment for older adults with affective disorders : An observational pre-post design of two transdiagnostic approaches. In: International Journal of Geriatric Psychiatry. 2018 ; Vol. 33, No. 3. pp. 510-516.

Harvard

van Dijk, SDM, Bouman, R, Lam, JCAE, den Held, R, van Alphen, SPJ & Oude Voshaar, RC 2018, 'Outcome of day treatment for older adults with affective disorders: An observational pre-post design of two transdiagnostic approaches', International Journal of Geriatric Psychiatry, vol. 33, no. 3, pp. 510-516. https://doi.org/10.1002/gps.4791

Standard

Outcome of day treatment for older adults with affective disorders : An observational pre-post design of two transdiagnostic approaches. / van Dijk, S D M; Bouman, R; Lam, J C A E; den Held, R; van Alphen, S P J; Oude Voshaar, R C.

In: International Journal of Geriatric Psychiatry, Vol. 33, No. 3, 03.2018, p. 510-516.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

van Dijk SDM, Bouman R, Lam JCAE, den Held R, van Alphen SPJ, Oude Voshaar RC. Outcome of day treatment for older adults with affective disorders: An observational pre-post design of two transdiagnostic approaches. International Journal of Geriatric Psychiatry. 2018 Mar;33(3):510-516. https://doi.org/10.1002/gps.4791


BibTeX

@article{74055c31e97a4990b3f8525fb114217d,
title = "Outcome of day treatment for older adults with affective disorders: An observational pre-post design of two transdiagnostic approaches",
abstract = "OBJECTIVE: First, to evaluate the outcome of 2 transdiagnostic day treatment programs. A 20-week psychotherapeutic day treatment (PDT) and an activating day treatment (ADT) program delivered in blocks of 4 weeks with a maximum of 24 weeks with respect to depression, anxiety, and hypochondriasis. Second, to explore the impact of cognitive impairment and personality pathology on treatment outcome.METHODS: The course of depression (Inventory of Depressive Symptoms), anxiety (Geriatric Anxiety Inventory), and hypochondriasis (Whitley Index) were evaluated by linear mixed models adjusted for age, sex, level of education, and alcohol usage among 49 patients (mean age 65 years, 67{\%} females) receiving PDT and among 61 patients (mean age 67.1, 61{\%} females) receiving ADT. Pre-post effect-sizes were expressed as Cohen's d. Subsequently, cognitive impairment (no, suspected, established) and personality pathology (DSM-IV criteria as well as the Big Five personality traits) were examined as potential moderators of treatment outcome.RESULTS: Among patients receiving PDT, large improvements were found for depression (d = 1.1) and anxiety (d = 1.2) but not for hypochondriasis (d = 0.0). Patients receiving ADT showed moderate treatment effects for depression (d = 0.6), anxiety (d = 0.6), as well as hypochondriasis (d = 0.6). Personality pathology moderates treatment outcome of neither PDT nor ADT. Cognitive impairment negatively interfered with the course of depressive symptoms among patients receiving PDT.CONCLUSIONS: Transdiagnostic day treatment is promising for older adults with affective disorders with high feasibility.",
keywords = "transdiagnostic day treatment, older adults, Depression anxiety, personality disorders, cognitive functioning, PERSONALITY-DISORDERS, ANXIETY DISORDERS, DEPRESSION, INVENTORY, INTERVENTIONS, METAANALYSIS, THERAPY, PSYCHOTHERAPY, COMORBIDITY, OUTPATIENTS",
author = "{van Dijk}, {S D M} and R Bouman and Lam, {J C A E} and {den Held}, R and {van Alphen}, {S P J} and {Oude Voshaar}, {R C}",
note = "Copyright {\circledC} 2017 John Wiley & Sons, Ltd.",
year = "2018",
month = "3",
doi = "10.1002/gps.4791",
language = "English",
volume = "33",
pages = "510--516",
journal = "International Journal of Geriatric Psychiatry",
issn = "0885-6230",
publisher = "Wiley",
number = "3",

}

RIS

TY - JOUR

T1 - Outcome of day treatment for older adults with affective disorders

T2 - An observational pre-post design of two transdiagnostic approaches

AU - van Dijk, S D M

AU - Bouman, R

AU - Lam, J C A E

AU - den Held, R

AU - van Alphen, S P J

AU - Oude Voshaar, R C

N1 - Copyright © 2017 John Wiley & Sons, Ltd.

PY - 2018/3

Y1 - 2018/3

N2 - OBJECTIVE: First, to evaluate the outcome of 2 transdiagnostic day treatment programs. A 20-week psychotherapeutic day treatment (PDT) and an activating day treatment (ADT) program delivered in blocks of 4 weeks with a maximum of 24 weeks with respect to depression, anxiety, and hypochondriasis. Second, to explore the impact of cognitive impairment and personality pathology on treatment outcome.METHODS: The course of depression (Inventory of Depressive Symptoms), anxiety (Geriatric Anxiety Inventory), and hypochondriasis (Whitley Index) were evaluated by linear mixed models adjusted for age, sex, level of education, and alcohol usage among 49 patients (mean age 65 years, 67% females) receiving PDT and among 61 patients (mean age 67.1, 61% females) receiving ADT. Pre-post effect-sizes were expressed as Cohen's d. Subsequently, cognitive impairment (no, suspected, established) and personality pathology (DSM-IV criteria as well as the Big Five personality traits) were examined as potential moderators of treatment outcome.RESULTS: Among patients receiving PDT, large improvements were found for depression (d = 1.1) and anxiety (d = 1.2) but not for hypochondriasis (d = 0.0). Patients receiving ADT showed moderate treatment effects for depression (d = 0.6), anxiety (d = 0.6), as well as hypochondriasis (d = 0.6). Personality pathology moderates treatment outcome of neither PDT nor ADT. Cognitive impairment negatively interfered with the course of depressive symptoms among patients receiving PDT.CONCLUSIONS: Transdiagnostic day treatment is promising for older adults with affective disorders with high feasibility.

AB - OBJECTIVE: First, to evaluate the outcome of 2 transdiagnostic day treatment programs. A 20-week psychotherapeutic day treatment (PDT) and an activating day treatment (ADT) program delivered in blocks of 4 weeks with a maximum of 24 weeks with respect to depression, anxiety, and hypochondriasis. Second, to explore the impact of cognitive impairment and personality pathology on treatment outcome.METHODS: The course of depression (Inventory of Depressive Symptoms), anxiety (Geriatric Anxiety Inventory), and hypochondriasis (Whitley Index) were evaluated by linear mixed models adjusted for age, sex, level of education, and alcohol usage among 49 patients (mean age 65 years, 67% females) receiving PDT and among 61 patients (mean age 67.1, 61% females) receiving ADT. Pre-post effect-sizes were expressed as Cohen's d. Subsequently, cognitive impairment (no, suspected, established) and personality pathology (DSM-IV criteria as well as the Big Five personality traits) were examined as potential moderators of treatment outcome.RESULTS: Among patients receiving PDT, large improvements were found for depression (d = 1.1) and anxiety (d = 1.2) but not for hypochondriasis (d = 0.0). Patients receiving ADT showed moderate treatment effects for depression (d = 0.6), anxiety (d = 0.6), as well as hypochondriasis (d = 0.6). Personality pathology moderates treatment outcome of neither PDT nor ADT. Cognitive impairment negatively interfered with the course of depressive symptoms among patients receiving PDT.CONCLUSIONS: Transdiagnostic day treatment is promising for older adults with affective disorders with high feasibility.

KW - transdiagnostic day treatment

KW - older adults

KW - Depression anxiety

KW - personality disorders

KW - cognitive functioning

KW - PERSONALITY-DISORDERS

KW - ANXIETY DISORDERS

KW - DEPRESSION

KW - INVENTORY

KW - INTERVENTIONS

KW - METAANALYSIS

KW - THERAPY

KW - PSYCHOTHERAPY

KW - COMORBIDITY

KW - OUTPATIENTS

U2 - 10.1002/gps.4791

DO - 10.1002/gps.4791

M3 - Article

VL - 33

SP - 510

EP - 516

JO - International Journal of Geriatric Psychiatry

JF - International Journal of Geriatric Psychiatry

SN - 0885-6230

IS - 3

ER -

ID: 50218412