       Document 0051
 DOCN  M9610051
 TI    Individual psychotherapies for depressed HIV-positive patients.
 DT    9601
 AU    Markowitz JC; Klerman GL; Clougherty KF; Spielman LA; Jacobsberg LB;
       Fishman B; Frances AJ; Kocsis JH; Perry SW 3rd; Department of
       Psychiatry, Cornell University Medical College, New; York, NY 10021,
       USA.
 SO    Am J Psychiatry. 1995 Oct;152(10):1504-9. Unique Identifier : AIDSLINE
       MED/96021161
 AB    OBJECTIVE: The authors present preliminary data from two treatment
       modalities of a randomized clinical trial in which they compared 16-week
       interventions of interpersonal psychotherapy to supportive
       psychotherapy. METHOD: HIV-positive patients who were not acutely
       medically ill and had scores of 15 or higher on the Hamilton Depression
       Rating Scale were randomly assigned to one of four treatment modalities.
       They were assessed by the Hamilton scale and Beck Depression Inventory
       at 8 and 16 weeks. Most subjects who underwent either interpersonal
       psychotherapy (N = 16) or supportive psychotherapy (N = 16) were male,
       gay or bisexual, white, and college educated. RESULTS: Results of
       last-observation-carried-forward and completer analyses showed that
       scores on the Hamilton scale and Beck Depression Inventory decreased
       significantly for both treatments. Differential improvement for
       interpersonal psychotherapy appeared by midtreatment (week 8) and
       persisted at termination. CONCLUSIONS: This is the first controlled
       study of individual psychotherapies for depressed HIV-positive patients.
       Results suggest that a specific antidepressant psychotherapy,
       interpersonal psychotherapy, has advantages over a supportive therapy.
 DE    Depressive Disorder/DIAGNOSIS/PSYCHOLOGY/*THERAPY  Educational Status
       Follow-Up Studies  Homosexuality, Male  Human  HIV
       Seropositivity/*COMPLICATIONS  Male  Psychiatric Status Rating Scales
       Psychotherapy/*METHODS  Sex Factors  Support, Non-U.S. Gov't  Support,
       U.S. Gov't, P.H.S.  Treatment Outcome  CLINICAL TRIAL  JOURNAL ARTICLE
       RANDOMIZED CONTROLLED TRIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

