Temporal and specific pathways of change in cognitive behavioral therapy (CBT) and interpersonal psychotherapy (IPT) for depression

Introduction: Chronic loneliness has been linked to many adverse outcomes, including mental health problems. Psychological treatment of loneliness can be effective, but the evidence base is limited. Objective: To investigate the efficacy of 2 internet-based interventions based on cognitive behavioral therapy (ICBT) and interpersonal psychotherapy (IIPT) relative to a wait-list control group and each other. Methods: A total of 170 participants were recruited and randomized to either 9 weeks of ICBT (n = 68), IIPT (n = 68), or a wait-list condition (n = 34). The primary outcome was loneliness, measured using the UCLA Loneliness Scale before, during, and after treatment. Secondary measures of psychiatric disorders and quality of life were administered before and after treatment. Follow-up was conducted 4 months after the treatment had ended. Primary outcome data were analyzed using growth curve modeling. Secondary outcomes were analyzed using robust regression models. The trial was preregistered (ClinicalTrials.gov ID: NCT03807154). Results: The ICBT condition had a significantly greater impact on loneliness compared to the wait-list and IIPT conditions. Effect sizes were moderate to large (Cohen d = 0.71) compared to the wait-list and moderate (d = 0.53) compared to IIPT. The IIPT condition did not differ significantly from the wait-list. Both active treatments led to significant increases in quality of life. Only the ICBT group had significantly lower symptoms of depression and generalized anxiety compared to the wait-list group. Treatment gains were maintained but not improved at follow-up. Conclusions: ICBT can be an efficacious option for alleviating loneliness. The IIPT intervention was not as effective.

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The Effectiveness of Interpersonal Psychotherapy Versus Cognitive Behavioral Therapy for Eating Disorders: A Systematic Review and Meta-analysis

10.21203/rs.3.rs-867140/v1 ◽

2021 ◽

Author(s):

Qihang Xie ◽

Pengcheng Yi ◽

Xinyang Hu ◽

Jianxiang Lei ◽

Jiacheng Kong ◽

...

Keyword(s):

Systematic Review ◽

Eating Disorders ◽

Cognitive Behavioral Therapy ◽

Behavioral Therapy ◽

Meta Analysis ◽

Interpersonal Psychotherapy ◽

Cognitive Behavioral ◽

Secondary Outcome ◽

Future Research

Abstract Purpose: Interpersonal psychotherapy (IPT) has been proposed as a treatment strategy for eating disorders (EDs). However, cognitive behavioral therapy (CBT) is the treatment more effectively and widely used than IPT. We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to compare the effectiveness of IPT versus CBT on EDs. Methods: We systematically searched PubMed, Embase, Medline, Cochrane, Web of Science, and the Clinical Trials Database for RCTs that compared IPT and CBT.Results: Of 468 studies initially identified, 10 were suitable for incorporation into our meta-analysis (N = 833 participants). In those studies, IPT and CBT had comparable effects in terms of primary outcome (i.e., ED score) (SMD = 0.08), while IPT had a better effect in terms of secondary outcome (i.e., Inventory of Interpersonal Problems) (SMD = 0.32) than CBT. Compared with CBT, IPT had a better treatment effect for ED populations with lower Body Mass Index (SMD = 0.27) and age (SMD = 0.43). IPT and CBT both had follow-up effects of pre-test and follow-up comparison after fewer than 6 months (SMD = 1.61, 1.83), 6–12 months (SMD =1.48, 1.65), and more than 12 months (SMD = 1.29, 1.33). At the same time, only CBT showed a dose-response relationship trend (β = 0.017, p = 0.067). Conclusion: The meta-analysis provided clear evidence that IPT is an effective treatment measure for patients with EDs. This review also suggested that future research is needed to determine the effects of IPT in the treatment of EDs.Level of evidence Level I, systematic review and meta-analysis.

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Treatment of Depressive Disorders

Understanding the Mental Health Problems of Children and Adolescents ◽

10.1093/oso/9780190927844.003.0006 ◽

2021 ◽

pp. 89-100

Author(s):

Kirstin Painter ◽

Maria Scannapieco

Keyword(s):

Cognitive Behavioral Therapy ◽

Children And Adolescents ◽

Case Studies ◽

Depressive Disorders ◽

Behavioral Therapy ◽

Antidepressant Medication ◽

Interpersonal Psychotherapy ◽

Cognitive Behavioral ◽

Treatment Interventions ◽

The Brain

The two most common treatments for depression are antidepressant medication and psychotherapy, provided together or individually. This chapter provides an overview of the classes of antidepressant medications and addresses how they regulate neurotransmitters in the brain. The chapter addresses the use of antidepressants in children and adolescents and the risk of suicide related to antidepressants. Several models of psychotherapy treatments, including treatment interventions extensively tested and found effective in treating children and adolescents with depressive disorders (e.g., cognitive-behavioral therapy, interpersonal psychotherapy) are described. Links are provided to access further information on these interventions. This chapter returns to the two case studies from Chapter 5 and discloses the actual outcomes that occurred.

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Neurobiological Underpinnings of Psychosocial Treatment in Personality Disorders

10.1093/med/9780199362318.003.0017 ◽

2018 ◽

Author(s):

Marianne Goodman ◽

Jennifer Chen ◽

Erin A. Hazlett

Keyword(s):

Cognitive Behavioral Therapy ◽

Personality Disorders ◽

Psychodynamic Psychotherapy ◽

Behavioral Therapy ◽

Interpersonal Psychotherapy ◽

Psychosocial Treatment ◽

Cognitive Behavioral ◽

Psychoanalytic Psychotherapy ◽

Empirical Basis ◽

Personality Dysfunction

This chapter focuses on the psychotherapies with the largest empirical basis and most relevant to personality dysfunction and include behavioral therapy, cognitive-behavioral therapy, interpersonal psychotherapy, psychodynamic psychotherapy, and psychoanalytic psychotherapy.

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