Brief interpersonal psychotherapy for depressed mothers whose children are receiving psychiatric treatment.

Brief interpersonal psychotherapy for depressed mothers whose children are receiving psychiatric treatment. Research Abstract Details 

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Brief interpersonal psychotherapy for depressed mothers whose children are receiving psychiatric treatment. Abstract Text:

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.

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Brief interpersonal psychotherapy for depressed mothers whose children are receiving psychiatric treatment. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The American journal of psychiatry

VOLUME: 165

Page Numbers: 1155-62

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ISSN: 1535-7228

DAY: 16

MONTH: 06

YEAR: 2008

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LANGUAGE: eng

NlmUniqueID: 370512

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AFFILIATION: Department of Psychiatry, Western Psychiatric Institute and Clinic, 3811 O'Hara St., Pittsburgh, PA 15213. swartzha@upmc.edu.

Country: United States

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MEDLINETA: Am J Psychiatry

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