An open-label trial of enhanced brief interpersonal psychotherapy in depressed mothers whose children are receiving psychiatric treatment

Swartz, Holly A.; Zuckoff, Allan; Frank, Ellen; Spielvogle, Heather; Shear, M. Katherine; Fleming, Melissa; Scott, John

doi:10.1002/da.20212

Cited by 36 publications

(26 citation statements)

References 21 publications

(17 reference statements)

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“…ITP-MOMS has been described elsewhere (18). Briefly, it consists of an initial engagement session based on principles of motivational interviewing and ethnographic interviewing (28), which is designed to explore and resolve potential barriers to treatment seeking (17,29), followed by eight sessions of brief interpersonal psychotherapy (30).…”

Section: Ipt-momsmentioning

confidence: 99%

“…Interpersonal psychotherapy for mothers, brief interpersonal psychotherapy for depressed mothers (IPT-MOMS), is a nine-session intervention based on interpersonal psychotherapy for depression (16) with additional modifications designed to help depressed mothers engage in treatment (17) and address relationship difficulties that arise in the context of parenting an ill child (18). This article describes a randomized, controlled trial of IPT-MOMS as a treatment for major depressive disorder in non-treatment-seeking mothers whose school-age children are receiving psychiatric treatment.…”

mentioning

confidence: 99%

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Brief Interpersonal Psychotherapy for Depressed Mothers Whose Children Are Receiving Psychiatric Treatment

Swartz¹,

Frank²,

Zuckoff³

et al. 2008

AJP

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149

123

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Objective-Depressed mothers of children with psychiatric illness struggle with both their own psychiatric disorder and the demands of caring for ill children. When maternal depression remains untreated, mothers suffer, and psychiatric illness in their offspring is less likely to improve. This randomized, controlled trial compared the interpersonal psychotherapy for depressed mothers (IPT-MOMS), a nine-session intervention based on standard interpersonal psychotherapy, to treatment as usual for depressed mothers with psychiatrically ill offspring.Method-Forty-seven mothers meeting DSM-IV criteria for major depression were recruited from a pediatric mental health clinic where their school-age children were receiving psychiatric treatment and randomly assigned to IPT-MOMS (N=26) or treatment as usual (N=21). Mother-child pairs were assessed at three time points: baseline, 3-month follow-up, and 9-month follow-up. Child treatment was not determined by the study.Results-Compared to subjects assigned to treatment as usual, subjects assigned to IPT-MOMS showed significantly lower levels of depression symptoms, as measured by the Hamilton Depression Rating Scale, and higher levels of functioning, as measured by the Global Assessment of Functioning, at 3-month and 9-month follow-ups. Compared to the offspring of mothers receiving treatment as usual, the offspring of mothers assigned to IPT-MOMS showed significantly lower levels of depression as measured by the Children's Depressive Inventory at the 9-month follow-up.Conclusions-Assignment to IPT-MOMS was associated with reduced levels of maternal symptoms and improved functioning at the 3-and 9-month follow-ups compared to treatment as usual. Maternal improvement preceded improvement in offspring, suggesting that maternal changes may mediate child outcomes.Major depressive disorder is a common, debilitating illness, affecting one of five women in their lifetime (1). Many women who suffer from depression are mothers. Because of shared genetic and environmental risk factors, the offspring of depressed mothers have a two-to fivefold increased risk of experiencing a psychiatric illness relative to the offspring of unaffected parents (2,3). In a negatively reinforcing cycle, depressed mothers whose children develop psychiatric illness find it difficult to juggle the mental health treatment needs of multiple affected family members, often putting their own care behind that of their children (4). Consequently, maternal depression remains untreated (5), with attendant impairment in a range of functions that have been implicated in both poor maternal and child outcomes, including maternal interpersonal functioning (6,7) and parenting skills (8). Even when children receive psychiatric treatment, the likelihood of favorable responses decreases in the face of persistent maternal depressive symptoms (9).Depressed mothers with psychiatrically ill children present both challenges and opportunities. On one hand, if maternal illness is untreated, it is likely to have a negative e...

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Section: Ipt-momsmentioning

confidence: 99%

mentioning

confidence: 99%

Brief Interpersonal Psychotherapy for Depressed Mothers Whose Children Are Receiving Psychiatric Treatment

Swartz¹,

Frank²,

Zuckoff³

et al. 2008

AJP

Self Cite

149

123

View full text Add to dashboard Cite

show abstract

“…Brief interpersonal psychotherapy consists of eight weekly, 45-min individual sessions and has received empirical support in a number of studies (Grote et al 2004;Swartz et al 2004;Swartz et al 2006). A treatment manual is available on request (Swartz et al unpublished).…”

Section: Adapting and Adding To Ipt: Brief Interpersonal Psychotherapymentioning

confidence: 99%

Enhancing Interpersonal Psychotherapy for Mothers and Expectant Mothers on Low Incomes: Adaptations and Additions

Grote

Swartz

Zuckoff

2007

J Contemp Psychother

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Intervening with depressed women during their childbearing years, especially with those on low incomes, is critically important. Not only do mothers and expectant mothers suffer unnecessarily, but their untreated depression has critical negative consequences for their families. Despite this, these women have proven especially difficult to engage in psychotherapy. In this paper we describe several adaptations and additions we have made to a brief form of Interpersonal Psychotherapy (IPT) to meet the needs of mothers and expectant mothers living on low incomes in the community who suffer from depression, but face significant practical, psychological, and cultural barriers to engaging in and staying in treatment. In addition, we present some preliminary data on the extent to which our enhanced, brief IPT approach promotes improvements in treatment engagement and retention relative to usual care for expectant mothers on low incomes.

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“…Numerous supportive uncontrolled case studies using MI for depression, 42,49 suicidal ideation, 36,50 and compliance with antidepressants 30 have been reported. Beyond this, Swartz et al 51 and Grote et al 23 have evaluated MI-enhanced interviewing to facilitate entry into treatment among people unlikely to seek care for mental health problems. Promising findings demonstrating high rates of treatment entry and completion among mothers of children with psychiatric illness requiring treatment for depression (open-label study 51 ), and pregnant, depressed, and economically disadvantaged women (compared with treatment as usual 23 ) have been reported.…”

Section: For Depressionmentioning

confidence: 99%

“…Beyond this, Swartz et al 51 and Grote et al 23 have evaluated MI-enhanced interviewing to facilitate entry into treatment among people unlikely to seek care for mental health problems. Promising findings demonstrating high rates of treatment entry and completion among mothers of children with psychiatric illness requiring treatment for depression (open-label study 51 ), and pregnant, depressed, and economically disadvantaged women (compared with treatment as usual 23 ) have been reported. Response rates to MI were also very favourable in an RCT comparing brief primary care physician-administered MI (10 to 15 minutes) with brief physician advice, for engaging adolescents at risk for depression with an Internet-based prevention intervention.…”

Section: For Depressionmentioning

confidence: 99%

Extending Motivational Interviewing to the Treatment of Major Mental Health Problems: Current Directions and Evidence

2011

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Motivational interviewing (MI) was originally developed for the treatment of substance abuse but is rapidly expanding to other major mental health populations beyond addictions. This brief review considers the use of MI and related motivational enhancement therapies (METs) in the treatment of anxiety, depression, and eating disorders, and concurrent psychosis and substance use disorders. MI-MET has been added and (or) integrated into treatment for these problems in a wide variety of ways, most commonly as a pretreatment to other therapies (psychosocial treatments and pharmacotherapy) or integrated into standard assessment procedures. In each problem domain, the bulk of the current evidence supports the value of adding MI to existing therapies in increasing engagement with treatment and in improving clinical outcomes. This is particularly encouraging in that many of the populations included in these investigations represent severe and treatment-recalcitrant populations. However, research on the application of MI to other major mental health problems beyond addictions is in the early stages, with existing studies having numerous limitations (for example, small uncontrolled studies or lack of adequate control groups, and failure to establish both MI treatment integrity and the unique contribution of MI in integrated treatments). In short, the substantial body of promising preliminary findings strongly support the continued investigation of MI and related methods for these populations in well-designed clinical trials that examine not only the additive value of MI but also mechanisms underlying these effects and individual differences (moderators) indicating the need for MI.

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An open-label trial of enhanced brief interpersonal psychotherapy in depressed mothers whose children are receiving psychiatric treatment

Cited by 36 publications

References 21 publications

Brief Interpersonal Psychotherapy for Depressed Mothers Whose Children Are Receiving Psychiatric Treatment

Brief Interpersonal Psychotherapy for Depressed Mothers Whose Children Are Receiving Psychiatric Treatment

Enhancing Interpersonal Psychotherapy for Mothers and Expectant Mothers on Low Incomes: Adaptations and Additions

Extending Motivational Interviewing to the Treatment of Major Mental Health Problems: Current Directions and Evidence

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