期刊
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
卷 29, 期 8, 页码 748-757出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jagp.2020.05.021
关键词
Anxiety; depression; loneliness; peer companionship; social connectedness; suicidal ideation
资金
- U.S. Centers for Disease Control and Prevention [U01CE001942]
This study aimed to investigate the impact of peer companionship provided by an aging services agency on the mental health of socially-disconnected older patients. The results showed that subjects in the TSC group had greater improvements in depression, while there were no significant differences in suicidal ideation and feelings of belonging.
Objectives: To determine whether peer companionship delivered by an aging services agency to socially-disconnected older adult primary care patients was associated with improvement in suicidal ideation depression, anxiety, and psychological connectedness. Design: Pragmatic, nonblinded, parallel-group, randomized controlled trial comparing peer companionship, The Senior Con-nection (TSC), to care-as-usual (CAU). Setting: Lifespan, a nonmedical, commu-nity-based aging services agency. Participants: Adult primary care patients ages 60 years or older who endorsed feelings of loneliness or being a burden on others. Intervention: TSC was delivered by Lifespan volunteers who provided supportive visits and phone calls in the subjects' homes. CAU involved no peer companion assignment. Measurements: The primary outcome was suicidal ideation assessed by the Geriatric Suicide Ideation Scale; secondary outcomes were depression, anxiety, and feelings of belonging and being a burden on others. Data were collected at baseline, 3-, 6-, and 12-months. Results: Subjects (55% female) had a mean age of 71 years. There was no difference between groups in change in suicidal ideation or belonging. Subjects randomized to TSC had greater reduction in depression (PHQ-9; 2.33 point reduction for TSC
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