Pilot Study of Interpersonal Psychotherapy Versus Supportive Psychotherapy for Dysthymic Patients With Secondary Alcohol Abuse or Dependence
Interpersonal psychotherapy (IPT) has demonstrated efficacy for depression but yielded negative results for substance disorders. Alcohol abuse frequently complicates mood disorders. This pilot study compared IPT with brief supportive psychotherapy (BSP) for dysthymic disorder and alcohol abuse. We h...
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| Veröffentlicht in: | The journal of nervous and mental disease 2008-06, Vol.196 (6), p.468-474 |
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| container_title | The journal of nervous and mental disease |
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| creator | Markowitz, John C Kocsis, James H Christos, Paul Bleiberg, Kathryn Carlin, Alexandra |
| description | Interpersonal psychotherapy (IPT) has demonstrated efficacy for depression but yielded negative results for substance disorders. Alcohol abuse frequently complicates mood disorders. This pilot study compared IPT with brief supportive psychotherapy (BSP) for dysthymic disorder and alcohol abuse. We hypothesized that effect sizes would suggest greater IPT efficacy for both diagnoses, despite limited statistical power. Subjects with primary DSM-IV dysthymic disorder and secondary alcohol abuse/dependence were randomly assigned 16 weeks of IPT (N = 14) or BSP (N = 12). Patients in both treatments reported improved depressive symptoms and alcohol abstinence. IPT had a large and BSP a moderate effect size in depression, whereas BSP had a moderate and IPT a small effect size in percentage of days abstinent. This pilot study offers initial data on IPT and BSP for comorbid chronic depression and alcohol abuse/dependence. Results suggest IPT may have specific antidepressant benefits for dysthymic alcoholic patients but not in treating alcoholism. |
| doi_str_mv | 10.1097/NMD.0b013e31817738f1 |
| format | Article |
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Alcohol abuse frequently complicates mood disorders. This pilot study compared IPT with brief supportive psychotherapy (BSP) for dysthymic disorder and alcohol abuse. We hypothesized that effect sizes would suggest greater IPT efficacy for both diagnoses, despite limited statistical power. Subjects with primary DSM-IV dysthymic disorder and secondary alcohol abuse/dependence were randomly assigned 16 weeks of IPT (N = 14) or BSP (N = 12). Patients in both treatments reported improved depressive symptoms and alcohol abstinence. IPT had a large and BSP a moderate effect size in depression, whereas BSP had a moderate and IPT a small effect size in percentage of days abstinent. This pilot study offers initial data on IPT and BSP for comorbid chronic depression and alcohol abuse/dependence. 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Alcohol abuse frequently complicates mood disorders. This pilot study compared IPT with brief supportive psychotherapy (BSP) for dysthymic disorder and alcohol abuse. We hypothesized that effect sizes would suggest greater IPT efficacy for both diagnoses, despite limited statistical power. Subjects with primary DSM-IV dysthymic disorder and secondary alcohol abuse/dependence were randomly assigned 16 weeks of IPT (N = 14) or BSP (N = 12). Patients in both treatments reported improved depressive symptoms and alcohol abstinence. IPT had a large and BSP a moderate effect size in depression, whereas BSP had a moderate and IPT a small effect size in percentage of days abstinent. This pilot study offers initial data on IPT and BSP for comorbid chronic depression and alcohol abuse/dependence. Results suggest IPT may have specific antidepressant benefits for dysthymic alcoholic patients but not in treating alcoholism.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Affect</subject><subject>Alcohol use</subject><subject>Alcoholism</subject><subject>Alcoholism - psychology</subject><subject>Alcoholism - rehabilitation</subject><subject>Biological and medical sciences</subject><subject>Comorbidity</subject><subject>Diagnosis, Dual (Psychiatry)</subject><subject>Dysthymic Disorder - complications</subject><subject>Dysthymic Disorder - psychology</subject><subject>Dysthymic Disorder - rehabilitation</subject><subject>Female</subject><subject>Humans</subject><subject>Individual psychotherapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Middle Aged</subject><subject>Pilot Projects</subject><subject>Problem Solving</subject><subject>Prospective Studies</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapies. Psychological and clinical counseling</subject><subject>Psychotherapy</subject><subject>Psychotherapy - methods</subject><subject>Psychotherapy, Brief - methods</subject><subject>Social Support</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><issn>0022-3018</issn><issn>1539-736X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkd1u1DAQhSMEotvCGyBkIXGZMv6J7VyuWiiVCqy0_N1FjnespGTj1Hao8g48NC5dUalzM9L4O2OdOUXxisIphVq9-_zp_BRaoBw51VQprh19UqxoxetScfnzabECYKzkQPVRcRzjNQBVXMDz4ojqqmKSiVXxZ9MPPpFtmncL8Y5cjgnDhCH60QxkExfb-dRhMNNCvufxHMl2niYfUv8bH707H8j5ElO37HtLNib1OKZIfvSpI1u0ftyZsJD1YH3nB7Ju54jkToITjjscLb4onjkzRHx56CfFtw_vv559LK--XFyera9KK0BVZbVDIWsthGhBSYa8lrJmqrYgQWnlmNACjQGpWqy1a412gruKOVDCtkrwk-LN_d4p-JsZY2qu_Ryy4dgwyLfTSqoMiXvIBh9jQNdMod9nBw2F5i6BJifQPE4gy14fds_tHncPosPJM_D2AJhozeCCGW0f_3MMKmCg5cP_t37ImcRfw3yLoenQDKlrIFcFFS8ZgM6-Acp_I_4Xaw-gxA</recordid><startdate>200806</startdate><enddate>200806</enddate><creator>Markowitz, John C</creator><creator>Kocsis, James H</creator><creator>Christos, Paul</creator><creator>Bleiberg, Kathryn</creator><creator>Carlin, Alexandra</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope></search><sort><creationdate>200806</creationdate><title>Pilot Study of Interpersonal Psychotherapy Versus Supportive Psychotherapy for Dysthymic Patients With Secondary Alcohol Abuse or Dependence</title><author>Markowitz, John C ; Kocsis, James H ; Christos, Paul ; Bleiberg, Kathryn ; Carlin, Alexandra</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4075-5de4698444b0762e39669279c060787f2484eaa067be98fba8f43f52f074cb743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Affect</topic><topic>Alcohol use</topic><topic>Alcoholism</topic><topic>Alcoholism - psychology</topic><topic>Alcoholism - rehabilitation</topic><topic>Biological and medical sciences</topic><topic>Comorbidity</topic><topic>Diagnosis, Dual (Psychiatry)</topic><topic>Dysthymic Disorder - complications</topic><topic>Dysthymic Disorder - psychology</topic><topic>Dysthymic Disorder - rehabilitation</topic><topic>Female</topic><topic>Humans</topic><topic>Individual psychotherapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Middle Aged</topic><topic>Pilot Projects</topic><topic>Problem Solving</topic><topic>Prospective Studies</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapies. Psychological and clinical counseling</topic><topic>Psychotherapy</topic><topic>Psychotherapy - methods</topic><topic>Psychotherapy, Brief - methods</topic><topic>Social Support</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Markowitz, John C</creatorcontrib><creatorcontrib>Kocsis, James H</creatorcontrib><creatorcontrib>Christos, Paul</creatorcontrib><creatorcontrib>Bleiberg, Kathryn</creatorcontrib><creatorcontrib>Carlin, Alexandra</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>The journal of nervous and mental disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Markowitz, John C</au><au>Kocsis, James H</au><au>Christos, Paul</au><au>Bleiberg, Kathryn</au><au>Carlin, Alexandra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pilot Study of Interpersonal Psychotherapy Versus Supportive Psychotherapy for Dysthymic Patients With Secondary Alcohol Abuse or Dependence</atitle><jtitle>The journal of nervous and mental disease</jtitle><addtitle>J Nerv Ment Dis</addtitle><date>2008-06</date><risdate>2008</risdate><volume>196</volume><issue>6</issue><spage>468</spage><epage>474</epage><pages>468-474</pages><issn>0022-3018</issn><eissn>1539-736X</eissn><coden>JNMDAN</coden><abstract>Interpersonal psychotherapy (IPT) has demonstrated efficacy for depression but yielded negative results for substance disorders. Alcohol abuse frequently complicates mood disorders. This pilot study compared IPT with brief supportive psychotherapy (BSP) for dysthymic disorder and alcohol abuse. We hypothesized that effect sizes would suggest greater IPT efficacy for both diagnoses, despite limited statistical power. Subjects with primary DSM-IV dysthymic disorder and secondary alcohol abuse/dependence were randomly assigned 16 weeks of IPT (N = 14) or BSP (N = 12). Patients in both treatments reported improved depressive symptoms and alcohol abstinence. IPT had a large and BSP a moderate effect size in depression, whereas BSP had a moderate and IPT a small effect size in percentage of days abstinent. This pilot study offers initial data on IPT and BSP for comorbid chronic depression and alcohol abuse/dependence. 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| subjects | Adaptation, Psychological Adult Affect Alcohol use Alcoholism Alcoholism - psychology Alcoholism - rehabilitation Biological and medical sciences Comorbidity Diagnosis, Dual (Psychiatry) Dysthymic Disorder - complications Dysthymic Disorder - psychology Dysthymic Disorder - rehabilitation Female Humans Individual psychotherapy Male Medical sciences Mental depression Mental disorders Middle Aged Pilot Projects Problem Solving Prospective Studies Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapies. Psychological and clinical counseling Psychotherapy Psychotherapy - methods Psychotherapy, Brief - methods Social Support Treatment Outcome Treatments |
| title | Pilot Study of Interpersonal Psychotherapy Versus Supportive Psychotherapy for Dysthymic Patients With Secondary Alcohol Abuse or Dependence |
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