Catherine Parkhill, Laura Mufson, Meredith Gunlicks-Stoessel
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Effect of Problem Area on Outcomes Among Adolescents Treated With Interpersonal Psychotherapy for Depression.
Objective: Interpersonal psychotherapy for adolescents (IPT-A) aims to treat depression by addressing one of four problem areas: grief, role disputes, role transitions, or interpersonal deficits. This study compared the characteristics of adolescents by problem area and evaluated the impact of problem area on outcomes.
Methods: Forty adolescents (ages 12-17) participated in a randomized trial of adaptive treatment strategies that included IPT-A.
Results: Adolescents with role disputes were younger than adolescents with interpersonal deficits or role transitions and had worse expectations for therapeutic alliance than those in the transitions group. Adolescents with interpersonal deficits had higher attachment avoidance than those in the transitions group. Posttreatment, adolescents in the transitions group had more severe depression and social adjustment problems than those in the deficits group and more social adjustment problems than those in the disputes group.
Conclusions: This preliminary study's findings suggest that differing IPT-A problem areas may affect prognosis.
期刊介绍：
Founded in 1939, the American Journal of Psychotherapy (AJP) has long been a leader in the publication of eclectic articles for all psychotherapists. Transtheoretic in reach (offering information for psychotherapists across all theoretical foundations), the goal of AJP is to present an overview of the psychotherapies, subsuming a host of schools, techniques, and psychological modalities within the larger domain of clinical practice under broad themes including dynamic, behavioral, spiritual, and experiential.
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