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Finding
Finding
improvement
IPT-AST produced significantly greater reductions in depressive symptoms than school counseling during the intervention phase, with the advantage maintained at 6-month follow-up but only marginally significant at 12-month follow-up.
| Effect size | d = 0.74 |
| Follow-up | 12 months |
| Comparator | School counseling (individual supportive counseling, average 4 sessions) |
| Effect summary | improvement; d = 0.74 |
| Effect modifiers | [{"modifier": "Baseline anxiety symptoms (SCARED total score)", "interaction_p": "p = 0.04", "direction": "attenuates", "stratum_details": "Low baseline SCARED: CES-D monthly decrease = -5.04 (se = 0.48); High baseline SCARED: CES-D monthly decrease = -4.04 (se = 0.57) during intervention phase. During follow-up, high anxiety group continued to improve while low anxiety group stabilized.", "plain_language": "Teens with higher anxiety at the start showed slower initial improvement in depression, but they caught up over time and continued improving during follow-up while less anxious teens plateaued.", "annotation_notes": "t(90) = 2.05, p = 0.04 for intervention phase; t(90) = 2.13, p = 0.04 for follow-up phase. High vs low defined by SCARED clinical cutoff of 25."}, {"modifier": "Baseline panic/somatic symptoms (SCARED panic subscale)", "interaction_p": "p = 0.06 (intervention phase), p = 0.02 (follow-up phase)", "direction": "attenuates", "stratum_details": "High panic/somatic symptoms: significantly higher CES-D at post-intervention (t(90) = -2.71, p < 0.01, d = 0.57) and marginally at 6-month (t(90) = -1.66, p = 0.10, d = 0.35). High panic group continued to decrease CES-D during follow-up.", "plain_language": "Teens who also had panic or physical symptoms at the start responded more slowly to the depression program and had more depression symptoms right after the program ended, though they continued improving afterwards.", "annotation_notes": "Panic/somatic subscale showed the most substantial moderation effect of all anxiety subscales."}, {"modifier": "Baseline social anxiety symptoms (SCARED social anxiety subscale)", "interaction_p": "", "direction": "null", "stratum_details": "Baseline social anxiety did not significantly predict change in CES-D scores during intervention or follow-up phases.", "plain_language": "Social anxiety at the start did not affect how well the depression program worked, which was surprising given that IPT-AST focuses on improving social relationships.", "annotation_notes": "Contrary to hypothesis based on prior IPT-A findings (Young et al., 2006a)."}] |
Connected entities
Interventions
Conditions
Outcomes
Populations
Source
PMC3448978
Interpersonal Psychotherapy-Adolescent Skills Training: Anxiety Outcomes and Impact of Comorbidity