J Korean Geriatr Psychiatry.  2017 Apr;21(1):35-40. 10.0000/jkgp.2017.21.1.35.

Effect of Community-Based ‘Goal-Achieving Program’ in Patient with Late-Life Depression : Preliminary Study

• Kang GH
• Chang KJ
• Lim HK
• Han J
• Lee EH
• Roh HW
• Noh JS
• Chung YK
• Lim KY
• Hong CH
• Son SJ

• KMID: 2379253
• DOI: http://doi.org/10.0000/jkgp.2017.21.1.35

Abstract

OBJECTIVE
This study aimed to investigate the effect of community-based Goal-Achieving program in geriatric depressive symptoms preliminarily.
METHODS
We obtained data from elderly Korean subjects with major depressive disorder (n=51) aged 60 years or older at baseline, taking case management from community mental health center. Subjects were randomly assigned to intervention group (n=24) and control group (n=27). We investigated depressive symptoms through Short Form Geriatric Depression Scale-Korean version (SGDS-K) at baseline and every month for 3 months to all subjects. We tested interaction between group and time in SGDS-K score to evaluate the effect of program. And post hoc test examined between group differences of SGDS-K at each time points.
RESULTS
In quadratic linear mixed effects model analysis, interaction between group and time was statistically significant (Total SGDS-K score : coefficient=0.29, p<0.001 ; SGDS-K dysphoria subscale : 0.18, p<0.001 ; SGDS-K hopelessness subscale : 0.05, p=0.089 ; SGDS-K cognitive impairment subscale : 0.06, p=0.003). And significant between group difference was shown in post hoc test at time points of third month (SGDS-K score of control group : SGDS-K score of intervention group=10.74±3.482 : 7.25±4.475, p=0.0184).
CONCLUSION
These results may suggest that "˜Community-based the Goal-Achieving program' has efficacy in reducing geriatric depressive symptoms.

Keyword

Geriatric depression; Community based; The Goal-Achieving program

MeSH Terms

Aged
Case Management
Cognition Disorders
Depression*
Depressive Disorder, Major
Humans
Mental Health