IPT for Depressed
IPT has been modified for depressed adolescents in general ( Mufson et al., 1993) and used in unmodified format for depressed adolescents ( Rossello and Bernal, 1998) and depressed pregnant adolescent girls ( Gillies, Clarke Institute, Toronto, personal communication, 1999).
This adaptation of IPT incorporates adolescent developmental issues and adds a fifth problem area, the single parent family, which was found frequently among the adolescents Mufson and colleagues treated. Parental permission is obtained for treatment, and parents are involved in the initial phase of treatment. Telephone contacts are readily used, and the school is involved when appropriate ( Moreau et al., 1991; Mufson et al., 1994; Mufson, Weissman, and Moreau, 1999). For a detailed description of these modifications, see Mufson et al. ( 1993).
The rationale for modifying and testing IPT in depressed adolescents is based on the high prevalence and initial onset of depressive disorder in this age group, on recognition of the morbidity and precipitating stressors of depression in young people, and on the sparse evidence for efficacious pharmacotherapy. In fact, substantial numbers never receive treatment (Strober