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Sponsored by: |
National Institute of Mental Health (NIMH) |
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Information provided by: | National Institute of Mental Health (NIMH) |
ClinicalTrials.gov Identifier: | NCT00270244 |
This study will assess the effectiveness of group interpersonal psychotherapy (IPT-AG) versus treatment as usual (TAU) in improving the treatment of depressed adolescents in school-based health clinics.
Condition | Intervention | Phase |
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Depression |
Behavioral: Group interpersonal psychotherapy for depressed adolescents (IPT-AG) Behavioral: Treatment as usual (TAU) |
Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double Blind (Subject, Caregiver, Outcomes Assessor), Parallel Assignment, Efficacy Study |
Official Title: | Group Interpersonal Psychotherapy for Depressed Adolescents (IPT-AG) in School-Based Clinics |
Estimated Enrollment: | 125 |
Study Start Date: | December 2005 |
Study Completion Date: | January 2008 |
Primary Completion Date: | January 2008 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Active Comparator
Participants will receive treatment as usual
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Behavioral: Treatment as usual (TAU)
TAU will consist of counseling sessions as regularly conducted by the school clinic social worker and/or referral to another agency.
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2: Experimental
Participants will receive group interpersonal psychotherapy for depressed adolescents
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Behavioral: Group interpersonal psychotherapy for depressed adolescents (IPT-AG)
Participants assigned to IPT-AG will attend two to three, 40-minute individual pre-group sessions, followed by 12, 90-minute group therapy sessions and two additional individual sessions—one midway through the group sessions and another upon completion of group therapy. Sessions will focus on problems in interpersonal relationships.
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Depression is a serious medical condition. It occurs in people of all ages, but only in the past two decades has depression in children and adolescents been taken seriously. Children and adolescents with depression may exhibit such behaviors as pretending to be sick, refusing to go to school or getting in trouble at school, clinging to a parent or worrying that the parent may die, sulking, or acting in a negative or grouchy manner. A previous study demonstrated that, when administered by clinicians in school-based clinics, individual interpersonal psychotherapy is effective in reducing depressive symptoms and improving global and social functioning. This study will assess the effectiveness of group interpersonal psychotherapy (IPT-AG) versus treatment as usual (TAU) in improving depressive symptoms of adolescents in school-based health clinics.
Participants in this 16-week single-blind study will be randomly assigned to receive either IPT-AG or TAU in a school-based clinic. Participants assigned to receive IPT-AG will attend two to three, 40-minute individual pre-group sessions, followed by 12, 90-minute group therapy sessions and two additional individual sessions—one midway through the group sessions and another upon completion of group therapy. TAU will consist of counseling sessions as regularly conducted by the school clinic social worker and/or referral to another agency. Study visits will occur at baseline and Weeks 4, 8, 12, and 16, or upon early termination. At the end of 16 weeks, participants assigned to receive IPT-AG will continue in a maintenance program in which they will receive IPT-AG once a month for an additional 6 months. All participants will also be assessed 6 and 12 months post-treatment to measure depressive symptoms, global and social functioning, satisfaction with care, and utilization of other services.
Ages Eligible for Study: | 12 Years to 18 Years |
Genders Eligible for Study: | Female |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
United States, New York | |
Montefiore Medical Center School-based Clinics at Dewitt-Clinton High School and Walton High School | |
New York, New York, United States, 10467 |
Principal Investigator: | Laura H. Mufson, PhD | New York State Psychiatric Institute-Columbia University College of Physicians and Surgeons |
Responsible Party: | Columbia University College of Physicians and Surgeons ( Laura Mufson, PhD ) |
Study ID Numbers: | R01 MH73640, DSIR 84-CTS |
Study First Received: | December 21, 2005 |
Last Updated: | February 15, 2008 |
ClinicalTrials.gov Identifier: | NCT00270244 |
Health Authority: | United States: Federal Government |
Major Depression Dysthymic Disorder Adjustment Disorder With Depressed Mood |
Depressive Disorder Not Otherwise Specified Adolescent Psychotherapy |
Adjustment Disorders Depression Mental Disorders Mood Disorders |
Dysthymic Disorder Depressive Disorder, Major Depressive Disorder Behavioral Symptoms |