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dc.contributor.authorKontunen, Jarmo
dc.contributor.authorTimonen, Markku
dc.contributor.authorMuotka, Joona
dc.contributor.authorLiukkonen, Timo
dc.date.accessioned2017-02-21T07:26:08Z
dc.date.available2017-02-21T07:26:08Z
dc.date.issued2016
dc.identifier.citationKontunen, J., Timonen, M., Muotka, J., & Liukkonen, T. (2016). Is interpersonal counselling (IPC) sufficient treatment for depression in primary care patients? A pilot study comparing IPC and interpersonal psychotherapy (IPT). <i>Journal of Affective Disorders</i>, <i>189</i>(January), 89-93. <a href="https://doi.org/10.1016/j.jad.2015.09.032" target="_blank">https://doi.org/10.1016/j.jad.2015.09.032</a>
dc.identifier.otherCONVID_25231795
dc.identifier.otherTUTKAID_67441
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/53073
dc.description.abstractBackground: Psychotherapeutic treatment is underused in primary care, where even short-term psychotherapy can be perceived as too lengthy and labour-intensive. We tested here for the first time the preliminary efficacy of seven sessions of interpersonal counselling (IPC) by comparison with sixteen sessions of interpersonal psychotherapy (IPT) in regular clinical settings. Methods: Patients seeking treatment for the first time who met the DSM-IV criteria for major depressive disorder (MDD, mild/moderate) were randomized to either IPC (n=20) or IPT (n=20). The efficacy of the treatments was assessed using the 34-item Clinical Outcomes in Routine Evaluation (CORE-OM) scale and the Beck Depression Inventory (BDI) scale. Results: 90% of the patients completed all the treatment sessions. IPC delivered by psychiatric nurses in primary care proved equally as effective as IPT delivered by psychotherapists/psychologists in secondary care. The pre-treatment to 12-month follow-up within-group effect sizes were large: 1.52 (CORE-OM) and 1.41 (BDI) in the IPC group and 1.58 (CORE-OM) and 1.40 (BDI) in the IPT group. At the 12-month follow-up 59% of the patients in the IPC group and 63% in the IPT group were classified as recovered on the CORE-OM scale, with corresponding remission rates of 61% for both groups on the BDI scale. Limitations: The small sample size limited the power to detect differences between the groups and the naturalistic settings may have confounded the results. Conclusions: This clinical trial suggests that IPC is an appropriate and even sufficient first-phase intervention for handling previously untreated mild to moderate depression in primary health care.
dc.language.isoeng
dc.publisherElsevier BV
dc.relation.ispartofseriesJournal of Affective Disorders
dc.subject.otherCORE-OM
dc.subject.otherdepression
dc.subject.otherinterpersonal counselling
dc.subject.otherIPC
dc.subject.otherprimary care
dc.titleIs interpersonal counselling (IPC) sufficient treatment for depression in primary care patients? A pilot study comparing IPC and interpersonal psychotherapy (IPT)
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201702201486
dc.contributor.laitosPsykologian laitosfi
dc.contributor.laitosDepartment of Psychologyen
dc.contributor.oppiainePsykologiafi
dc.contributor.oppiainePsychologyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2017-02-20T13:15:08Z
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange89-93
dc.relation.issn0165-0327
dc.relation.numberinseriesJanuary
dc.relation.volume189
dc.type.versionacceptedVersion
dc.rights.copyright© 2015 Elsevier. This is a final draft version of an article whose final and definitive form has been published by Elsevier. Published in this repository with the kind permission of the publisher.
dc.rights.accesslevelopenAccessfi
dc.subject.ysovuorovaikutusterapia
jyx.subject.urihttp://www.yso.fi/onto/yso/p11765
dc.relation.doi10.1016/j.jad.2015.09.032
dc.type.okmA1


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