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Am J Geriatr Psychiatry 11:97-102, February 2003
© 2003 American Association for Geriatric Psychiatry

Brief Report

The Value of Maintenance Interpersonal Psychotherapy (IPT) in Older Adults With Different IPT Foci

Mark D. Miller, M.D., Ellen Frank, Ph.D., Cleon Cornes, M.D., Patricia R. Houck, M.S., and Charles F. Reynolds III, M.D.

Received March 29, 2002; revised June 19, July 17, 2002; accepted July 19, 2002. From the Intervention Research Center for Late-Life Mood Disorders, University of Pittsburgh School of Medicine, Pittsburgh, PA. Address correspondence to Dr. Miller, University of Pittsburgh, 742 Bellefield Towers, Pittsburgh, PA 15213. e-mail: millermd{at}msx.upmc.edu

Objective/METHODS: The authors examined recurrence rates of major depression in elderly subjects with different foci of interpersonal psychotherapy (IPT), who were treated for up to 3 years with either monthly maintenance IPT and pill placebo or with monthly clinical management and pill placebo. RESULTS: Among subjects with an IPT focus on role conflict, a greater proportion of those treated with maintenance-IPT survived for 3 years without recurrence than those treated with placebo/clinical management. Median time to recurrence was 68.9 weeks in IPT-treated patients versus 16.3 weeks for patients in clinical management. Subjects with an IPT focus on abnormal grief or role transition demonstrated no effect differential for maintenance IPT and pill-placebo on recurrence prevention over supportive clinical management and pill-placebo. CONCLUSION: If replicated in a larger sample, these findings have important implications for ongoing case-management decisions.

Key Words: Interpersonal Therapy • Depression • Drug–Placebo Comparisons




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Advances in Psychotherapy for Mental Illness in Late Life
Am J Geriatr Psychiatry, February 1, 2003; 11(1): 4 - 6.
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