Recent non-medication trials of interpersonal psychotherapy for depression
Bibliographic record
Abstract
Interpersonal psychotherapy (IPT) is a time-limited treatment described in a manual and tested in numerous clinical trials, with and without medication. Four recent clinical trials are reviewed in situations where medication as a first-line treatment for depression was not feasible (pregnancy, post partum, adolescence and in a developing country). The results show the efficacy of 12-16 wk of IPT compared to treatment as usual or no treatment in reducing depressive symptoms. The therapists providing the treatment included psychiatrists, psychologists, social workers as well as non-mental-health workers. We do not know if these patients might have done even better with medication, but each study showed a significant remission of symptoms of patients in IPT compared to controls. The use of efficacious, time-limited psychotherapy, which can be administered by non-medical personnel can be economical. An obstacle to providing evidence-based psychotherapies is the paucity of practitioners trained in them. Until the gap between training in psychotherapy and the research evidence in psychotherapy is bridged in training programmes, it will be difficult to provide patients with these treatments.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.003 | 0.002 |
| Bibliometrics | 0.002 | 0.003 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".