The value of maintenance interpersonal psychotherapy (IPT) in older adults with different IPT foci

被引:17
作者
Miller, MD [1 ]
Frank, E [1 ]
Cornes, C [1 ]
Houck, PR [1 ]
Reynolds, CF [1 ]
机构
[1] Univ Pittsburgh, Sch Med, Intervent Res Ctr Late Life Mood Disorders, Pittsburgh, PA 15213 USA
关键词
D O I
10.1176/appi.ajgp.11.1.97
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
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 163 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.
引用
收藏
页码:97 / 102
页数:6
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