A systematic review of research findings on the efficacy of interpersonal therapy for depressive disorders

Mello, Marcelo Feijó de; Mari, Jair de Jesus; Bacaltchuk, Josué; Verdeli, Helen; Neugebauer, Richard

doi:10.1007/s00406-004-0542-x

Cited by 284 publications

(143 citation statements)

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“…Par ailleurs, aucune différence statistiquement significative n'a été décelée entre la thérapie interpersonnelle (TIP) et les antidépresseurs (De Mello, et al, 2005) (NICE, 2009). Les résultats sont toutefois moins unanimes en ce qui concerne la thérapie psychodynamique (TPD).…”

Section: Pour Les Troubles Dépressifsunclassified

Efficacité de la psychothérapie comparativement à la pharmacothérapie dans le traitement des troubles anxieux et dépressifs chez l’adulte : une revue de la littérature

Fansi

Jehanno

Lapalme

et al. 2016

smq

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Dans l’optique de l’amélioration d’une couverture de la psychothérapie au Québec, le ministère de la Santé et des Services sociaux a confié à l’Institut national d’excellence en santé et en services sociaux le mandat d’évaluer l’efficacité de la psychothérapie comparée à la pharmacothérapie dans le traitement des adultes souffrant de troubles anxieux et dépressifs. Une mise à jour d’une revue de la littérature récente et de bonne qualité a été effectuée grâce à une revue des revues systématiques traitant de la psychothérapie comparée à la pharmacothérapie dans le traitement des adultes anxieux et dépressifs avec un horizon temporel compris entre 2009 et 2013. Le niveau de l’ensemble de la preuve scientifique permet de dire que de manière générale, il n’y a pas de différence significative entre la psychothérapie et la pharmacothérapie sur le plan de la réduction des symptômes des patients souffrant de troubles anxieux ou dépressifs modérés, ce qui indique une efficacité comparable de ces deux modes de traitement. Cependant, les avantages de la psychothérapie sont maintenus plus longtemps après la fin du traitement que ceux des médicaments. La psychothérapie offre donc une meilleure protection contre la rechute. Par ailleurs, la combinaison de la psychothérapie et de la pharmacothérapie présente une efficacité supérieure à celle de la psychothérapie seule dans les cas chroniques ou graves.Introduction In Quebec, mental disorders affect one in five people in their lifetime. Anxiety and depressive disorders are the main common or moderate mental health disorders. They affect both the individuals with the disorder and the people around them and have substantial economic impact. Psychotropic drugs are the treatment option most often proposed to patients presenting with moderate mental health disorders. Psychotherapy is nevertheless a treatment that should be given consideration.Physical and financial access to psychotherapy remains limited because only one third of professionals qualified to offer it practise in the public sector, and the coverage and reimbursement policy for this service is very restricted. In order to improve such coverage, the Ministère de la Santé et des Services sociaux (MSSS) mandated the Institut national d’excellence en santé et en services sociaux (INESSS) to assess the evidence on the effectiveness of psychotherapy compared with those of pharmacotherapy for the treatment of adults with anxiety and depressive disorders.Methods An update of a review of recent and good quality literature was conducted through a review of systematic reviews dealing with psychotherapy compared to pharmacotherapy in the treatment of anxiety and depression in adults. The period covered included 2009 to 2013. The literature search strategy, modelled on that of the reference review, was applied to Medline, Cochrane Library, CINAHL, Web of Science and health technology assessment agencies. Exploration of the grey literature focused on information available on the websites of various health assessment organizations.Resu...

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Section: Pour Les Troubles Dépressifsunclassified

Efficacité de la psychothérapie comparativement à la pharmacothérapie dans le traitement des troubles anxieux et dépressifs chez l’adulte : une revue de la littérature

Fansi

Jehanno

Lapalme

et al. 2016

smq

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“…Interpersonal psychotherapy (IPT) is a focused, short-term therapy originally developed for depression, which emphasises its interpersonal context (Klerman & Weissman, 1993) IPT has been shown to be effective for major depressive episode at any stage in life (de Mello, de Jesus Mari, Bacaltchuk, Verdeli, & Neugebauer, 2005). It has proven effective for PND in controlled trials with large sample sizes, different comparison groups, and individual and group settings (Grote et al, 2009;O'Hara, et al, 2000;Miniati et al, 2014;Spinelli, & Endicott, 2003).…”

Section: Interpersonal Therapy Is a Relationship-focussed Pnd Treatmentmentioning

confidence: 99%

Addressing the mother–baby relationship in interpersonal psychotherapy for depression: an overview and case study

Deans

Reay

Buist

2016

Journal of Reproductive and Infant Psychology

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Objective: This article describes the development of an interpersonal psychotherapy group which has been adapted to address the mother-child relationship in the context of postnatal depression (PND).Background: When PND develops, the child of the sufferer is also at risk for deleterious outcomes. It is thought that this is because the mother-baby bonding process is interrupted, affected, or reduced in quality by the existence of depression in addition to genetics and biological effects of exposure to illness in utero. Past approaches to mitigating this risk have focussed on treating the depression as the primary issue and the mother-baby relationship as secondary. This article makes the argument that interpersonal psychotherapy has neglected this relationship despite the evidence that this is a key precipitating/perpetuating factor in postnatal depression, and that targeting this relationship has benefits for both mother and baby. Method: An interpersonal psychotherapy protocol was developed, modified to incorporate psychoeducation and practice of maternally sensitive interactions. A case study from a version of this group intervention is provided. Results: The case study outcomes on selfreport scales of depression suggest the modified protocol is as effective in treating PND as the original protocol. Self-report of maternal attachment and videotape measures of maternal sensitivity also improved, suggesting that the modified protocol can address the mother-baby relationship. Conclusion:The suitability of adapting interpersonal psychotherapy to address the mother-baby relationship appears promising. Further rigorous trials using this therapy are warranted to determine its effectiveness.Keywords: postnatal depression; interpersonal therapy; maternal sensitivity; mother-baby relationship; group therapy Word count: 4,098 words 3 Motherhood is a time of transformation across the spectrum of functioning for women. For most, motherhood is associated with greater wellbeing and satisfaction (Holton, Fisher, & Rowe, 2010). However, it can also be associated with challenges, one of the biggest being that of postnatal depression (PND). For some 7-16% of women (O'Hara & Swain, 1996), new motherhood is associated with the onset of PND. Whilst PND is not a distinct disorder from Major Depressive Episode, there are some clinical differences. The psychosocial stressors surrounding new motherhood, including sleep disturbance and breastfeeding pain, have been shown to increase inflammatory hormones associated with depression (Kendall-Tackett, 2007). There is a higher risk for PND in women with poor marital relationships, and those who develop PND report greater symptoms for a greater duration, and are more susceptible to later recurrence of depression relative to women with supportive relationships (Campbell, Cohn, Flanagan, Popper, & Meyers, 1992). Mothers can find it difficult to engage in depression treatments due to the demands of motherhood, reluctance to disclose their feelings, (Conners-Burrow et. al., 2015). A combination...

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“…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(Cuijpers et al , 2011, specifically supportive counselling (Barth et al 2013) and CBT (de Mello et al 2005).…”

Section: Interpersonal Therapy (Ipt)mentioning

confidence: 99%

What we know, what we do not know, and where are we heading? Efficacy and acceptability of psychological interventions for depression

Solomonov

Barber

2015

Epidemiol Psychiatr Sci

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In the past several decades, increasing evidence supports the efficacy of psychotherapies for depression. The vast majority of findings from meta-analyses, randomized clinical trials (RCTs) and naturalistic studies have demonstrated that well-established psychotherapies (behavioural activation, problem-solving therapy, psychodynamic therapy, cognitive-behavioural therapy, interpersonal therapy and emotion-focused therapy) are superior to no-treatment and control conditions, and are in most cases equally effective in treating depression. However, despite this abundant support for psychotherapies, studies have also consistently shown high drop-out rates, high percentages of non-respondent patients who experience treatment failures, and mixed findings regarding the enduring effects of psychotherapy. Thus, there is a need to develop more personalised treatment models tailored to patients' needs. A new integrative sequential stepwise approach to the treatment of depression is suggested. Key words: Behaviour therapy, cognitive therapy, depression, evidence-based psychiatry, psychoanalysis and psychodynamic therapies. What do we know about the efficacy of psychotherapies for depression?Depression is a pervasive mental condition which interferes with all domains of one's functioning and it is one of the most common problems leading people to seek treatment (e.g. Summers & Barber, 2010). Recent studies have shown that the approximated cumulative incidence of depression diagnosis from childhood to adulthood is between 32.54 and 51% (Rohde et al. 2012;Angst et al. 2015).In the past several decades, over 400 randomised clinical trials have investigated the efficacy of psychotherapy for depression (Cuijpers, 2015). Despite the heated debate regarding the superiority of one treatment over others, there is fairly wide acceptance of the 'Dodo Bird Verdict ' (Luborsky et al. 1975), at least in the case of depression, suggesting that all treatments are more or less equally effective (Cuijpers et al. 2008;Barth et al. 2013). Furthermore, research in the past two decades has taught us that psychotherapeutic treatments of depression are superior to waitlist and other control conditions (Barth et al. 2013;Lambert, 2013), and that psychotherapy combined with anti-depressant medication is more effective than medication alone (Barber et al. 2013;Köhler et al. 2013;Hollon et al. 2014;Fonagy, 2015;Leichsenring et al. 2015). There is also evidence suggesting that some types of psychotherapies are not only as effective as medication, but also have higher long-term enduring effects (Hollon & Ponniah, 2010;Cuijpers et al. 2013b). We begin by briefly reviewing some of the major findings that have arisen from the literature on treatments of depression, focusing only on the best-known and more widely researched. Behavioural activation (BA)BA is one of the most accepted and widely used behavioural treatments. Meta analyses found BA to be as effective as cognitive-behavioural therapy, and superior to control conditions (Cuijpers et al. 2007;Mazzuc...

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A systematic review of research findings on the efficacy of interpersonal therapy for depressive disorders

Cited by 284 publications

References 40 publications

Efficacité de la psychothérapie comparativement à la pharmacothérapie dans le traitement des troubles anxieux et dépressifs chez l’adulte : une revue de la littérature

Efficacité de la psychothérapie comparativement à la pharmacothérapie dans le traitement des troubles anxieux et dépressifs chez l’adulte : une revue de la littérature

Addressing the mother–baby relationship in interpersonal psychotherapy for depression: an overview and case study

What we know, what we do not know, and where are we heading? Efficacy and acceptability of psychological interventions for depression

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