Document Detail


The value of maintenance interpersonal psychotherapy (IPT) in older adults with different IPT foci.
MedLine Citation:
PMID:  12527545     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE/METHODS: The authors examined recurrence rates of major depression in elderly subjects with different foci of interpersonal psychotherapy (IPT), who were treated for up to 3 years with either monthly maintenance IPT and pill placebo or with monthly clinical management and pill placebo. RESULTS: Among subjects with an IPT focus on role conflict, a greater proportion of those treated with maintenance-IPT survived for 3 years without recurrence than those treated with placebo/clinical management. Median time to recurrence was 68.9 weeks in IPT-treated patients versus 16.3 weeks for patients in clinical management. Subjects with an IPT focus on abnormal grief or role transition demonstrated no effect differential for maintenance IPT and pill-placebo on recurrence prevention over supportive clinical management and pill-placebo. CONCLUSION: If replicated in a larger sample, these findings have important implications for ongoing case-management decisions.
Authors:
Mark D Miller; Ellen Frank; Cleon Cornes; Patricia R Houck; Charles F Reynolds
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry     Volume:  11     ISSN:  1064-7481     ISO Abbreviation:  Am J Geriatr Psychiatry     Publication Date:    2003 Jan-Feb
Date Detail:
Created Date:  2003-01-15     Completed Date:  2003-04-23     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9309609     Medline TA:  Am J Geriatr Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  97-102     Citation Subset:  IM    
Affiliation:
Intervention Research Center for Late-Life Mood Disorders, University of Pittsburgh School of Medicine, PA, USA. millermd@msx.upmc.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Depressive Disorder, Major / diagnosis,  epidemiology,  therapy*
Diagnostic and Statistical Manual of Mental Disorders
Double-Blind Method
Female
Follow-Up Studies
Humans
Incidence
Interpersonal Relations*
Male
Psychotherapy / methods*
Recurrence
Grant Support
ID/Acronym/Agency:
P30 MH52247/MH/NIMH NIH HHS; R01 MH37869/MH/NIMH NIH HHS; R37 MH43832/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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