✦ LIBER ✦

Treating late-life depression with interpersonal psychotherapy in the primary care sector

✍ Scribed by Herbert C. Schulberg; Edward P. Post; Patrick J. Raue; Thomas Ten Have; Mark Miller; Martha L. Bruce

Publisher: John Wiley and Sons
Year: 2007
Tongue: English
Weight: 158 KB
Volume: 22
Category: Article
ISSN: 0885-6230
DOI: 10.1002/gps.1700

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background

Interpersonal psychotherapy (IPT) is an empirically‐validated intervention for treating late‐life depression.

Objective

To determine the manner in which IPT is utilized by primary care physicians in relation to antidepressant medications.

Methods

The authors reviewed treatment logs prepared by care managers during the first 12 months of a patient's participation in the PROSPECT clinical trial to determine initial and longitudinal treatment patterns utilized by physicians, and clinical outcomes associated with initial treatment assignment.

Results

Primary care physicians in practices randomized to PROSPECT's intervention arm initially prescribed an antidepressant medication for 58% of eligible patients and referred only 11% of them to IPT. Over time, however, 27% of patients participated in IPT as monotherapy or augmentation therapy. Initial treatment assignment was not associated with depressive status at 4 and 12 months nor with suicidal ideation at 4, 8, and 12 months.

Conclusion

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