Patricia A Arean

Summary

Affiliation: University of California
Country: USA

Publications

  1. pmc Problem-solving versus cognitive restructuring of medically ill seniors with depression (PROMISE-D trial): study protocol and design
    Louise Sharpe
    School of Psychology, University of Sydney, Sydney, Australia
    BMC Psychiatry 12:207. 2012
  2. pmc Implementing evidence-based psychotherapies in settings serving older adults: challenges and solutions
    Patricia A Arean
    Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave, Box F 0984, San Francisco, CA 94143, USA
    Psychiatr Serv 63:605-7. 2012
  3. ncbi request reprint Would older medical patients use psychological services?
    Patricia A Arean
    Department of Psychiatry, University of California, San Francisco 94143, USA
    Gerontologist 42:392-8. 2002
  4. ncbi request reprint The role of provider attitudes in prescribing antidepressants to older adults: leverage points for effective provider education
    Patricia A Arean
    University of California, San Francisco, Department of Psychiatry, 94143 0984, USA
    Int J Psychiatry Med 33:241-56. 2003
  5. ncbi request reprint Improving depression care for older, minority patients in primary care
    Patricia A Arean
    Department of Psychiatry, University of California, San Francisco, California 94143, USA
    Med Care 43:381-90. 2005
  6. ncbi request reprint Effectiveness of problem-solving therapy for older, primary care patients with depression: results from the IMPACT project
    Patricia Arean
    University of California San Francisco, Department of Psychiatry, San Francisco, CA 94143, USA
    Gerontologist 48:311-23. 2008
  7. doi request reprint Integrated specialty mental health care among older minorities improves access but not outcomes: results of the PRISMe study
    Patricia A Arean
    University of California, San Francisco, CA 94143 0984, USA
    Int J Geriatr Psychiatry 23:1086-92. 2008
  8. ncbi request reprint Treatment of depression in low-income older adults
    Patricia A Arean
    Department of Psychiatry, University of California, San Francisco, CA 94143 0984, USA
    Psychol Aging 20:601-9. 2005
  9. ncbi request reprint Service use and outcomes among elderly persons with low incomes being treated for depression
    Patricia A Arean
    Department of Psychiatry, University of California San Francisco, 401 Parnassus Avenue, San Francisco, CA 94143, USA
    Psychiatr Serv 58:1057-64. 2007
  10. pmc Problem-solving therapy and supportive therapy in older adults with major depression and executive dysfunction
    Patricia A Arean
    Department of Psychiatry, University of California, San Francisco, CA 94143, USA
    Am J Psychiatry 167:1391-8. 2010

Detail Information

Publications51

  1. pmc Problem-solving versus cognitive restructuring of medically ill seniors with depression (PROMISE-D trial): study protocol and design
    Louise Sharpe
    School of Psychology, University of Sydney, Sydney, Australia
    BMC Psychiatry 12:207. 2012
    ..This study will be the first to explicitly target the treatment of depression in older people in primary care settings presenting with a range of health problems using behavioural interventions...
  2. pmc Implementing evidence-based psychotherapies in settings serving older adults: challenges and solutions
    Patricia A Arean
    Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave, Box F 0984, San Francisco, CA 94143, USA
    Psychiatr Serv 63:605-7. 2012
    ....
  3. ncbi request reprint Would older medical patients use psychological services?
    Patricia A Arean
    Department of Psychiatry, University of California, San Francisco 94143, USA
    Gerontologist 42:392-8. 2002
    ..This study examines older patient preferences for psychological services, including the types of services they would be interested in and who should provide them...
  4. ncbi request reprint The role of provider attitudes in prescribing antidepressants to older adults: leverage points for effective provider education
    Patricia A Arean
    University of California, San Francisco, Department of Psychiatry, 94143 0984, USA
    Int J Psychiatry Med 33:241-56. 2003
    ....
  5. ncbi request reprint Improving depression care for older, minority patients in primary care
    Patricia A Arean
    Department of Psychiatry, University of California, San Francisco, California 94143, USA
    Med Care 43:381-90. 2005
    ..This study examines whether a collaborative care model for depression in primary care is as effective in older minorities as it is in nonminority elderly patients in improving depression treatment and outcomes...
  6. ncbi request reprint Effectiveness of problem-solving therapy for older, primary care patients with depression: results from the IMPACT project
    Patricia Arean
    University of California San Francisco, Department of Psychiatry, San Francisco, CA 94143, USA
    Gerontologist 48:311-23. 2008
    ..We compared a primary-care-based psychotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psychotherapy in treating late-life major depression and dysthymia...
  7. doi request reprint Integrated specialty mental health care among older minorities improves access but not outcomes: results of the PRISMe study
    Patricia A Arean
    University of California, San Francisco, CA 94143 0984, USA
    Int J Geriatr Psychiatry 23:1086-92. 2008
    ....
  8. ncbi request reprint Treatment of depression in low-income older adults
    Patricia A Arean
    Department of Psychiatry, University of California, San Francisco, CA 94143 0984, USA
    Psychol Aging 20:601-9. 2005
    ..All 3 conditions resulted in similar reduction of needs. Findings suggest that disadvantaged older adults with depression benefit from increased access to social services either alone or combined with psychotherapy...
  9. ncbi request reprint Service use and outcomes among elderly persons with low incomes being treated for depression
    Patricia A Arean
    Department of Psychiatry, University of California San Francisco, 401 Parnassus Avenue, San Francisco, CA 94143, USA
    Psychiatr Serv 58:1057-64. 2007
    ..This study examined whether a collaborative care model for depression in primary care would increase use of depression treatment and treatment outcomes for low-income elderly adults as well as for higher-income older adults...
  10. pmc Problem-solving therapy and supportive therapy in older adults with major depression and executive dysfunction
    Patricia A Arean
    Department of Psychiatry, University of California, San Francisco, CA 94143, USA
    Am J Psychiatry 167:1391-8. 2010
    ..Problem-solving therapy was modified to be accessible to this population. Participants were randomly assigned to 12 weekly sessions of problem-solving therapy or supportive therapy and assessed at weeks 3, 6, 9, and 12...
  11. pmc Treating depression in disabled, low-income elderly: a conceptual model and recommendations for care
    Patricia A Arean
    Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medical College, University of California, San Francisco, USA
    Int J Geriatr Psychiatry 25:765-9. 2010
    ..Interventions that not only address the depressive syndrome but also manage social adversity are sorely needed to help this patient population recover from depression...
  12. ncbi request reprint Recruitment and retention of older minorities in mental health services research
    Patricia A Arean
    Department of Psychiatry, UCSF, San Francisco, CA 94143, USA
    Gerontologist 43:36-44. 2003
    ....
  13. ncbi request reprint Ethical considerations in psychotherapy effectiveness research: choosing the comparison group
    P A Arean
    Department of Psychiatry, 401 Parnassus Avenue, Box F 0984, San Francisco, CA 94143 0984, USA
    Ethics Behav 12:63-73. 2002
    ..For purposes of precision, we focus exclusively on psychotherapy effectiveness research rather than system-intervention research or medication-intervention research...
  14. ncbi request reprint Guidelines for conducting geropsychotherapy research
    Patricia A Arean
    Department of Psychiatry, University of California, San Francisco 94143 0984, USA
    Am J Geriatr Psychiatry 11:9-16. 2003
    ..However, the field is still in need of better outcome and process measures, methods for measuring the therapeutic content of non-psychotherapy encounters, and methods for determining the impact of choice of treatment on outcome...
  15. pmc Problem-solving therapy and supportive therapy in older adults with major depression and executive dysfunction: effect on disability
    George S Alexopoulos
    Department of Psychiatry, Weill Cornell Medical College, White Plains, NY 10605, USA
    Arch Gen Psychiatry 68:33-41. 2011
    ..Older patients with depression and executive dysfunction represent a population with significant disability and a high likelihood of failing pharmacotherapy...
  16. doi request reprint Problem solving therapy for the depression-executive dysfunction syndrome of late life
    George S Alexopoulos
    Department of Psychiatry, Weill Cornell Medical College, White Plains, NY 10605, USA
    Int J Geriatr Psychiatry 23:782-8. 2008
    ..Non-pharmacological approaches addressing their behavioral deficits may reduce disability and experienced stress and improve depression...
  17. ncbi request reprint Evidence-based practices in geriatric mental health care: an overview of systematic reviews and meta-analyses
    Stephen J Bartels
    Department of Psychiatry, Dartmouth Medical School, One Medical Center Drive, Lebanon, NH 03756, USA
    Psychiatr Clin North Am 26:971-90, x-xi. 2003
    ..Cautions and limitations regarding the reliance on randomized, controlled trials, meta-analyses, and systematic reviews also are presented...
  18. ncbi request reprint Improving access to geriatric mental health services: a randomized trial comparing treatment engagement with integrated versus enhanced referral care for depression, anxiety, and at-risk alcohol use
    Stephen J Bartels
    Department of Psychiatry, Dartmouth Medical School, Lebanon, NH, USA
    Am J Psychiatry 161:1455-62. 2004
    ..The authors sought to determine whether integrated mental health services or enhanced referral to specialty mental health clinics results in greater engagement in mental health/substance abuse services by older primary care patients...
  19. pmc Modular psychotherapy for anxiety in older primary care patients
    Julie Loebach Wetherell
    Psychiatry Department, University of California, San Diego, La Jolla, CA 92093 9116, USA
    Am J Geriatr Psychiatry 17:483-92. 2009
    ..To develop and test a modular psychotherapy protocol in older primary care patients with anxiety disorders...
  20. ncbi request reprint Developing an intervention for depressed, chronically medically ill elders: a model from COPD
    George S Alexopoulos
    Department of Psychiatry, Weill Cornell Medical College, NY 10605, USA
    Int J Geriatr Psychiatry 23:447-53. 2008
    ..Disability, hopelessness, lack of acceptance of antidepressant treatment, and limited problem-solving skills contribute to poor treatment adherence, compromised outcomes, and chronically experienced adversity...
  21. doi request reprint Impaired financial capacity in late life depression is associated with cognitive performance on measures of executive functioning and attention
    R Scott Mackin
    Department of Psychiatry and Langley Porter Psychiatric Institute, University of California, San Francisco, San Francisco, California 94143 0984, USA
    J Int Neuropsychol Soc 15:793-8. 2009
    ..Our results suggest impairments of financial capacity in LLD are largely explained by cognitive functioning in these domains...
  22. ncbi request reprint Five-year alcohol and drug treatment outcomes of older adults versus middle-aged and younger adults in a managed care program
    Derek D Satre
    Department of Psychiatry, University of California, San Francisco 94143, USA
    Addiction 99:1286-97. 2004
    ..We examined age group differences in individual, treatment and extra-treatment factors, which may influence long-term outcome...
  23. pmc Low use of mental health services among older Americans with mood and anxiety disorders
    Amy L Byers
    Department of Psychiatry, University of California, San Francisco UCSF, 4150 Clement St 116H, San Francisco, CA 94121, USA
    Psychiatr Serv 63:66-72. 2012
    ..Thus this study examined prevalence of and key factors associated with nonuse of mental health services among older community-dwelling adults with these disorders...
  24. pmc The effect of cognitive impairment on mental healthcare costs for individuals with severe psychiatric illness
    R Scott Mackin
    Department of Psychiatry, University of California, San Francisco, CA 94143 0984, USA
    Am J Geriatr Psychiatry 19:176-84. 2011
    ..This study was conducted to determine the effect of cognitive impairment (CI) on mental healthcare costs for older low-income adults with severe psychiatric illness...
  25. pmc Psychosocial interventions for late-life major depression: evidence-based treatments, predictors of treatment outcomes, and moderators of treatment effects
    Dimitris N Kiosses
    Department of Psychiatry, Weill Cornell Medical College, 21 Bloomingdale Road, White Plains, NY 10605, USA
    Psychiatr Clin North Am 34:377-401, viii. 2011
    ..Future research may examine the moderating effects of baseline depression severity and identify other clinical or demographic moderators...
  26. ncbi request reprint Cognitive and psychiatric predictors of medical treatment adherence among older adults in primary care clinics
    R Scott Mackin
    Department of Psychiatry, University of California, San Francisco, CA 94143 0984, USA
    Int J Geriatr Psychiatry 22:55-60. 2007
    ..Treatment non-adherence has been associated with a number of factors in older adults; however few studies have delineated the role of cognition and psychiatric status...
  27. ncbi request reprint Adherence to antidepressant medications in black and Latino elderly patients
    Liat Ayalon
    Univ of California, San Francisco, 401 Parnassus Ave, CPT, San Francisco, CA 94143, USA
    Am J Geriatr Psychiatry 13:572-80. 2005
    ..The purpose of this pilot study was to identify ethnic group differences in nonadherence and to determine predictors of nonadherence to antidepressant medications in older minority-group members...
  28. doi request reprint Cognitive functioning in individuals with severe compulsive hoarding behaviors and late life depression
    R Scott Mackin
    Department of Psychiatry, University of California, San Francisco, USA
    Int J Geriatr Psychiatry 26:314-21. 2011
    ....
  29. doi request reprint Harm reduction among at-risk elderly drinkers: a site-specific analysis from the multi-site Primary Care Research in Substance Abuse and Mental Health for Elderly (PRISM-E) study
    Heather Sophia Lee
    Department of Psychiatry, University of California, San Francisco, CA, USA
    Int J Geriatr Psychiatry 24:54-60. 2009
    ..To assess the efficacy of a harm-reduction based intervention to enhance access to treatment and clinical outcomes among elderly at-risk drinkers...
  30. pmc The sensitivity and specificity of cognitive screening instruments to detect cognitive impairment in older adults with severe psychiatric illness
    R Scott Mackin
    Department of Psychiatry and Langley Porter Psychiatric Institute, University of California, San Francisco, San Francisco, CA 94143, USA
    J Geriatr Psychiatry Neurol 23:94-9. 2010
    ..Brief cognitive screening instruments are frequently used to evaluate cognitive functioning in CMHCs, but the validity of these measures for detecting CI has not been adequately evaluated in this patient population...
  31. ncbi request reprint Effects of gender, ethnicity, and medical illness on drinking cessation in older primary care patients
    Derek D Satre
    University of California, San Francisco, Kaiser Permanente Division of Research, 401 Parnassus Avenue, Box 0984 OVS, San Francisco, CA 94143 0984, USA
    J Aging Health 17:70-84. 2005
    ..This study examined the effects of gender, ethnicity, and medical illness on cessation of alcohol consumption in late life by analyzing characteristics that distinguish current drinkers from former drinkers...
  32. pmc Home-delivered problem adaptation therapy (PATH) for depressed, cognitively impaired, disabled elders: A preliminary study
    Dimitris N Kiosses
    Department of Psychiatry, Weill Cornell Institute of Geriatric Psychiatry, Weill Medical College of Cornell University, New York, NY, USA
    Am J Geriatr Psychiatry 18:988-98. 2010
    ....
  33. ncbi request reprint Current status of psychotherapy for mental disorders in the elderly
    Amber Gum
    Department of Psychiatry, University of California at San Francisco, 401 Parnassus Avenue, Box CPT, San Francisco, CA 94143, USA
    Curr Psychiatry Rep 6:32-8. 2004
    ..Many of these studies are preliminary, however; additional research is needed with larger, more diverse samples across a variety of psychiatric diagnoses and treatment settings...
  34. pmc Incidence and documentation of cognitive impairment among older adults with severe mental illness in a community mental health setting
    R Scott Mackin
    Department of Psychiatry, University of California, San Francisco, CA, USA
    Am J Geriatr Psychiatry 17:75-82. 2009
    ..Few studies have explored the incidence and documentation of cognitive impairments in this patient population...
  35. ncbi request reprint Physician willingness to refer older depressed patients for psychotherapy
    Jennifer Alvidrez
    Department of Psychiatry, University of California, San Francisco 94115, USA
    Int J Psychiatry Med 32:21-35. 2002
    ..The purpose of this study was to assess attitudes toward psychotherapy for late-life depression and to identify predictors of physician willingness to refer older patients to psychotherapy...
  36. ncbi request reprint Psychotherapy and combined psychotherapy/pharmacotherapy for late life depression
    Patricia A Arean
    University of California, San Francisco, Department of Psychiatry, 94143 0984, USA
    Biol Psychiatry 52:293-303. 2002
    ....
  37. ncbi request reprint Economic grand rounds: incentives for primary care providers to participate in a collaborative care program for depression
    Mitchell D Feldman
    Department of Medicine and Psychiatry, University of California, San Francisco 94143 0320, USA
    Psychiatr Serv 56:1344-6. 2005
  38. ncbi request reprint Psychoeducation to increase psychotherapy entry for older African Americans
    Jennifer Alvidrez
    UCSF Dept of Psychiatry, Box 0852 TRCR, San Francisco, CA 94143 0852, USA
    Am J Geriatr Psychiatry 13:554-61. 2005
    ..This pilot study examined the impact of a brief psychoeducational intervention on treatment entry and attendance for older African American medical patients referred for psychotherapy...
  39. pmc Diabetes distress but not clinical depression or depressive symptoms is associated with glycemic control in both cross-sectional and longitudinal analyses
    Lawrence Fisher
    Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California, USA
    Diabetes Care 33:23-8. 2010
    ..To determine the concurrent, prospective, and time-concordant relationships among major depressive disorder (MDD), depressive symptoms, and diabetes distress with glycemic control...
  40. ncbi request reprint Clinical depression versus distress among patients with type 2 diabetes: not just a question of semantics
    Lawrence Fisher
    Department of Family and Community Medicine, Box 0900, University of California San Francisco, San Francisco, CA 94143, USA
    Diabetes Care 30:542-8. 2007
    ..We sought to determine differences between structured interviews, symptom questionnaires, and distress measures for assessment of depression in patients with diabetes...
  41. pmc REDEEM: a pragmatic trial to reduce diabetes distress
    Lawrence Fisher
    University of California, San Francisco, San Francisco, California, USA
    Diabetes Care 36:2551-8. 2013
    ..To compare three interventions to reduce diabetes distress (DD) and improve self-management among non-clinically depressed adults with type 2 diabetes mellitus (T2DM)...
  42. ncbi request reprint Evidence-based psychotherapeutic interventions for geriatric depression
    R Scott Mackin
    Department of Psychiatry and Langley Porter Psychiatric Institute, University of California San Francisco, 401 Parnassus Avenue, Box F 0984, San Francisco, CA 94143 0984, USA
    Psychiatr Clin North Am 28:805-20, vii-viii. 2005
  43. ncbi request reprint The impact of psychosocial factors on late-life depression
    Patricia A Arean
    Department of Psychiatry, University of California San Francisco, San Francisco, California, USA
    Biol Psychiatry 58:277-82. 2005
    ....
  44. doi request reprint Depression is a common and chronic comorbidity in patients with interstitial lung disease
    Christopher J Ryerson
    Department of Medicine, School of Medicine, University of California San Francisco, San Francisco, California, USA
    Respirology 17:525-32. 2012
    ..The aim of this study was to determine the prevalence of depression, characterize the association of depression with clinical variables and describe the natural history of depression in patients with ILD...
  45. ncbi request reprint Evidence-based practices in geriatric mental health care
    Stephen J Bartels
    Department of Psychiatry, Dartmouth Medical School, Hannover, New Hampshire, USA
    Psychiatr Serv 53:1419-31. 2002
    ..The anticipated growth in the population of older persons with mental disorders underscores the need for a strategy to facilitate the systematic and effective implementation of evidence-based practices in geriatric mental health care...
  46. ncbi request reprint Contrasting outcomes of older versus middle-aged and younger adult chemical dependency patients in a managed care program
    Derek D Satre
    University of California, San Francisco, 401 Parnassus Avenue, Box 0984 OVS, San Francisco, California 94143, USA
    J Stud Alcohol 64:520-30. 2003
    ..To predict successful outcome, we tested a model incorporating age group differences in individual, treatment and extratreatment factors...
  47. ncbi request reprint Knowledge of Alzheimer's disease in four ethnic groups of older adults
    Liat Ayalon
    University of California, San Francisco, CA 94143, USA
    Int J Geriatr Psychiatry 19:51-7. 2004
    ..The present study evaluated knowledge of Alzheimer's disease (AD) in four ethnic groups of older adults...
  48. pmc Patients with type 2 diabetes at risk for major depressive disorder over time
    Diana M Naranjo
    Department of Family and Community Medicine, University of California, San Francisco, 94143, USA
    Ann Fam Med 9:115-20. 2011
    ..We wanted to identify risk factors associated with the development of major depressive disorder (MDD) among patients with type 2 diabetes over time...
  49. pmc Sustained adoption of an evidence-based treatment: a survey of clinicians certified in problem-solving therapy
    Rebecca M Crabb
    Department of Psychiatry, University of California, San Francisco, CA 94143, USA
    Depress Res Treat 2012:986547. 2012
    ..Considering these results, we recommend emphasizing patient variability and treatment tailoring throughout the training process as a means for promoting clinicians' sustained adoption of EBTs...
  50. ncbi request reprint Depression and Bipolar Support Alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life
    Dennis S Charney
    National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA
    Arch Gen Psychiatry 60:664-72. 2003
    ..To review progress made during the past decade in late-life mood disorders and to identify areas of unmet need in health care delivery and research...
  51. ncbi request reprint The role of cognitive functioning and distress in suicidal ideation in older adults
    Liat Ayalon
    School of Social Work, Bar Ilan University, Ramat Gan, Israel
    J Am Geriatr Soc 55:1090-4. 2007
    ..To evaluate the role of cognitive functioning and other clinical and demographic characteristics as potential predictors of suicidal ideation in older primary care patients...

Research Grants14

  1. PST in Geriatric Depression with Executive Dysfunction
    Patricia Arean; Fiscal Year: 2002
    ..Accordingly, we are well positioned to meet the challenges inherent in this difficult but important area of research. ..
  2. Case Management and PST for Depressed Homebound Low-Income Elders
    Patricia Arean; Fiscal Year: 2009
    ..If CM-PST were found efficacious, it may be offered by trained case-workers of social services to large numbers of depressed, homebound, low-income elders. ..
  3. Treating Depression in Low-Income Elderly with CIND/AMCI
    Patricia Arean; Fiscal Year: 2007
    ..The training in behavioral neurology and in state-of-the-art teaching strategies will serve to enhance my ability as a mentor to the next generation of geriatric psychotherapy researchers. ..
  4. Community-Academic Research Training Alliance (CARTA)
    Patricia Arean; Fiscal Year: 2007
    ..The training program for the Agency fellows will consist of basic research design and research ethics, which will be illustrated through a research project that will be developed and implemented during the fellow's training year. ..
  5. Case Management and PST for Depressed Homebound Low-Income Elders
    Patricia Arean; Fiscal Year: 2007
    ..If CM-PST were found efficacious, it may be offered by trained case-workers of social services to large numbers of depressed, homebound, low-income elders. ..
  6. PST in Geriatric Depression with Executive Dysfunction
    Patricia Arean; Fiscal Year: 2006
    ..Accordingly, we are well positioned to meet the challenges inherent in this difficult but important area of research. ..
  7. PST in Geriatric Depression with Executive Dysfunction
    Patricia Arean; Fiscal Year: 2005
    ..Accordingly, we are well positioned to meet the challenges inherent in this difficult but important area of research. ..
  8. PST in Geriatric Depression with Executive Dysfunction
    Patricia Arean; Fiscal Year: 2004
    ..Accordingly, we are well positioned to meet the challenges inherent in this difficult but important area of research. ..
  9. PST in Geriatric Depression with Executive Dysfunction
    Patricia Arean; Fiscal Year: 2003
    ..Accordingly, we are well positioned to meet the challenges inherent in this difficult but important area of research. ..
  10. Case Management and PST for Depressed Homebound Low-Income Elders
    Patricia A Arean; Fiscal Year: 2010
    ..If CM-PST were found efficacious, it may be offered by trained case-workers of social services to large numbers of depressed, homebound, low-income elders. ..