Depression Clinical Trial
Official title:
Prevention of Depression in Maltreated and Nonmaltreated Adolescents
This study will evaluate the efficacy of Interpersonal Psychotherapy for Adolescents (IPT-A) for the treatment of depression and prevention of depression in maltreated and nonmaltreated girls between the ages of 13-15 years old.
Child maltreatment poses a serious public health problem and heightens the risk of
psychopathology across the life course. Adolescence also represents a peak time for the
emergence of depressive disorders particularly in girls. Effective interventions to prevent
and treat depression in low income adolescent girls with or without histories of maltreatment
are needed.
Three groups will be recruited: Maltreated Depressive Symptoms (MDS), Nonmaltreated
Depressive Symptoms (NDS), and a Nonmaltreated Nonsymptomatic Comparison (NNC), comparable in
SES, race/ethnicity, and household composition. The MDS and NDS groups will be randomized
into IPT-A or Enhanced Care (EC). Adolescent girls in these groups will receive 13 sessions
of therapy. Girls in the NNC group will only complete research visits.
Research assessments will be conducted at T1 (baseline/prior to intervention), T2 (6-weeks
mid-intervention), T3 (end of intervention), T4 (1-year post) and T5 (18 months post). Girls
and their mothers will participate in these research sessions. A multi-level-of-analysis
approach, integrating genotyping, hormone assays, cognitive testing, adolescent- and
maternal-report, mother-teen observation, and DHS and school records will be utilized to
assess the effectiveness of the interventions.
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