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Older Adults' Acceptance of Psychological and Pharmacological Treatments for Depression

^a School of Psychology, Université Laval, Sainte-Foy, Québec, Canada
^b Family Medicine Department, Université Laval, Sainte-Foy, Québec, Canada
^c Research Center, Institut de Gériatrie de Montréal, Montréal, Québec, Canada
^d Department of Psychology, Centre Hospitalier Robert-Giffard, Beauport, Québec, Canada

Philippe Landreville, École de psychologie, Université Laval, Sainte-Foy, QC, G1K 7P4, Canada. E-Mail: [email protected]

Decision Editor: Toni C. Antonucci, PhD

Two hundred participants aged 65 and older recruited from 4 different family medicine clinics rated the acceptability of 3 different treatments for geriatric depression: (a) cognitive therapy (CT), (b) cognitive bibliotherapy (CB), and (c) antidepressant medication (AM). Results showed that the acceptability of the treatments is a function of the severity of the symptoms of the depressed patient to whom they would be applied. CT and CB were rated as more acceptable than AM when patient symptoms were mild to moderate. However, CT was more acceptable than both CB and AM when patient symptoms were described as severe. Acceptability ratings were not related to the raters' own depressive symptoms. The practical implications of these results are discussed.

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