OTRNQualitativeInternational journal of mental health nursing2025

Experiences and Perceptions of Functional Recovery in Late-Life Depression: A Qualitative Study.

Shannon Cardol, Ilse Timmerman, Jon Matthews and 2 others

PMID 41327854

WHAT IT FOUND

Older adults recovering from depression described functional recovery as pushing through low motivation, accepting changed abilities, managing pain and fatigue, and relying on routines, family, pets and feeling understood.

Key findings

01Participants described functional recovery as doing activities despite low motivation, using routines, and pacing themselves to avoid doing too much.

02Participants believed antidepressants helped them recover, while psychotherapy or CBT was helpful for some but not a good fit for others.

03Support, feeling understood, and the role of aging were described as central to recovery.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for RNs

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What it does not show

Only 12 participants were interviewed, so the themes may not capture the full range of experiences. Participants were aged 60 to 79, not 80 years and older, so the findings may not apply to the oldest old. Participants were in full or partial remission with low to moderate symptoms, so experiences during more severe depression may differ. Recruitment was from an academic hospital outpatient clinic, so it may not represent people treated in primary care or community settings. The study did not collect socio-economic or educational background, so differences by those factors could not be examined.

Declared interests

The authors declare no conflicts of interest. Work was supported by ZonMw, 80-86300-98-123.

The easy way to misread this

Do not read these themes as evidence that routines, pets, medication, or care plans improve functional recovery. The study interviewed 12 older adults and reports their experiences, not outcomes from a tested intervention.

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