Research Topics
| Patricia A AreanSummaryAffiliation: University of California Country: USA Publications
Research Grants
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Detail Information
Publications
Implementing evidence-based psychotherapies in settings serving older adults: challenges and solutionsPatricia 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....
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...- The role of provider attitudes in prescribing antidepressants to older adults: leverage points for effective provider educationPatricia A Arean
University of California, San Francisco, Department of Psychiatry, 94143 0984, USA
Int J Psychiatry Med 33:241-56. 2003.... - Effectiveness of problem-solving therapy for older, primary care patients with depression: results from the IMPACT projectPatricia 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... 
Problem-solving therapy and supportive therapy in older adults with major depression and executive dysfunctionPatricia 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...- Improving depression care for older, minority patients in primary carePatricia 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... - Treatment of depression in low-income older adultsPatricia 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... - Integrated specialty mental health care among older minorities improves access but not outcomes: results of the PRISMe studyPatricia A Arean
University of California, San Francisco, CA 94143 0984, USA
Int J Geriatr Psychiatry 23:1086-92. 2008.... - Service use and outcomes among elderly persons with low incomes being treated for depressionPatricia 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... - Treating depression in disabled, low-income elderly: a conceptual model and recommendations for carePatricia 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... - Recruitment and retention of older minorities in mental health services researchPatricia A Arean
Department of Psychiatry, UCSF, San Francisco, CA 94143, USA
Gerontologist 43:36-44. 2003.... - Ethical considerations in psychotherapy effectiveness research: choosing the comparison groupP 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... - Guidelines for conducting geropsychotherapy researchPatricia 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... - Problem-solving therapy and supportive therapy in older adults with major depression and executive dysfunction: effect on disabilityGeorge 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... - Problem solving therapy for the depression-executive dysfunction syndrome of late lifeGeorge 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... - Evidence-based practices in geriatric mental health care: an overview of systematic reviews and meta-analysesStephen 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... - 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 useStephen 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... - Developing an intervention for depressed, chronically medically ill elders: a model from COPDGeorge 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... - Modular psychotherapy for anxiety in older primary care patientsJulie 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... - Five-year alcohol and drug treatment outcomes of older adults versus middle-aged and younger adults in a managed care programDerek 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... - Impaired financial capacity in late life depression is associated with cognitive performance on measures of executive functioning and attentionR 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... - Low use of mental health services among older Americans with mood and anxiety disordersAmy 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... - Psychosocial interventions for late-life major depression: evidence-based treatments, predictors of treatment outcomes, and moderators of treatment effectsDimitris 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... - Cognitive and psychiatric predictors of medical treatment adherence among older adults in primary care clinicsR 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... - Adherence to antidepressant medications in black and Latino elderly patientsLiat 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... - The effect of cognitive impairment on mental healthcare costs for individuals with severe psychiatric illnessR 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... - The sensitivity and specificity of cognitive screening instruments to detect cognitive impairment in older adults with severe psychiatric illnessR 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... - Cognitive functioning in individuals with severe compulsive hoarding behaviors and late life depressionR Scott Mackin
Department of Psychiatry, University of California, San Francisco, USA
Int J Geriatr Psychiatry 26:314-21. 2011.... - 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) studyHeather 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... - Effects of gender, ethnicity, and medical illness on drinking cessation in older primary care patientsDerek 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... - Psychotherapy and combined psychotherapy/pharmacotherapy for late life depressionPatricia A Arean
University of California, San Francisco, Department of Psychiatry, 94143 0984, USA
Biol Psychiatry 52:293-303. 2002.... - Home-delivered problem adaptation therapy (PATH) for depressed, cognitively impaired, disabled elders: A preliminary studyDimitris 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.... - Physician willingness to refer older depressed patients for psychotherapyJennifer 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... - Current status of psychotherapy for mental disorders in the elderlyAmber 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... - Incidence and documentation of cognitive impairment among older adults with severe mental illness in a community mental health settingR 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... - Psychoeducation to increase psychotherapy entry for older African AmericansJennifer 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... - Diabetes distress but not clinical depression or depressive symptoms is associated with glycemic control in both cross-sectional and longitudinal analysesLawrence 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... - Clinical depression versus distress among patients with type 2 diabetes: not just a question of semanticsLawrence 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... - The impact of psychosocial factors on late-life depressionPatricia A Arean
Department of Psychiatry, University of California San Francisco, San Francisco, California, USA
Biol Psychiatry 58:277-82. 2005.... - Depression is a common and chronic comorbidity in patients with interstitial lung diseaseChristopher 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... - Knowledge of Alzheimer's disease in four ethnic groups of older adultsLiat 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... - Evidence-based practices in geriatric mental health careStephen 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... - Contrasting outcomes of older versus middle-aged and younger adult chemical dependency patients in a managed care programDerek 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... - Patients with type 2 diabetes at risk for major depressive disorder over timeDiana 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... - Sustained adoption of an evidence-based treatment: a survey of clinicians certified in problem-solving therapyRebecca 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... - Depression and Bipolar Support Alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late lifeDennis S Charney
National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA
Arch Gen Psychiatry 60:664-72. 2003.... - The role of cognitive functioning and distress in suicidal ideation in older adultsLiat 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 Grants
- Case Management and PST for Depressed Homebound Low-Income EldersPatricia 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. ..
- Treating Depression in Low-Income Elderly with CIND/AMCIPatricia 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. ..
- 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. ..
- Case Management and PST for Depressed Homebound Low-Income EldersPatricia 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. ..
- PST in Geriatric Depression with Executive DysfunctionPatricia Arean; Fiscal Year: 2006..Accordingly, we are well positioned to meet the challenges inherent in this difficult but important area of research. ..
- Case Management and PST for Depressed Homebound Low-Income EldersPatricia 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. ..