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Group interpersonal psychotherapy for depression in rural Uganda: 6-month outcomes

机译:乌干达农村地区抑郁症的团体人际心理治疗:6个月的结局

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Background A randomised controlled trial comparing group interpersonal psychotherapy with treatment as usual among rural Ugandans meeting symptom and functional impairment criteria for DSMa€“IV major depressive disorder or sub-threshold disorder showed evidence of effectiveness immediately following the intervention. Aims To assess the long-term effectiveness of this therapy over a subsequent 6-month period. Method A follow-up study of trial participants was conducted in which the primary outcomes were depression diagnosis, depressive symptoms and functional impairment. Results At 6 months, participants receiving the group interpersonal psychotherapy had mean depression symptom and functional impairment scores respectively 14.0 points (95% CI 12.2a€“15.8; P 0.0001) and 5.0 points (95% CI 3.6a€“6.4; P 0.0001) lower than the control group. Similarly, the rate of major depression among those in the treatment arm (11.7%) was significantly lower than that in the control arm (54.9%) ( P 0.0001). Conclusions Participation in a 16-week group interpersonal psychotherapy intervention continued to confer a substantial mental health benefit 6 months after conclusion of the formal intervention.
机译:背景一项随机对照试验比较了在符合DSMa IV严重抑郁症或亚阈值障碍症状和功能障碍标准的乌干达农村人口中,小组人际心理治疗与常规治疗的比较,表明干预后即刻有效。目的评估此疗法在随后的6个月内的长期疗效。方法进行了一项对受试者的随访研究,其主要结果为抑郁症诊断,抑郁症状和功能障碍。结果在6个月时,接受团体人际心理治疗的参与者的平均抑郁症状和功能障碍评分分别为14.0分(95%CI 12.2a“ 15.8; P <0.0001”)和5.0分(95%CI 3.6a” 6.4); P <0.0001)低于对照组。同样,治疗组的严重抑郁发生率(11.7%)显着低于对照组的54.9%(P <0.0001)。结论参加正式干预后6个月,参加16周小组人际心理治疗干预仍可带来可观的精神健康收益。

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