Biomedical subjects

Jami F Young

Publications and source records attributed to Jami F Young.

4 recordsLinked to original sources

PubMed2006

Impact of comorbid anxiety in an effectiveness study of interpersonal psychotherapy for depressed adolescents.

OBJECTIVE: To assess the impact of comorbid anxiety on treatment for adolescent depression in an effectiveness study of interpersonal psychotherapy for depressed adolescents (IPT-A). METHOD: A randomized clinical trial was conducted from April 1, 1999, through July 31, 2002. Sixty-three depressed adolescents, ages 12 to 18, received either IPT-A or treatment as usual delivered by school-based mental health clinicians. Adolescents with and without probable comorbid anxiety disorders were compared on depression and overall functioning. All analyses used an intent-to-treat design. RESULTS: Comorbid anxiety was associated with higher depression scores at baseline (p <.01) and poorer depression outcome posttreatment (p <.05). IPT-A was nonsignificantly more effective in treating the depression of adolescents with comorbid anxiety (p =.07). Adolescents whose depression and functioning improved during the course of treatment also showed an improvement in anxiety (p <.01), largely irrespective of treatment condition. CONCLUSIONS: Adolescents with comorbid depression and anxiety present with more severe depression and may be more difficult to treat. Structured treatments like IPT-A may be particularly helpful for comorbidly depressed adolescents as compared to supportive therapy.

Adolescent↗

PubMed2006

Efficacy of Interpersonal Psychotherapy-Adolescent Skills Training: an indicated preventive intervention for depression.

BACKGROUND: Indicated interventions for adolescents with elevated depressive symptoms may help decrease rates of depression. The current study reports on the efficacy of Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST), a group indicated preventive intervention. METHODS: Forty-one adolescents with elevated depression symptoms were randomized to receive either IPT-AST or school counseling (SC) as delivered by guidance counselors and social workers. Adolescents in the two intervention conditions were compared on depression symptoms, overall functioning, and depression diagnoses post-intervention and at 3-month and 6-month follow-up. RESULTS: Adolescents who received IPT-AST had significantly fewer depression symptoms and better overall functioning post-intervention and at follow-up. Adolescents in IPT-AST also reported fewer depression diagnoses than adolescents in usual care. CONCLUSIONS: These results provide preliminary evidence of the efficacy of IPT-AST as an intervention for adolescents with subthreshold depression. Future research is needed to confirm the efficacy of IPT-AST in a larger and more diverse sample and to determine its long-term impact on depression symptoms and depression diagnoses.

Adolescent↗

PubMed2004

A group adaptation of Interpersonal Psychotherapy for depressed adolescents.

This paper presents an overview of the adaptation of Interpersonal Psychotherapy for depressed adolescents (IPT-A) to be delivered in a group format (IPT-AG) for the treatment of depressed, nonbipolar outpatient adolescents. The model has been modified to address the challenges of working with several adolescents in a group context. It takes advantage of the group as a laboratory environment for experimenting with new ways of communicating and interacting with others. The IPT-AG manual, described in this paper, provides guidelines for working with multiple interpersonal issues and keeping the group discussion relevant to the group as a whole. These adaptations are discussed in the context of the interpersonal framework with respect to each phase of treatment. Preliminary data about the feasibility and acceptability of conducting IPT-AG are discussed.

Adolescent↗

PubMed2003

Predicting intraindividual self-concept trajectories during adolescence.

The level and stability of both global and domain-specific self-concepts was examined in a study of 253 adolescents, aged 11-20. Intraindividual self-concept trajectories were calculated through growth curve modeling. Six of the self-concept domains were stable over time. In the remaining three domains, there was a significant increase in perceived competency. Growth curve modeling highlighted individual differences in both level and change in self-concept for each of the domains. These differences were partially accounted for by the adolescents' age and gender, suggesting that these variables are important determinants of adolescent self-concept.

Adolescent↗