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Group versus Individual Interpersonal Psychotherapy for Depressed Adolescents

Published online by Cambridge University Press:  13 May 2014

Gabrielle O’Shea ,
Susan H. Spence  and
Caroline L. Donovan
Gabrielle O’Shea
Affiliation:
University of Queensland, Brisbane, Australia
Susan H. Spence*
Affiliation:
Griffith University, Brisbane, Australia
Caroline L. Donovan
Affiliation:
Griffith University, Brisbane, Australia
*
Reprint requests to Susan H. Spence, Australian Institute of Suicide Research and Prevention, Griffith University, Brisbane, Australia4122. E-mail: [email protected]
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Abstract

Background: This study adds to the limited evidence concerning the benefits of Interpersonal Psychotherapy (IPT) with depressed adolescents. It evaluates the long-term effects of group versus individual delivery of this treatment approach. Aims: To conduct a small-scale examination of the long-term efficacy of group versus individual delivery of IPT for depressed adolescents. Method: Thirty-nine adolescents, aged 13–19 years, with a primary diagnosis of Major Depressive Disorder, were randomly assigned in blocks to either group or individual delivery of IPT. Standardized clinical interview and questionnaire assessments were conducted at pre- and posttreatment, and 12-month follow-up. Results: Intent-to-treat (ITT) analyses indicated significant improvements in depression, anxiety, youth-reported internalizing problems, and global functioning from pre- to posttreatment for those receiving IPT, with no significant differences in outcome between group and individual formats of delivery. Improvements were maintained at 12-month follow-up. Completer analyses also revealed significant and sustained improvements on these measures for those receiving IPT, with no differences in outcome between therapy formats for most measures. Individual IPT showed significantly greater improvements than group IPT in parent-reported internalizing problems for the completer but not the ITT analyses. Conclusions: Both individual and group formats of IPT offer promise in producing long-term benefits in the treatment of depression among adolescents.

Keywords

Interpersonal psychotherapyadolescentsdepressiongroup therapy
Type
Empirically Grounded Clinical Interventions
Information
Behavioural and Cognitive Psychotherapy , Volume 43 , Issue 1 , January 2015 , pp. 1 - 19
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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References

Achenbach, T. M. (1991). Integrative Guide to the 1991 CBCL/4–18, YSR, and TRF Profiles. Burlington, VT: University of Vermont, Department of Psychology.Google Scholar
Achenbach, T. M., Dumenci, L. and Rescorla, L. A. (2002). Ten-year comparisons of problems and competencies for national samples of youth: self, parent and teacher reports. Journal of Emotional and Behavioral Disorders, 10, 194–203.Google Scholar
Ambrosini, P. J., Metz, C., Bianchi, M. D. and Rabinovich, H. (1991). Concurrent validity and psychometric properties of the Beck Depression Inventory in outpatient adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 51–57.CrossRefGoogle ScholarPubMed
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: American Psychiatric Publishing, Inc.Google Scholar
Atlas, J. A. and DiScipio, W. J. (1992). Correlations of Beck Depression Inventory and Reynolds Adolescent Depression Scale. Psychological Reports, 70, 621–622.Google Scholar
Barrera, M. and Garrison-Jones, C. V. (1988). Properties of the Beck Depression Inventory as a screening instrument for adolescent depression. Journal of Abnormal Child Psychology, 16, 263–273.Google Scholar
Beck, A. T., Steer, R. A. and Brown, G. K. (1996). Manual for Beck Depression Inventory - II. San Antonio, TX: The Psychological Corporation.Google Scholar
Hill, C. E., O’Grady, K. E. and Elkin, I. (1992). Applying the Collaborative Study Psychotherapy Rating Scale to Rate Therapist Adherence in Cognitive Behavior Therapy, Interpersonal Therapy, and Clinical Management. Journal of Consulting and Clinical Psychology, 60, 73–79.Google Scholar
Kaufman, J., Birmaher, B., Brent, D. and Rao, U. (1997). Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL): initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 980–988.Google Scholar
Kieling, C., Baker-Henningham, H., Belfer, M., Conti, G., Ertem, I., Omigbodun, O., et al. (2011). Child and adolescent mental health worldwide: evidence for action. The Lancet, 378 (9801), 1515–1525.Google Scholar
Klein, D. N., Dougherty, L. R. and Olino, T. M. (2005). Toward guidelines for evidence-based assessment of depression in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 412–432.CrossRefGoogle ScholarPubMed
Klerman, G. L., Dimascio, A., Weissman, M., Prusoff, B. and Paykel, E. S. (1974). Treatment of depression by drugs and psychotherapy. American Journal of Psychiatry, 131, 186–191.Google Scholar
Kumar, G., Steer, R. A., Teitelman, K. B. and Villacis, L. (2002). Effectiveness of Beck Depression Inventory-II subscales in screening for major depressive disorders in adolescent psychiatric inpatients. Assessment, 9, 164–170.Google Scholar
Mufson, L., Dorta, K. P., Wickramaratne, P., Nomura, Y., Olfson, M. and Myrna, M. W. (2004). A randomized effectiveness trial of Interpersonal Psychotherapy for Depressed Adolescents. Archives of General Psychiatry, 61, 577–584.Google Scholar
Mufson, L., Gallagher, T., Dorta, K. P. and Young, J. F. (2004). A group adaptation of Interpersonal Psychotherapy for Depressed Adolescents. American Journal of Psychotherapy, 58, 220–237.Google Scholar
Mufson, L., Moreau, D., Weissman, M. M. and Klerman, G. L. (1993). Interpersonal Psychotherapy for Depressed Adolescents. New York: Guilford Press.Google Scholar
Mufson, L., Weissman, M. M., Moreau, D. and Garfinkel, R. (1999). Efficacy of interpersonal psychotherapy for depressed adolescents. Archives of General Psychiatry, 56, 573–579.Google Scholar
Muris, P., Schmidt, H. and Merckelbach, H. (2000). Correlations among two self-report questionnaires for measuring DSM-defined anxiety disorder symptoms in children: the Screen for Child Anxiety Related Emotional Disorders and the Spence Children's Anxiety Scale. Personality and Individual Differences, 28, 333–346.CrossRefGoogle Scholar
Puig-Antich, J. and Chambers, W. (1978). Schedule for Affective Disorders and Schizophrenia for School Aged Children, Epidemiological Version. K-SADS-E (3rd version). Google Scholar
Ravitz, P., Maunder, R. and McBride, C. (2008). Attachment, contemporary interpersonal theory and IPT: an integration of theoretical, clinical, and empirical perspectives. Journal of Contemporary Psychotherapy, 38, 11–21.Google Scholar
Rosselló, J. and Bernal, G. (1999). The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents. Journal of Consulting and Clinical Psychology, 67, 734–745.Google Scholar
Rosselló, J., Bernal, G. and Rivera-Medina, C. (2008). Individual and group CBT and IPT for Puerto Rican adolescents with depressive symptoms. Cultural Diversity and Ethnic Minority Psychology, 14, 234–245.Google Scholar
Rounsaville, B. J., Chevron, E. S., Weissman, M., Prussof, B. A. and Frank, E. (1986). Training therapists to perform interpersonal psychotherapy in clinical trials. Comprehensive Psychiatry, 27, 364–371.Google Scholar
Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fischer, P., Bird, H., et al. (1983). A Children's Global Assessment Scale. Archives of General Psychiatry, 40, 1228–1231.Google Scholar
Spence, S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36, 545–566.Google Scholar
Spence, S. H., Barrett, P. M. and Turner, C. M. (2003). Psychometric properties of the Spence Children's Anxiety Scale with young adolescents. Journal of Anxiety Disorders, 17, 605–625.Google Scholar
Strober, M., Green, J. and Carlson, G. (1981). Utility of the Beck Depression Inventory with psychiatrically hospitalized adolescents. Journal of Consulting and Clinical Psychology, 49, 482–483.Google Scholar
Wilfley, D. E., MacKenzie, K. R., Welch, R. R., Ayres, A. E. and Weissman, M. (2000). Interpersonal Psychotherapy for Group. New York: Basic Books.Google Scholar
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