{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T07:16:30Z","timestamp":1726211790189},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2011,3,30]],"date-time":"2011-03-30T00:00:00Z","timestamp":1301443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Identifying the predictors of late\u2010life depression that are amenable to change may lead to interventions that result in better and faster remission. Thus, the authors investigated the impact of two different strategies for coping with physical illness on depression in older, primary care patients. Health\u2010oriented goal <jats:italic>engagement<\/jats:italic> strategies involve the investment of cognitive and behavioral resources to achieve health goals. Conversely, <jats:italic>disengagement<\/jats:italic> strategies involve the withdrawal of these resources from obsolete or unattainable health goals, combined with goal restructuring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The participants were 271 adults aged &gt;59\u2009years who took part in a two\u2010year randomized clinical trial for treating depression in older adults (Prevention of Suicide in Primary Care Elderly: Collaborative Trial). The use of engagement and disengagement strategies, along with other risk factors for depression, were included in a tree\u2010structured survival analysis to identify subgroups of individuals at risk for not achieving depression remission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The use of disengagement strategies predicted earlier remission of depression, particularly among more severely depressed older patients. The use of engagement strategies did not predict earlier remission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Interventions that encourage disengagement from unattainable health goals may promote remission from depression in older, primary care patients. Copyright \u00a9 2011 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.2706","type":"journal-article","created":{"date-parts":[[2011,3,30]],"date-time":"2011-03-30T11:48:57Z","timestamp":1301485737000},"page":"178-186","source":"Crossref","is-referenced-by-count":8,"title":["Coping with health stresses and remission from late\u2010life depression in primary care: a two\u2010year prospective study"],"prefix":"10.1002","volume":"27","author":[{"given":"Meredith L.","family":"Wallace","sequence":"first","affiliation":[{"name":"Western Psychiatric Institute and Clinic, Department of Psychiatry University of Pittsburgh School of Medicine  Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre Y.","family":"Dombrovski","sequence":"additional","affiliation":[{"name":"Western Psychiatric Institute and Clinic, Department of Psychiatry University of Pittsburgh School of Medicine  Pittsburgh PA 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