ABSTRACT
To discuss the effectiveness of the IMPACT mode for late-life depression . [ Methods] From Shanghai Pudong mental health network system , 60 cases of elderly depressions were cho-sen according to the criteria for case reqirement .Of the 60 cases , 30 were allocated into the intervention group who were treated with 18 months'IMPACT.The other 30 were included in the control group , who were treated with routine management for psychiatric rehabilitation .Depressive symptoms and medication compli-ance scores were compared and assessed at 6,12 and 18 months before and after intervention by using the hamilton depression scale ( HAMD) , self-rating depression scale ( SDS ) and the insight and treatment atti-tude questionnaire ( ITAQ) .Comparison was also made in re-hospitalization during intervention between the two groups .The patients'quality of life was analyzed and compared between the two groups by 36-items short form health survey (SF-36). [Results] The HAMD and SDS scores in intervention group were signifi-cantly lower than those in control group at 6,12 and 18 months after intervention (Pall<0.05).ITAQ scores were higher than those in control group (P<0.05).According to the SF-36 scores, the bodily pain, general health, vitality, social functioning and mental health scores in intervention group were extremely higher than those in control group (Pall<0.05).There was not one case of recurrence in intervention group , however, there were 6 cases of recurrence in the control group , the recurrence hospitalization rate being 20%(χ2 =6.67, P<0.05). [Conclusion] IMPACT mode for late-life depression could relieve depressive symptoms effectively , thus reducing the recurrence hospitalization rate and improving the quality of life for patients .