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  • The efficacy of interpersonal psychotherapy for depression among economically disadvantaged mothers

The efficacy of interpersonal psychotherapy for depression among economically disadvantaged mothers

Toth, SL., Rogosch, FA., Oshri, A., Gravener-Davis, J., Sturm, R., & Morgan-Lopez, A. (2013). The efficacy of interpersonal psychotherapy for depression among economically disadvantaged mothers. Development and Psychopathology, 25(4), 1065-1078. https://doi.org/10.1017/S0954579413000370

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Abstract

A randomized clinical trial was conducted to evaluate the efficacy of interpersonal psychotherapy (IPT) for ethnically and racially diverse, economically disadvantaged women with major depressive disorder. Non-treatment-seeking urban women (N = 128; M age = 25.40, SD = 4.98) with infants were recruited from the community. Participants were at or below the poverty level: 59.4% were Black and 21.1% were Hispanic. Women were screened for depressive symptoms using the Center for Epidemiologic Studies Depression Scale; the Diagnostic Interview Schedule was used to confirm major depressive disorder diagnosis. Participants were randomized to individual IPT or enhanced community standard. Depressive symptoms were assessed before, after, and 8 months posttreatment with the Beck Depression Inventory-II and the Revised Hamilton Rating Scale for Depression. The Social Support Behaviors Scale, the Social Adjustment Scale-Self-Report, and the Perceived Stress Scale were administered to examine mediators of outcome at follow-up. Treatment effects were evaluated with a growth mixture model for randomized trials using complier-average causal effect estimation. Depressive symptoms trajectories from baseline through postintervention to follow-up showed significant decreases among the IPT group compared to the enhanced community standard group. Changes on the Perceived Stress Scale and the Social Support Behaviors Scale mediated sustained treatment outcome

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Antonio Morgan-Lopez

Antonio Morgan-Lopez

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