针对抑郁青少年的阶梯式人际心理治疗：儿科诊所的一项初步研究。
Stepped Care Interpersonal Psychotherapy Treatment for Depressed Adolescents: A Pilot Study in Pediatric Clinics.
作者信息
Mufson Laura, Rynn Moira, Yanes-Lukin Paula, Choo Tse Hwei, Soren Karen, Stewart Eileen, Wall Melanie
机构信息
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA.
New York State Psychiatric Institute, 1051 Riverside Drive, Unit 74, New York, NY, 10032, USA.
出版信息
Adm Policy Ment Health. 2018 May;45(3):417-431. doi: 10.1007/s10488-017-0836-8.
Abstract
Adolescents with depression are at risk for negative long-term consequences and recurrence of depression. Many do not receive nor access treatment, especially Latino youth. New treatment approaches are needed. This study examined the feasibility and acceptability of a stepped collaborative care treatment model (SCIPT-A) for adolescents with depression utilizing interpersonal psychotherapy for adolescents (IPT-A) and antidepressant medication (if needed) compared to Enhanced Treatment as Usual (E-TAU) in urban pediatric primary care clinics serving primarily Latino youth. Results suggest the SCIPT-A model is feasible, acceptable and potentially beneficial for urban Latino adolescents. Clinicians delivered the SCIPT-A model with fidelity using supervision successfully implemented in a community setting.
摘要
患有抑郁症的青少年面临着长期负面后果和抑郁症复发的风险。许多人得不到治疗，尤其是拉丁裔青少年。需要新的治疗方法。本研究在主要为拉丁裔青少年服务的城市儿科初级保健诊所中，考察了一种阶梯式协作护理治疗模式（SCIPT-A）对患有抑郁症青少年的可行性和可接受性，该模式采用青少年人际心理治疗（IPT-A）和抗抑郁药物（如有需要），并与强化常规治疗（E-TAU）进行比较。结果表明，SCIPT-A模式对城市拉丁裔青少年是可行的、可接受的且可能有益。临床医生通过在社区环境中成功实施的监督，忠实地实施了SCIPT-A模式。
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