Abstract
Whether psychosocial treatments work equally well for late middle-aged and older men and women is unknown. For this critical review, sixteen studies were identified that examined psychosocial treatments for psychopathology in men age 55 and older. The preponderance of evidence showed that treatments worked at least as well in men as in women. Six studies reported statistically significant treatment effects in exclusively male participants. Methodological problems include weak research designs, small sample size, and absence of indication of clinical significance. There continues to be a paucity of research addressing the efficacy of psychosocial interventions for late middle-aged and older men. Researchers are encouraged to include racially and ethnically diverse older men in carefully controlled studies that examine clinically significant change.
References
2010). Older population by age group: 1900 to 2050 with chart of the 60+ population. Retrieved from www.aoa.gov/AoARoot/Aging_Statistics/future_growth/future_growth.aspx#age
. (2002). Physician willingness to refer older depressed patients for psychotherapy. The International Journal of Psychiatry in Medicine, 32, 21–35. doi 10.2190/J26T-YQMJ-BF83-M05D
(2013). Recruiting older men for geriatric suicide research. International Psychogeriatrics, 25, 88–95. doi 10.1017/S104161021200138X
(2001). Day-clinic treatment of late-life depression. International Journal of Geriatric Psychiatry, 16, 82–87. doi 10.1002/1099-1166(200101)16:1<82::AID-GPS281>3.0.CO;2-G
(2004). Feminist gerontology and old men. The Journals of Gerontology: Series B: Psychological Sciences and Social Sciences, 59B, S30S–S314.
(2013). National violent death reporting system. Retrieved from www.cdc.gov/injury/wisqars/index.html
. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7–18. doi 10.1037/0022-006X.66.1.7
(2010). The effects of reminiscence therapy on psychological well-being, depression, and loneliness among the institutionalized aged. International Journal of Geriatric Psychiatry, 25, 380–388. doi 10.1002/gps.2350
(2012). Treatment of PTSD in older adults: Do cognitive-behavioral interventions remain viable?. Cognitive and Behavioral Practice, 19, 126–135. doi 10.1016/j.cbpra.2010.10.002
(2000). Men and depression: Clinical and empirical perspectives. San Diego, CA: Academic Press.
(2006). Psychological treatment of late-life depression: A meta-analysis of randomized controlled trials. International Journal of Geriatric Psychiatry, 21, 1139–1149. doi 10.1002/gps.1620
(1989). A comparison of meditation-relaxation and cognitive/behavioral techniques for reducing anxiety and depression in a geriatric population. Journal of Geriatric Psychiatry, 22, 231–247.
(2011). Assessment of emotional and personality disorders in older adults. In , Handbook of research methods in clinical psychology (pp. 325–337). Malden, MA: Blackwell.
(2012). Gender differences in the maintenance of response to cognitive behavior therapy for posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 80, 196.
(1983). Structured and unstructured reminiscence training and depression among the elderly. Clinical Gerontologist: The Journal of Aging and Mental Health, 1(3), 15–37. doi 10.1300/J018v01n03_06
(2011). No country for old men? The role of a “gentlemen’s club” in promoting social engagement and psychological well-being in residential care. Aging & Mental Health, 15, 456–466. doi 10.1080/13607863.2010.536137
(2012). Interventions for generalized anxiety disorder in older adults: Systematic review and meta-analysis. Journal of Anxiety Disorders, 26, 1–11. doi 10.1016/j.janxdis.2011.08.010
(2010). Research design in clinical psychology (4th ed.). Boston, MA: Allyn & Bacon.
(2005). Do men and women differ in their response to interdisciplinary chronic pain management?. Pain, 114(1–2), 37–46. doi 10.1016/j.pain. 2004.12.009
(2011). A systematic review of elderly suicide prevention programs. Crisis, 32, 88–98. doi 10.1027/0227-5910/a000076
(2012). Nonpharmacological prevention of major depression among community-dwelling older adults: A systematic review of the efficacy of psychotherapy interventions. Archives of Gerontology and Geriatrics, 55, 522–529. doi 10.1016/j.archger.2012.03.003
(2008). The masculine depression scale: Development and psychometric evaluation. Psychology of Men & Masculinity, 9, 117–132.
(2002). Barriers to help-seeking by men: a review of sociocultural and clinical literature with particular reference to depression. Journal of Affective Disorders, 71(1), 1–9.
(2010). Prevalence of mild cognitive impairment is higher in men: The Mayo Clinic study of aging. Neurology, 75, 889–897. doi 10.1212/WNL. 0b013e3181f11d85
(2012). Effects of reminiscence interventions on psychosocial outcomes: A meta-analysis. Aging & mental health, 16, 541–558.
(2010). The men’s stress workshop: A gender-sensitive treatment for depressed men. Cognitive and Behavioral Practice, 17(1), 77–87. doi 10.1016/j.cbpra.2009.07.002
(1974). Age-sex differences in response to antidepressant drugs. The Journal of Nervous and Mental Disease, 159, 120–130.
(2005). Handbook of research methods in clinical psychology. Malden, MA: Blackwell.
(1999). The role of client choice and target selection in self-management therapy for depression in older adults. Psychology and Aging, 14, 155–169. doi 10.1037/0882-7974.14.1.155
(2013). Effectiveness of psychodynamic psychotherapy with older adults: A longitudinal study. Clinical Gerontologist, 36, 1–16. doi 10.1080/07317115.2012.731476
(1990). Reminiscence interviews as stress management interventions for older patients undergoing surgery. The Gerontologist, 30, 522–528. doi 10.1093/geront/30.4.522
(2005). Effects of a health advocacy, counseling, and activation program on depressive symptoms in older coronary heart disease patients. International Journal of Geriatric Psychiatry, 20, 552–558. doi 10.1002/gps.1323
(2007). Gender differences in seven-year alcohol and drug treatment outcomes among older adults. American Journal on Addictions, 16, 216–221. doi 10.1080/10550490701375673
(2012). Making evidence-based psychological treatments work with older adults. Washington, DC: American Psychological Association.
(2014). Cognitive-behavioral treatment of depression in men: Tailoring treatment and directions for future research. American Journal of Men’s Health. Advance online publication. doi 10.1177/1557988314529790.
(1984). Efficacy of psychotherapy in the treatment of late-life depression. Advances in Behavior Research & Therapy, 6, 127–139. doi 10.1016/0146-6402(84)90007-9
(2012). Prolonged exposure therapy for older veterans with posttraumatic stress disorder: A pilot study. American Journal of Geriatric Psychiatry, 20, 276–280. doi 10.1097/ JGP.0b013e3182435ee9
(2009). Brief behavioral activation treatment of chronic anxiety in an older adult. Behavior Change, 26, 214–222.
(2005). Cognitive-behavioral therapy for late-life generalized anxiety disorder: Who gets better?. Behavior Therapy, 36, 147–156. doi 10.1016/S0005-7894(05)80063-2
(2013). Effectiveness of prolonged exposure for PTSD in older veterans. The International Journal of Psychiatry in Medicine, 45, 111–124. doi 10.2190/PM.45.2.b
(2008). Longitudinal course of substance treatment benefits in older male veteran at-risk drinkers. Journals of Gerontology Series A – Biological Sciences and Medical Sciences, 63, 98–106.
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