Protection from clinical depression in medical long-term care facilities: Evidence for psychologic adaptation in cognitively intact patients

A recent study in a medical long‐term care facility (LTCF) population demonstrated evidence of psychologic adaptation in a predominantly demented population. We have also reported evidence of such adaptation which lowered the risk of depression in an LTCF sample. The present study extends the adaptational variables for depression compares areas of agreement between the dementia and depression studies, reviews the adaptational construct, and suggests clinical applications targeted to primary prevention of depression in this setting.