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Treatment and Prevention of Depression After Surgery for Hip Fracture in Older People: Randomized, Controlled Trials.

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Title: Treatment and Prevention of Depression After Surgery for Hip Fracture in Older People: Randomized, Controlled Trials.
Authors: Burns, Alistair, Banerjee, Sube, Morris, Julie, Woodward, Yvonne, Baldwin, Robert, Proctor, Rebekah, Tarrier, Nicholas, Pendleton, Neil, Sutherland, Deborah, Andrew, Glynne, Horan, Mike
Source: Journal of the American Geriatrics Society. Jan2007, Vol. 55 Issue 1, p75-80. 6p. 1 Diagram, 2 Charts.
Subjects: Depression in old age, Hip surgery, Surgery, Medical care for older people, Bone fractures in old age, Medical function tests, Randomized controlled trials, Therapeutics
Abstract: OBJECTIVES: To evaluate the effect of a psychiatric intervention in treating depression (treatment study) and the effect of a psychological treatment in preventing depression (prevention study) after hip fracture in older people. DESIGN: Two linked randomized, controlled trials. SETTING: Orthopedic units in Manchester, England. PARTICIPANTS: Two hundred ninety-three older people who had undergone surgery for a fractured hip: 121 in the treatment study and 172 in the prevention study. MEASUREMENTS: The Geriatric Depression Scale and Hospital Anxiety and Depression Scale for mood, functional tests for mobility and pain measures. RESULTS: There was a slight reduction in depressive symptoms in the active arm of the treatment study. In the prevention study, there was no significant difference in incident depression between the psychological intervention and treatment as usual. There were no differences in the functional and pain outcomes. CONCLUSION: The results from these two randomized, controlled trials show that, after hip fracture surgery, no statistically significant benefits can be achieved from a psychiatric intervention in people who are depressed or a psychological intervention to prevent the onset of depression. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Treatment and Prevention of Depression After Surgery for Hip Fracture in Older People: Randomized, Controlled Trials.
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  Data: <searchLink fieldCode="AR" term="%22Burns%2C+Alistair%22">Burns, Alistair</searchLink><br /><searchLink fieldCode="AR" term="%22Banerjee%2C+Sube%22">Banerjee, Sube</searchLink><br /><searchLink fieldCode="AR" term="%22Morris%2C+Julie%22">Morris, Julie</searchLink><br /><searchLink fieldCode="AR" term="%22Woodward%2C+Yvonne%22">Woodward, Yvonne</searchLink><br /><searchLink fieldCode="AR" term="%22Baldwin%2C+Robert%22">Baldwin, Robert</searchLink><br /><searchLink fieldCode="AR" term="%22Proctor%2C+Rebekah%22">Proctor, Rebekah</searchLink><br /><searchLink fieldCode="AR" term="%22Tarrier%2C+Nicholas%22">Tarrier, Nicholas</searchLink><br /><searchLink fieldCode="AR" term="%22Pendleton%2C+Neil%22">Pendleton, Neil</searchLink><br /><searchLink fieldCode="AR" term="%22Sutherland%2C+Deborah%22">Sutherland, Deborah</searchLink><br /><searchLink fieldCode="AR" term="%22Andrew%2C+Glynne%22">Andrew, Glynne</searchLink><br /><searchLink fieldCode="AR" term="%22Horan%2C+Mike%22">Horan, Mike</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+the+American+Geriatrics+Society%22">Journal of the American Geriatrics Society</searchLink>. Jan2007, Vol. 55 Issue 1, p75-80. 6p. 1 Diagram, 2 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Depression+in+old+age%22">Depression in old age</searchLink><br /><searchLink fieldCode="DE" term="%22Hip+surgery%22">Hip surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Surgery%22">Surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+for+older+people%22">Medical care for older people</searchLink><br /><searchLink fieldCode="DE" term="%22Bone+fractures+in+old+age%22">Bone fractures in old age</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+function+tests%22">Medical function tests</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink>
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  Label: Abstract
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  Data: OBJECTIVES: To evaluate the effect of a psychiatric intervention in treating depression (treatment study) and the effect of a psychological treatment in preventing depression (prevention study) after hip fracture in older people. DESIGN: Two linked randomized, controlled trials. SETTING: Orthopedic units in Manchester, England. PARTICIPANTS: Two hundred ninety-three older people who had undergone surgery for a fractured hip: 121 in the treatment study and 172 in the prevention study. MEASUREMENTS: The Geriatric Depression Scale and Hospital Anxiety and Depression Scale for mood, functional tests for mobility and pain measures. RESULTS: There was a slight reduction in depressive symptoms in the active arm of the treatment study. In the prevention study, there was no significant difference in incident depression between the psychological intervention and treatment as usual. There were no differences in the functional and pain outcomes. CONCLUSION: The results from these two randomized, controlled trials show that, after hip fracture surgery, no statistically significant benefits can be achieved from a psychiatric intervention in people who are depressed or a psychological intervention to prevent the onset of depression. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=23573597
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      – Type: doi
        Value: 10.1111/j.1532-5415.2007.01016.x
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      – Code: eng
        Text: English
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        PageCount: 6
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      – SubjectFull: Depression in old age
        Type: general
      – SubjectFull: Hip surgery
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      – SubjectFull: Surgery
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      – SubjectFull: Medical care for older people
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      – SubjectFull: Bone fractures in old age
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      – SubjectFull: Medical function tests
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      – SubjectFull: Randomized controlled trials
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      – SubjectFull: Therapeutics
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      – TitleFull: Treatment and Prevention of Depression After Surgery for Hip Fracture in Older People: Randomized, Controlled Trials.
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              Text: Jan2007
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              Y: 2007
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