This is the fourth competing application of the T32 Cornell Postgraduate Research Fellowship Program in Geriatric Mood Disorders, which has been offering multidisciplinary training for 15 years. Conceptually, we view mood disorders as heterogeneous with etiological contributions from genetic factors, aging- and disease-related biological changes, disability, and psychosocial factors. Methodologically, we teach biological assessment techniques as well as longitudinal designs and clinically-driven interventions at the patient and the practice level. This approach has led to translational studies in a population with great health and mental health needs. The Program's strengths are: 1. The exceptional academic record of its trainees;87% of the past 10 years'trainees received competitive pilot grants during their training and 31% of the graduates received NIMH K Awards. 2. An accomplished faculty in translational research with studies ranging from molecular biology, genetics, structural and functional neuroimaging, clinical pharmacology, treatment efficacy and effectiveness research, and mental health services research. 3. Leadership in six multicenter studies. 4. Cohesive organization of training and research resources by the Cornell ACISR. 5. Rich laboratory resources. 6. Databases on elderly psychiatric and medical patients and in the community available for secondary analyses by the fellows. 7. Long and effective collaboration with investigators of Geriatric Medicine, General Internal Medicine, Clinical Epidemiology and Services Research Program, and Medical Ethics. The Program will be directed by funded investigators in clinical biology (G. Alexopoulos) and services research (M. Bruce) with a strong record in research training and by an Executive Committee with expertise in molecular biology, neuroimaging, and treatment studies. We request support for 3 trainees per year, whose individualized training programs will be coordinated by two preceptors (e.g. one clinical and one basic investigator or one services and one clinical investigator) to facilitate translation research. Beyond a Core Curriculum, we guide and support our trainees in conducting their own research studies, in preparing competitive funding applications, and in publishing data-based papers.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Institutional National Research Service Award (T32)
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Special Emphasis Panel (ZMH1-ERB-I (02))
Program Officer
Chavez, Mark
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Weill Medical College of Cornell University
Schools of Medicine
New York
United States
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Alexopoulos, George S; Sirey, Jo Anne; Banerjee, Samprit et al. (2017) Two Interventions for Patients with Major Depression and Severe Chronic Obstructive Pulmonary Disease: Impact on Dyspnea-Related Disability. Am J Geriatr Psychiatry :
Alexopoulos, George S; O'Neil, Robert; Banerjee, Samprit et al. (2017) ""Engage"" therapy: Prediction of change of late-life major depression. J Affect Disord 221:192-197
Yohannes, Abebaw Mengistu; Raue, Patrick J; Kanellopoulos, Dora et al. (2016) Predictors of All-Cause Mortality in Patients With Severe COPD and Major Depression Admitted to a Rehabilitation Hospital. Chest 149:467-473
Alexopoulos, George S; Raue, Patrick J; McCulloch, Charles et al. (2016) Clinical Case Management versus Case Management with Problem-Solving Therapy in Low-Income, Disabled Elders with Major Depression: A Randomized Clinical Trial. Am J Geriatr Psychiatry 24:50-59
Gustavson, Kristen A; Alexopoulos, George S; Niu, Grace C et al. (2016) Problem-Solving Therapy Reduces Suicidal Ideation In Depressed Older Adults with Executive Dysfunction. Am J Geriatr Psychiatry 24:11-17
Morimoto, Sarah Shizuko; Kanellopoulos, Dora; Manning, Kevin J et al. (2015) Diagnosis and treatment of depression and cognitive impairment in late life. Ann N Y Acad Sci 1345:36-46
Manning, Kevin J; Alexopoulos, George S; Banerjee, Samprit et al. (2015) Executive functioning complaints and escitalopram treatment response in late-life depression. Am J Geriatr Psychiatry 23:440-5
Alexopoulos, G S; Manning, K; Kanellopoulos, D et al. (2015) Cognitive control, reward-related decision making and outcomes of late-life depression treated with an antidepressant. Psychol Med 45:3111-20
Bruce, Martha L; Raue, Patrick J; Reilly, Catherine F et al. (2015) Clinical effectiveness of integrating depression care management into medicare home health: the Depression CAREPATH Randomized trial. JAMA Intern Med 175:55-64
Yuen, Genevieve S; Bhutani, Saumya; Lucas, Bryony J et al. (2015) Apathy in late-life depression: common, persistent, and disabling. Am J Geriatr Psychiatry 23:488-94

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