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Journal of Psychotherapy Practice and Research 3: 149-162, 1994
Copyright © 1994 American Psychiatric Association, Inc.

Applying Interpersonal Psychotherapy to Bereavement-Related Depression Following Loss of a Spouse in Late Life

MARK D. MILLER M.D.1, ELLEN FRANK PH.D.1, CLEON CORNES M.D.1, STANLEY D. IMBER PH.D.1, BARBARA ANDERSON M.S.1, LIN EHRENPREIS L.S.W.1, JULIE MALLOY L.S.W.1, REBECCA SILBERMAN PH.D.1, LEE WOLFSON M.ED.1, JEAN ZALTMAN L.S.W.1, and CHARLES F. REYNOLDS III M.D.1

1 Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.

The efficacy of interpersonal psychotherapy (IPT) as a treatment for outpatients with major depression has been documented in several controlled trials. Recently, IPT has been adapted specifically for depression in late life. The authors report on their experience in applying IPT to geriatric patients whose depression is temporally linked to the loss of their spouses. Detailed treatment techniques are illustrated with case vignettes. Preliminary treatment outcomes are presented for 6 subjects who showed a mean change on the 17-item Hamilton Rating Scale for Depression from 18.5 ± 2.3 SD to 7.2 ± 4.6 after an average of 17 weekly IPT sessions. IPT appears to be an effective short-term treatment for bereavement-related depression in elderly subjects.

Submitted on June 18, 1993
Revised on November 18, 1993
Accepted on November 22, 1993




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