Article

A Systematic Review of Research Findings on the Efficacy of Interpersonal Therapy for Depressive Disorders

Department of Psychiatry, Federal University of São Paulo, São Paulo SP 04026-010, Brazil.
European Archives of Psychiatry and Clinical Neuroscience (Impact Factor: 3.53). 05/2005; 255(2):75-82. DOI: 10.1007/s00406-004-0542-x
Source: PubMed

ABSTRACT

Interpersonal psychotherapy (IPT) is a time-limited psychotherapy for major depression. The aim of this study is to summarize findings from controlled trials of the efficacy of IPT in the treatment of depressive spectrum disorders (DSD) using a meta-analytic approach.
Studies of randomized clinical trials of IPT efficacy were located by searching all available data bases from 1974 to 2002. The searches employed the following MeSH categories: Depression/ Depressive Disorder; Interpersonal therapy; Outcome/Adverse Effects/Efficacy; in the identified studies. The efficacy outcomes were: remission; clinical improvement; the difference in depressive symptoms between the two arms of the trial at endpoint, and no recurrence. Drop out rates were used as an index of treatment acceptability.
Thirteen studies fulfilled inclusion criteria and four meta-analyses were performed. IPT was superior in efficacy to placebo in nine studies (Weight Mean Difference (WMD) - 3.57 [-5.9, -1.16]). The combination of IPT and medication did not show an adjunctive effect compared to medication alone for acute treatment (RR 0.78 [0.30, 2.04]), for maintenance treatment (RR 1.01 [0.81, 1.25]), or for prophylactic treatment (RR 0.70 [0.30, 1.65]). IPT was significantly better than CBT (WMD -2.16 [-4.16,-0.15]).
The efficacy of IPT proved to be superior to placebo, similar to medication and did not increase when combined with medication. Overall, IPT was more efficacious than CBT. Current evidence indicates that IPT is an efficacious psychotherapy for DSD and may be superior to some other manualized psychotherapies.

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Available from: Marcelo Feijo Mello
    • "In a large RCT, Elkin et al. (1989) found that IPT is equally effective to medication and CBT, with some evidence for increased efficacy of IPT for severely depressed patients. There is also preliminary evidence suggesting the superiority of IPT over alternative psychotherapies (Cuijpers et al. 2008, 2011), specifically supportive counselling (Barth et al. 2013) and CBT (de Mello et al. 2005). "
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    • "The Development Group investigated pre-existing domestic and international treatment guidelines, as well as trends in the management of depression among Korean psychiatrists. Subsequently, the Development Group analyzed the results of previous investigations (10-50) and developed a non-pharmacological treatment guideline for depression. The Development Group also assessed the domestic status of depression treatments in Korea. "
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    • "Moving towards additional treatment options, cognitive behaviour psychotherapy has demonstrated efficacy in mild as well as severe depression, with a lower relapse rate as compared to pharmacotherapy [8]. Interpersonal psychotherapy proved superior efficacy as compared to placebo treatment, displaying similar efficacy and acceptability as pharmacological treatments [9]. Therapeutic options based on physical treatments chiefly include electroconvulsive therapy, repetitive transcranial magnetic stimulation, exercise, and sleep deprivation. "
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