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Clinical effectiveness of cognitive therapy v. interpersonal psychotherapy for depression: results of a randomized controlled trial

Published online by Cambridge University Press:  02 February 2015

L. H. J. M. Lemmens ,
A. Arntz ,
F. Peeters ,
S. D. Hollon ,
A. Roefs  and
M. J. H. Huibers
L. H. J. M. Lemmens*
Affiliation:
Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
A. Arntz
Affiliation:
Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands
F. Peeters
Affiliation:
Department of Psychiatry and Neuropsychology, Maastricht University Medical Centre, Maastricht, The Netherlands Faculty of Health, Medicine and Life Sciences, Maastricht University, School for Mental Health and Neuroscience, Maastricht, The Netherlands
S. D. Hollon
Affiliation:
Department of Psychology, Vanderbilt University, Nashville, TN, USA
A. Roefs
Affiliation:
Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
M. J. H. Huibers
Affiliation:
Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands Department of Clinical Psychology, VU University Amsterdam, Amsterdam, The Netherlands
*
*Address for correspondence: L. Lemmens, MSc, Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, Maastricht, The Netherlands. (Email: [email protected])
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Abstract

Background

Although both cognitive therapy (CT) and interpersonal psychotherapy (IPT) have been shown to be effective treatments for major depressive disorder (MDD), it is not clear yet whether one therapy outperforms the other with regard to severity and course of the disorder. This study examined the clinical effectiveness of CT v. IPT in a large sample of depressed patients seeking treatment in a Dutch outpatient mental health clinic. We tested whether one of the treatments was superior to the other at post-treatment and at 5 months follow-up. Furthermore, we tested whether active treatment was superior to no treatment. We also assessed whether initial depression severity moderated the effect of time and condition and tested for therapist differences.

Method

Depressed adults (n = 182) were randomized to either CT (n = 76), IPT (n = 75) or a 2-month waiting list control (WLC) condition (n = 31). Main outcome was depression severity, measured with the Beck Depression Inventory – II (BDI-II), assessed at baseline, 2, 3, and 7 months (treatment phase) and monthly up to 5 months follow-up (8–12 months).

Results

No differential effects between CT and IPT were found. Both treatments exceeded response in the WLC condition, and led to considerable improvement in depression severity that was sustained up to 1 year. Baseline depression severity did not moderate the effect of time and condition.

Conclusions

Within our power and time ranges, CT and IPT appeared not to differ in the treatment of depression in the acute phase and beyond.

Keywords

Cognitive therapydepressive disordersindividual psychotherapyinterpersonal psychotherapyoutcome studiesrandomized controlled trial
Type
Original Articles
Information
Psychological Medicine , Volume 45 , Issue 10 , July 2015 , pp. 2095 - 2110
Copyright
Copyright © Cambridge University Press 2015 

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