Group Interpersonal Psychotherapy for Depressed Adolescents in School-based Clinics

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
New York State Psychiatric Institute
ClinicalTrials.gov Identifier:
NCT00270244
First received: December 21, 2005
Last updated: December 27, 2011
Last verified: December 2011
  Purpose

This study will assess the effectiveness of group interpersonal psychotherapy (IPT-AG) versus treatment as usual (TAU) in improving the treatment of depressed adolescents in school-based health clinics.


Condition Intervention Phase
Depression
Behavioral: Group interpersonal psychotherapy for depressed adolescents (IPT-AG)
Behavioral: Treatment as usual (TAU)
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Group Interpersonal Psychotherapy for Depressed Adolescents (IPT-AG) in School-based Clinics

Resource links provided by NLM:


Further study details as provided by New York State Psychiatric Institute:

Primary Outcome Measures:
  • Depressive symptoms as measured by the Hamilton Rating Scale for Depression (HRSD) and the Center for Epidemiological Studies-Depression Scale (CES-D) [ Time Frame: Measured at Month 18 ] [ Designated as safety issue: No ]
  • Overall impairment, as measured by the Global Assessment Scale for Children (C-GAS) [ Time Frame: Measured at Month 18 ] [ Designated as safety issue: No ]
  • Social functioning, as measured by the Social Adjustment Scale-Self-report (SAS-SR) [ Time Frame: Measured at Month 18 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Short Acculturation Scale for Hispanics, CES-D, HRSD, C-GAS, Clinical Global Improvement, Inventory of Parent and Peer Attachment, Family Adaptation and Cohesions Evaluation Scales III, and the Penn Helping Alliance Questionnaire-Revised [ Time Frame: Measured at Month 18 ] [ Designated as safety issue: No ]

Enrollment: 16
Study Start Date: December 2005
Study Completion Date: January 2008
Primary Completion Date: January 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
Participants will receive treatment as usual
Behavioral: Treatment as usual (TAU)
TAU will consist of counseling sessions as regularly conducted by the school clinic social worker and/or referral to another agency.
Experimental: 2
Participants will receive group interpersonal psychotherapy for depressed adolescents
Behavioral: Group interpersonal psychotherapy for depressed adolescents (IPT-AG)
Participants assigned to IPT-AG will attend two to three, 40-minute individual pre-group sessions, followed by 12, 90-minute group therapy sessions and two additional individual sessions—one midway through the group sessions and another upon completion of group therapy. Sessions will focus on problems in interpersonal relationships.

Detailed Description:

Depression is a serious medical condition. It occurs in people of all ages, but only in the past two decades has depression in children and adolescents been taken seriously. Children and adolescents with depression may exhibit such behaviors as pretending to be sick, refusing to go to school or getting in trouble at school, clinging to a parent or worrying that the parent may die, sulking, or acting in a negative or grouchy manner. A previous study demonstrated that, when administered by clinicians in school-based clinics, individual interpersonal psychotherapy is effective in reducing depressive symptoms and improving global and social functioning. This study will assess the effectiveness of group interpersonal psychotherapy (IPT-AG) versus treatment as usual (TAU) in improving depressive symptoms of adolescents in school-based health clinics.

Participants in this 16-week single-blind study will be randomly assigned to receive either IPT-AG or TAU in a school-based clinic. Participants assigned to receive IPT-AG will attend two to three, 40-minute individual pre-group sessions, followed by 12, 90-minute group therapy sessions and two additional individual sessions—one midway through the group sessions and another upon completion of group therapy. TAU will consist of counseling sessions as regularly conducted by the school clinic social worker and/or referral to another agency. Study visits will occur at baseline and Weeks 4, 8, 12, and 16, or upon early termination. At the end of 16 weeks, participants assigned to receive IPT-AG will continue in a maintenance program in which they will receive IPT-AG once a month for an additional 6 months. All participants will also be assessed 6 and 12 months post-treatment to measure depressive symptoms, global and social functioning, satisfaction with care, and utilization of other services.

  Eligibility

Ages Eligible for Study:   12 Years to 18 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Meets diagnostic criteria for major depression, dysthymic disorder, depressive disorder not otherwise specified, or adjustment disorder with depressed mood
  • Score of 24 or greater on the CES-D
  • Score between 10 and 28 on the HRSD
  • Score of 65 or less on the C-GAS
  • English-speaking
  • Parental or legal guardian consent to participate

Exclusion Criteria:

  • Actively suicidal
  • Score greater than 28 on the HRSD
  • Mentally retarded
  • Any life threatening medical illness
  • Meets diagnostic criteria for current substance abuse, schizophrenia, or bipolar disorder
  • Any evidence of psychosis, conduct disorder, or active eating disorder
  • Currently in active treatment for depression
  • Taking antidepressant medication at the time of baseline assessment
  • Recent death of someone close
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00270244

Sponsors and Collaborators
New York State Psychiatric Institute
Investigators
Principal Investigator: Laura H. Mufson, PhD New York State Psychiatric Institute-Columbia University College of Physicians and Surgeons
  More Information

No publications provided

Responsible Party: New York State Psychiatric Institute
ClinicalTrials.gov Identifier: NCT00270244     History of Changes
Other Study ID Numbers: R01 MH73640, #5037, R01MH073640, DSIR 84-CTS
Study First Received: December 21, 2005
Last Updated: December 27, 2011
Health Authority: United States: Federal Government

Keywords provided by New York State Psychiatric Institute:
Major Depression
Dysthymic Disorder
Adjustment Disorder With Depressed Mood
Depressive Disorder Not Otherwise Specified
Adolescent
Psychotherapy

Additional relevant MeSH terms:
Depression
Depressive Disorder
Behavioral Symptoms
Mood Disorders
Mental Disorders

ClinicalTrials.gov processed this record on August 21, 2014