The effectiveness of interpersonal psychotherapy for adolescents with depression


Hi my name is Fiona Duffy I’m a clinical
psychologist and a lecturer in the University Hi my name is Helen sharp I’m
also a lecturer here at Edinburgh University So are we going to talk you
through a recent paper that we’ve just done which is a systematic review and
meta-analysis on interpersonal psychotherapy or IPT for adolescents so
IPT is a specific psychological therapy which was initially developed for adults
with depression and is now used in a range of other difficulties and has also
been adapted for use with adolescents with depression so we were really
interested in the effectiveness of IPTA particularly focused on whether or not
it does make significant improvements to depression but also if it makes improvements in interpersonal functioning or general functioning as well so to do this we conducted a
systematic review and meta-analysis so we searched all the available literature
for studies that had looked at the efficacy of IPTA and we managed to
locate 20 studies and some of these were randomised control trials and some of
these were uncontrolled trials where they were looking at the efficacy of an IPTA but not comparing it to an active intervention so we’re going to take you through some of the results what we found is that IPTA
produces significant improvements in depressive symptoms in young people and
also improvements in their interpersonal functioning and in their general
functioning what you can see here is when we compare the effects of IPTA
against other interventions, we can see that young people who receive IPTA do
much better in terms of their depressive symptoms than if they receive other non
structured interventions and they do equally as well if they receive
interventions like CBT which are the gold standard treatments for depression so one of the main conclusions of the study is that actually we need more
really high-quality randomized controlled trials looking more at some
of the equity in comparison sort of the gold standard treatments for adolescent
depression so more studies for example CBT or family therapy
one of the other interesting findings was that while IPT made significant
improvements on young people’s interpersonal functioning bearing a mind
that this is a major element of IPT is working on relationships and working on
depression symptoms at the same time the the improvements in interpersonal
functioning were roughly the same as other active interventions so I think it
really highlights for us potential for more studies looking at what we call
mechanisms of change so thinking about how interventions work thank you very
much for listening to our video abstract we’d be very happy to hear from anyone
who wants to learn more about the study so please do contact us and you can now
read the full paper published in CAMH

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