The Impact of Perceived Interpersonal Functioning on Treatment for Adolescent Depression: IPT-A Versus Treatment as Usual in School-Based Health Clinics
The Impact of Perceived Interpersonal Functioning on Treatment for Adolescent Depression: IPT-A Versus Treatment as Usual in School-Based Health Clinics
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DOI：
10.1037/a0018935
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发表时间：
2010-04-01
影响因子：
5.9
通讯作者：
Turner, J. Blake
中科院分区：
文献类型：
--
作者：
Gunlicks-Stoessel, Meredith;Mufson, Laura;Turner, J. Blake
目的：研究抑郁青少年感知人际功能的各个方面作为抑郁青少年人际心理治疗（IPT-A; Mufson, Dorta, Moreau, & Weissman, 2004）或学校健康诊所常规治疗（TAU）治疗反应的调节因素。方法：63名青少年（12-18岁）参加了一项临床试验，检查IPT-A的有效性（Mufson, Dorta， Wickramaratne等，2004）。样本中女性占84.1%，男性占15.9%，平均年龄14.67岁。青少年中74.6%为拉丁裔，14.3%为非洲裔，1.6%为亚裔，9.5%为其他族裔。他们主要来自低收入家庭。青少年被随机分配接受由学校心理健康临床医生提供的IPT-A或TAU。在基线和第4、8、12周（或提前终止）完成的评估包括汉密尔顿抑郁评定量表（Hamilton, 1967）、冲突行为问卷（Robin & Foster, 1989）和社会适应量表自我报告（Weissman & Bothwell, 1976）。结果：多水平模型表明，治疗条件与青少年与母亲冲突和与朋友社交功能障碍的基线报告相互作用，预测青少年抑郁症状在治疗过程中的轨迹，控制抑郁基线水平。与TAU相比，IPT-A的益处对那些报告与母亲有高度冲突、与朋友有社交障碍的青少年尤为明显。结论：更大样本的复制表明，IPT-A可能对那些报告与母亲有高度冲突或与朋友有人际关系困难的抑郁青少年特别有帮助。
Objective: Aspects of depressed adolescents' perceived interpersonal functioning were examined as moderators of response to treatment among adolescents treated with interpersonal psychotherapy for depressed adolescents (IPT-A; Mufson, Dorta, Moreau, & Weissman, 2004) or treatment as usual (TAU) in school-based health clinics. Method: Sixty-three adolescents (12-18 years of age) participated in a clinical trial examining the effectiveness of IPT-A (Mufson, Dorta, Wickramaratne, et al., 2004). The sample was 84.1% female and 15.9% male (mean age = 14.67 years). Adolescents were 74.6% Latino, 14.3% African American, 1.6% Asian American, and 9.5% other. They came primarily from low-income families. Adolescents were randomly assigned to receive IPT-A or TAU delivered by school-based mental health clinicians. Assessments, completed at baseline and at Weeks 4, 8, and 12 (or at early termination), included the Hamilton Rating Scale for Depression (Hamilton, 1967), the Conflict Behavior Questionnaire (Robin & Foster, 1989), and the Social Adjustment Scale Self-Report (Weissman & Bothwell, 1976). Results: Multilevel modeling indicated that treatment condition interacted with adolescents' baseline reports of conflict with their mothers and social dysfunction with friends to predict the trajectory of adolescents' depressive symptoms over the course of treatment, controlling for baseline levels of depression. The benefits of IPT-A over TAU were particularly strong for the adolescents who reported high levels of conflict with their mothers and social dysfunction with friends. Conclusions: Replication with larger samples would suggest that IPT-A may be particularly helpful for depressed adolescents who are reporting high levels of conflict with their mothers or interpersonal difficulties with friends.