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9 results on '"Thompson, Larry W."'

1. Effectiveness of a Fotonovela for Reducing Depression and Stress in Latino Dementia Family Caregivers

Author

Gallagher-Thompson, Dolores, Tzuang, Marian, Hinton, Ladson, Alvarez, Paula, Rengifo, Johanna, Valverde, Irene, Chen, Nancy, Emrani, Tara, and Thompson, Larry W

Subjects
Biomedical and Clinical Sciences, Biological Psychology, Clinical Sciences, Neurosciences, Psychology, Brain Disorders, Behavioral and Social Science, Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD), Mental Health, Dementia, Mind and Body, Acquired Cognitive Impairment, Depression, Clinical Research, 7.1 Individual care needs, Management of diseases and conditions, Good Health and Well Being, Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Audiovisual Aids, Caregivers, Female, Hispanic or Latino, Humans, Male, Middle Aged, Pamphlets, Patient Education as Topic, Stress, Psychological, Treatment Outcome, Alzheimer disease, dementia caregiving, fotonovela, caregiver depression, stress, Cognitive Sciences, Geriatrics, Clinical sciences, Biological psychology
Abstract

The clinical need to address stress and depression in Latino dementia caregivers (CGs) combined with low health literacy and less accurate knowledge of dementia motivated the development of a pictorial tool [called a fotonovela (FN)] to teach (a) coping skills for caregiver (CG) stress; (b) self-assessment of depression; and (c) encourage improved utilization of available resources. To test the effectiveness of the FN, 110 of 147 Latino CGs, who were randomly assigned to the Fotonovela Condition (FNC) or the Usual Information Condition (UIC), were included in the final analyses. Self-report measures were given at baseline and post intervention. Results showed that FNC CGs demonstrated significantly greater reductions in level of depressive symptoms than UIC CGs. A significant decrease in level of stress due to memory and behavioral problems exhibited by their loved ones was similar in both groups. The FNC CGs reported that the FN was more helpful and that they referred to it more often than the UIC CGs did with regard to the informational materials they were provided about dementia. In conclusion, a culturally tailored FN can be an effective tool for Latino CGs given their high unmet needs for assistance and various barriers in accessing resources.

Published
2015

4. Conceptual and Clinical Issues in the Psychotherapy of Elderly Depressed Persons.

Author

Gallagher, Dolores and Thompson, Larry W.

Abstract

Numerous studies report that depression is the most common psychiatric disorder of the elderly. According to the behavioral view, depression results from inadequate, ineffective or insufficient positive reinforcement. In contrast, the cognitive position sees depression as a result of negative thinking about oneself, one's experience, and the future. Both behavioral therapy and cognitive therapy can successfully be used as effective therapeutic tools with depressed elderly persons. However, it is unlikely that either of these treatments is adequate or sufficient to treat all depressions of old age. Great variability is a consistent finding in research on the aging, which makes it necessary to remain flexible in determining the problem and selecting an intervention appropriate for the client. Additionally, it is necessary that the therapist feel that older persons can learn new behaviors and cognitions, and that they can respond to the same therapeutic principles as younger persons. (Author)

Published
1978

5. The impact of executive function on response to cognitive behavioral therapy in late-life depression

Author

Goodkind, Madeleine S., Gallagher-Thompson, Dolores, Thompson, Larry W., Kesler, Shelli R., Anker, Lauren, Flournoy, John, Berman, Mika P., Holland, Jason M., and O’Hara, Ruth M.

Subjects
Male, Psychiatric Status Rating Scales, Depressive Disorder, Executive Function, Cognitive Behavioral Therapy, Humans, Female, Middle Aged, Neuropsychological Tests, Cognition Disorders, behavioral disciplines and activities, Article, Aged
Abstract

OBJECTIVE: Late-life depression (LLD) is a common and debilitating condition among older adults. Cognitive behavioral therapy (CBT) has strong empirical support for the treatment of depression in all ages, including in LLD. In teaching patients to identify, monitor, and challenge negative patterns in their thinking, CBT for LLD relies heavily on cognitive processes and, in particular, executive functioning, such as planning, sequencing, organizing, and selectively inhibiting information. It may be that the effectiveness of CBT lies in its ability to train these cognitive areas. METHODS: Participants with LLD completed a comprehensive neuropsychological battery before enrolling in CBT. The current study examined the relationship between neuropsychological function prior to treatment and response to CBT. RESULTS: When using three baseline measures of executive functioning that quantify set shifting, cognitive flexibility, and response inhibition to predict treatment response, only baseline Wisconsin Card Sort Task performance was associated with a significant drop in depression symptoms after CBT. Specifically, worse performance on the Wisconsin Card Sort Task was associated with better treatment response. CONCLUSIONS: These results suggest that CBT, which teaches cognitive techniques for improving psychiatric symptoms, may be especially beneficial in LLD if relative weaknesses in specific areas of executive functioning are present.

Published
2015

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