Effect of Problem Area on Outcomes Among Adolescents Treated With Interpersonal Psychotherapy for Depression.

IF 2.3 Q2 PSYCHOLOGY, CLINICAL AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-09-01 Epub Date: 2023-04-14 DOI:10.1176/appi.psychotherapy.20220029

Catherine Parkhill, Laura Mufson, Meredith Gunlicks-Stoessel

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Abstract

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.

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问题领域对采用人际心理疗法治疗抑郁症的青少年疗效的影响

目的：青少年人际心理治疗（IPT-A）旨在通过解决四个问题领域之一来治疗抑郁症：悲伤、角色争议、角色转换或人际关系缺陷。本研究比较了不同问题领域青少年的特点，并评估了问题领域对治疗结果的影响：40名青少年（12-17岁）参加了包括IPT-A在内的适应性治疗策略随机试验：结果：有角色争议的青少年比人际交往障碍或角色转换的青少年更年轻，他们对治疗联盟的期望也比转换组的青少年更低。人际关系缺陷青少年的依恋回避程度高于角色转换组青少年。治疗后，过渡组青少年比缺陷组青少年有更严重的抑郁和社会适应问题，比争议组青少年有更多的社会适应问题：这项初步研究结果表明，IPT-A 问题领域的不同可能会影响预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

AMERICAN JOURNAL OF PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-

CiteScore

2.90

自引率

4.00%

发文量

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.