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Interpersonal psychotherapy for late-life depression: past, present, and future
M D Miller1, C Cornes, E Frank
1Department of Psychiatry, University of Pittsburgh School of Medicine, PA 15213, USA.
The Journal of Psychotherapy Practice and Research
|November 7, 2001
Summary
Interpersonal psychotherapy (IPT) effectively prevents major depression recurrence in older adults. Cognitive status did not impact remission rates when IPT was combined with paroxetine.
Area of Science:
- Geriatric psychiatry
- Clinical psychology
- Psychotherapy research
Background:
- Major depression recurrence is a significant concern in elderly populations.
- Interpersonal psychotherapy (IPT) has shown promise in managing depression in older adults.
Purpose of the Study:
- To summarize 10 years of clinical experience with IPT in elderly subjects.
- To investigate treatment correlates and preliminary outcomes of IPT combined with paroxetine in depressed elders.
Main Methods:
- Review of clinical experience with IPT over a decade.
- Analysis of preliminary results from a trial combining IPT with paroxetine in elderly patients with depression.
Main Results:
- IPT is effective alone or with medication for preventing depression relapse in seniors.
- No significant difference in remission rates was observed between cognitively intact and impaired depressed elders receiving IPT plus paroxetine.
Conclusions:
- Interpersonal psychotherapy is a viable strategy for preventing recurrent depression in the elderly.
- Cognitive impairment does not appear to preclude successful treatment outcomes with combined IPT and paroxetine therapy in this population.
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