title: The value of maintenance interpersonal psychotherapy (IPT) in older adults with different IPT foci.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  If replicated in a larger sample, these findings have important implications for ongoing case-management decisions.
authors.affiliation: Intervention Research Center for Late-Life Mood Disorders, University of Pittsburgh School of Medicine, PA, USA. millermd@msx.upmc.edu
authors.forename: Mark D
authors.initials: MD
authors.lastname: Miller
authors.forename: Ellen
authors.initials: E
authors.lastname: Frank
authors.forename: Cleon
authors.initials: C
authors.lastname: Cornes
authors.forename: Patricia R
authors.initials: PR
authors.lastname: Houck
authors.forename: Charles F
authors.initials: CF
authors.lastname: Reynolds
mesh_terms: D000368:Aged; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D004311:Double-Blind Method; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007398:Interpersonal Relations; D008297:Male; D011613:Psychotherapy / Q000379:methods*; D012008:Recurrence