Collaborative decision making improves interpersonal psychotherapy efficiency: A randomized clinical trial with postpartum women.
Collaborative decision making improves interpersonal psychotherapy efficiency: A randomized clinical trial with postpartum women.
复制标题
协作决策提高人际心理治疗效率：一项针对产后妇女的随机临床试验。
DOI：
10.1016/j.jadr.2023.100636
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发表时间：
2023
影响因子：
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通讯作者：
O'Hara,MichaelW
中科院分区：
文献类型：
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作者：
Stuart,Scott;Brock,RebeccaL;Ramsdell,Erin;Arndt,Stephan;O'Hara,MichaelW
BackgroundRandomized controlled trials of Interpersonal Psychotherapy (IPT) and other psychotherapies for depression have required strict adherence to protocol and do not allow for clinical judgment in deciding frequency of sessions. To determine if such protocols were more effective than allowing therapists to use their clinical judgment, we compared “Clinician- Managed” IPT (CM-IPT), in which clinicians and patients with postpartum depression were allotted 12 sessions and determined collaboratively when to use them, to a once weekly 12 session protocol (“Standard IPT”). We hypothesized that CM-IPT would be more efficient, requiring fewer sessions to reach an equivalent acute outcome, and that CM-IPT would be superior over 12 months because “saved” sessions could be used for maintenance treatment.MethodWe conducted a clinical trial including 140 postpartum outpatients with DSM-IV major depression who were randomly assigned to “Standard” IPT (N= 69) or CM-IPT (N= 71).ResultsBoth CM-IPT and S-IPT were highly efficacious with similar outcomes by 12 weeks but CM-IPT group utilized significantly fewer sessions. Both were superior to a waitlist control. Superiority comparisons at 12 months did not favor the CM-IPT condition.LimitationsResults should be replicated in a more diverse sample to increase generalizability.ConclusionsCM-IPT is more efficient in treating acute depression than mandated weekly IPT. Further, permitting clinicians and patients to use their collaborative judgment is likely to be a more efficient and effective way to conduct future research and to implement evidence-based psychotherapy in the community.
