{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T14:39:58Z","timestamp":1771339198176,"version":"3.50.1"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,6,7]],"date-time":"2012-06-07T00:00:00Z","timestamp":1339027200000},"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":[[2013,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to explore the longitudinal, 6\u2010month symptom course of older adults newly started on an antidepressant or anxiolytic by non\u2010psychiatrist physicians and enrolled in a care management program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This is a naturalistic cohort study of older adults (age \u226565\u2009years) receiving pharmacotherapy and telephone\u2010based care management. Participants are non\u2010institutionalized adults participating in Pennsylvania's Pharmaceutical Assistance Contract for the Elderly who completed telephone\u2010based clinical assessments including demographic data, self\u2010report on history of psychiatric treatment and adherence, and standardized symptom scales.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 162 participants with an average age of 77.2\u2009years (<jats:italic>SD<\/jats:italic> 6.8) were followed and, for analysis, split into two groups by PHQ\u20109 score: 75 (46.3%) scoring 0\u20134 (minimally symptomatic group, MSG) and 87 (53.7%) scoring \u22655 (symptomatic group, SG). Over 6\u2009months, the SG improved with PHQ\u20109 scores beginning on average at 10.0 (<jats:italic>SD<\/jats:italic> 4.6) and falling to 5.4 (<jats:italic>SD<\/jats:italic> 4.2) (<jats:italic>F<\/jats:italic>(1, 86)\u2009=\u200929.53, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). The MSG had no significant change in depressive symptoms. Emotional health as measured by SF\u201012 Mental Composite Score mirrored the PHQ\u20109 change and lack thereof in the SG and MSG, respectively. No clinical or demographic features were associated with symptom improvement in the SG although they were more likely to report medication adherence (66.7% vs. 44.0%, <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup>(1)\u2009=\u20098.4, <jats:italic>p<\/jats:italic>\u2009=\u20090.0037) compared with the MSG.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Participation of symptomatic older adults initiated on psychotropic medication in a telephone\u2010based care management program was associated with improvement in depressive symptoms and overall emotional well\u2010being, notable findings given participants' advanced age, state\u2010wide distribution, and history of limited utilization of mental health care. Copyright \u00a9 2012 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.3839","type":"journal-article","created":{"date-parts":[[2012,6,7]],"date-time":"2012-06-07T12:33:32Z","timestamp":1339072412000},"page":"410-416","source":"Crossref","is-referenced-by-count":13,"title":["Telephone\u2010based care management for older adults initiated on psychotropic medication"],"prefix":"10.1002","volume":"28","author":[{"given":"Donovan T.","family":"Maust","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Perelman School of Medicine University of Pennsylvania  Philadelphia PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahrzad","family":"Mavandadi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Perelman School of Medicine University of Pennsylvania  Philadelphia PA USA"},{"name":"Philadelphia Veterans Affairs Medical Center and the VISN 4 Mental Illness Research, Education, and Clinical Center (MIRECC)  Philadelphia PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Benson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Perelman School of Medicine University of Pennsylvania  Philadelphia PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel E.","family":"Streim","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Perelman School of Medicine University of Pennsylvania  Philadelphia PA USA"},{"name":"Philadelphia Veterans Affairs Medical Center and the VISN 4 Mental Illness Research, Education, and Clinical Center (MIRECC)  Philadelphia PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"DiFilippo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Perelman School of Medicine University of Pennsylvania  Philadelphia PA USA"},{"name":"Philadelphia Veterans Affairs Medical Center and the VISN 4 Mental Illness Research, Education, and Clinical Center (MIRECC)  Philadelphia PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Snedden","sequence":"additional","affiliation":[{"name":"PACE Program Pennsylvania Department of Aging  Harrisburg PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita L.","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Epidemiology, Perelman School of Medicine University of Pennsylvania  Philadelphia PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David W.","family":"Oslin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Perelman School of Medicine University of Pennsylvania  Philadelphia PA USA"},{"name":"Philadelphia Veterans Affairs Medical Center and the VISN 4 Mental Illness Research, Education, and Clinical Center (MIRECC)  Philadelphia PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,6,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.61.10.1042"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02226.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1997.00440350031003"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00019442-199902000-00002"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.9.1081"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e31817c6a99"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e3181b4bf4a"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50453.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1943"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.54.5.682"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/clpt.2011.54"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1L264"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2005.10.008"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.56.9.848"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2010.04.001"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.140.6.734"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0002423"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00019442-200309000-00006"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2006.57.7.946"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00019442-200105000-00009"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1999.tb01584.x"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e318202c1dc"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/08959420.2011.579503"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.153.10.1353"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2005.0267.x"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PSY.0000097335.35776.FB"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/00019442-200309000-00005"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-8343(01)00165-7"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/00115514-201003000-00006"},{"issue":"20","key":"e_1_2_8_32_1","first-page":"22","article-title":"The Mini\u2010International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM\u2010IV and ICD\u201010","volume":"59","author":"Sheehan DV","year":"1998","journal-title":"J Clin Psychiatry"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e3181c796d2"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.22.2836"},{"issue":"225","key":"e_1_2_8_35_1","first-page":"174","article-title":"Treating depressed older adults in primary care: narrowing the gap between efficacy and effectiveness","volume":"77","author":"Unutzer J","year":"1999","journal-title":"Milbank Q"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03540440052032"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-127-12-199712150-00008"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.6.892"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003"}],"container-title":["International Journal of Geriatric Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fgps.3839","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.3839","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T16:56:23Z","timestamp":1698684983000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/gps.3839"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,6,7]]},"references-count":38,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["10.1002\/gps.3839"],"URL":"https:\/\/doi.org\/10.1002\/gps.3839","archive":["Portico"],"relation":{},"ISSN":["0885-6230","1099-1166"],"issn-type":[{"value":"0885-6230","type":"print"},{"value":"1099-1166","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,6,7]]}}}