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Cited by 74Child and Adolescent Psychosocial and Emotional DevelopmentPsychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Family-Based Interpersonal Psychotherapy for Depressed Preadolescents: Examining Efficacy and Potential Treatment Mechanisms

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Dietz, Laura J., Weinberg, Rebecca J., Brent, David A., Mufson, Laura·2015·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1016/j.jaac.2014.12.011PMC PMC4347931
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Abstract

Objective To conduct a randomized controlled trial to evaluate the preliminary efficacy of family-based interpersonal psychotherapy (FB-IPT) for treating depression in preadolescents (aged 7-12 years) as compared to child-centered therapy (CCT), a supportive and nondirective treatment that closely approximates the standard of care for pediatric depression in community mental health.Method Preadolescents with depression (N = 42) were randomly assigned FB-IPT or CCT. Pre- and posttreatment assessments included clinician-administered measures of depression, parent- and child-reported depression and anxiety symptoms, and parent-child conflict and interpersonal impairment with peers.Results Preadolescents receiving FB-IPT had higher rates of remission (66.0% versus 31%), a greater decrease in depressive symptoms from pre- to posttreatment, and lower depressive symptoms at posttreatment (R(2) = 0.35, ΔR(2) = 0.22; B = -8.15, SE = 2.61, t[37] = -3.13, p = .002, F(2) = 0.28) than did preadolescents with depression receiving CCT. Furthermore, preadolescents in the FB-IPT condition reported significant reductions in anxiety and interpersonal impairment compared with preadolescents in the CCT condition. Changes in social and peer impairment from pre- to posttreatment were associated with preadolescents' posttreatment depressive symptoms. There was a significant indirect effect for decreased social impairment accounting for the association between the FB-IPT and preadolescents' posttreatment depressive symptoms.Conclusion Findings indicate FB-IPT is an effective treatment for preadolescent depression and support further investigation of interpersonal mechanisms by which FB-IPT may reduce preadolescent depression. Clinical trial registration information-Phase II Study of Family Based Interpersonal Psychotherapy (FB-IPT) for Depressed Preadolescents; http://clinicaltrials.gov; NCT02054312.

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  • The majority of known behavioral targets have roots in early behavior therapy, such as restriction of safety behaviors, behavioral activation, problem-solving, social skills, planning, or reductions in impulsivity.

    “However, the majority of known behavioral targets have roots in early behavior therapy, such as restriction of safety behaviors, behavioral activation, problem-solving, social skills, planning, or reductions in impulsivity 106 .”

    From “Third-wave” cognitive and behavioral therapies and the emergence of a process-based approach to intervention in psychiatry (2021) · cites this paper as [106]

    The Method > Treatment Conditions passage (page not provided) describes problem-solving, rehearsed communication skills for peer interactions, and a plan for depression recurrence. It does not say that these are among the majority of known behavioral targets or trace them to early behavior therapy; the cited passages also do not address safety behaviors, behavioral activation, or impulsivity. (LLM, conf=0.79)

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Research works printed but not linked: 1

  1. [40]Chen S Chen H Cohen's f Statistic Encyclopedia of Research Design Thousand Oaks, CA SAGE Publications, Inc 2010 186 188

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Authors
Dietz, L. J., Weinberg, R. J., Brent, D. A., & Mufson, L.
Affiliations
  • University of Pittsburgh (US)
  • New York State Psychiatric Institute (US)
Corresponding author
Dietz, Laura J.
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2015-03
Volume
54
Issue
3
Pages
191-199
ISSN
0890-8567 (ISSN-L)
DOI
10.1016/j.jaac.2014.12.011
PMC
PMC4347931
OpenAlex
W2083078293
Cited by
74
References
41
Citations by year
2026: 4 · 2025: 5 · 2024: 8 · 2023: 7 · 2022: 5 · 2021: 8 · 2020: 11 · 2019: 8 · 2018: 4 · 2017: 8 · 2016: 4 · 2015: 2
FWCI
5.51
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • New York State Office of Mental Health
  • National Alliance for Research on Schizophrenia and Depression
  • New York State Psychiatric Institute
  • National Institute of Mental Health (MH079353, K23MH079353)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
childhood depression, child-centered therapy, treatment efficacy, therapeutic mechanisms, social dysfunction, parent-child conflict, anxiety symptoms, depression remission, interpersonal psychotherapy
MeSH terms
Anxiety, Child, Depression, Depressive Disorder, Family Therapy, Female, Humans, Interpersonal Relations, Male, Person-Centered Psychotherapy, Pennsylvania, Psychiatric Status Rating Scales, Linear Models, Treatment Outcome

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