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Chapter 6 - Interpersonal Psychotherapy in Later Life

from Part 2 - Evidence-Based Psychotherapy in Later Life

Published online by Cambridge University Press:  09 January 2020

Rajesh R. Tampi
Affiliation:
Case Western Reserve University, Ohio
Brandon Yarns
Affiliation:
VA Greater Los Angeles Healthcare System
Kristina F. Zdanys
Affiliation:
University of Connecticut
Deena J. Tampi
Affiliation:
Diamond Healthcare Corporation
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Summary

Challenges faced by older people include losses of loved ones through death; declining health, mobility, and function of the five senses; loss of independence; diminishing cognitive ability; and the struggle with Erik Erikson’s final two stages of life, namely generativity versus stagnation and ego integrity versus despair. Those who dedicate their energies to helping the elderly meet these challenges will be well served by the toolbox of techniques within the rubric of interpersonal psychotherapy (IPT). This chapter will serve as a brief overview of IPT principles, a review of the extant scientific literature on its efficacy in late life, and case vignettes to illustrate how it was used for each of the four foci of IPT, namely, role transition, grief, role disputes, and interpersonal deficit.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Weissman, M, Markowitz, J, Klerman, G. Comprehensive guide to interpersonal psychotherapy. New York: Basic Books; 2000.Google Scholar
Weissman, M, Markowitz, J, Klerman, G. The guide to interpersonal psychotherapy. New York: Oxford University Press; 2018.Google Scholar
Bruce, M, Ten Have, RL, Reynolds, T III, et al. Reducing suicidal ideation and depressive symptoms in depressed older primary care patients. JAMA. 2004;291(9):1081.Google Scholar
Unützer, J, Katon, W, Callahan, C, et al. Collaborative care management of late-life depression in the primary care setting. JAMA. 2002;288(22):2836.Google Scholar
Miller, MD, Wolfson, LK, Frank, E, et al. Using interpersonal psychotherapy (IPT) in a combined psychotherapy/medication research protocol with depressed elders. J Psychother Pract Res. 1998;7:4755.Google Scholar
Van Hees, ML, Rotter, T, Ellerman, T, Evers, SM. The effectiveness of individual interpersonal psychotherapy as a treatment for major depressive disorder in adult outpatients: a systematic review. Biomed Central Psychiatry. 2013;13:22.Google Scholar
DeMello, MF, Mari, JJ, Baclachuk, J, et al. A systematic review of research findings on the efficacy of interpersonal psychotherapy for depressive disorders. Eur Arch Psychiatry Clin Neurosci. 2005;255:7582.Google Scholar
van Schaik, DJ, van Marwijk, HW, Beekman, AT. Interpersonal psychotherapy (IPT) for late-life depression in general practice: uptake and satisfaction by patients, therapists and physicians. BMC Family Practice. 2007;8:52.CrossRefGoogle ScholarPubMed
Post, EP,Miller, MD, Schulberg, HC. Using interpersonal psychotherapy (IPT) to treat depression in older primary care patients. Geriatrics. 2008; 63(3):1828.Google ScholarPubMed
Miller, MD, Frank, E, Cornes, C. Applying interpersonal psychotherapy to bereavement-related depression following loss of a spouse in late life. J Psychother Pract Res. 1994;32:149162.Google Scholar
Reynolds, CF, Miller, MD, Pasternak, RE. Treatment of bereavement-related major depressive episodes in later life: a controlled study of acute and continuation treatment with nortriptyline and interpersonal psychotherapy. Am J Psychiatry. 1999;15:202208.CrossRefGoogle Scholar
Elkin, I, Shea, MT, Watkins, JT, et al. National institute of mental health treatment of depression collaborative research program. General effectiveness of treatments. Arch Gen Psychiatry. 1989;53(10):913919.Google Scholar
Reynolds, C 3rd, Frank, E, Perel, J, et al. Nortriptyline and interpersonal psychotherapy as maintenance therapies for recurrent major depression: a randomized controlled trial in patients older than fifty-nine years. JAMA. 1999;281(1):3945.Google Scholar
Miller, MD, Frank, E, Cornes, C. The value of maintenance interpersonal psychotherapy (IPT) in older adults with different IPT foci. Am J Geriatr Psychiatry 2003;10:16.Google Scholar
Reynolds, C 3rd, Dew, M, Pollock, B, et al. Maintenance treatment of depression in old age. New England Journal of Medicine. 2006;354(23):11301138.Google Scholar
Carreira, K, Miller, MD, Frank, E, et al. A controlled evaluation of monthly maintenance interpersonal psychotherapy in late-life depression with varying levels of cognitive function. Int J Geriatr Psychiatry. 2008;23;11101113.CrossRefGoogle ScholarPubMed
Reynolds, CF, Dew, MA, Martire, LM. Treating depression to remission in older adults: a controlled evaluation of combined escitalopram with interpersonal psychotherapy vs. escitalopram with depression care management. Int J Geriatr Psychiatry. 2010;25(11):11341141.Google Scholar
Arean, PA, Cook, BL. Psychotherapy and combined psychotherapy/pharmacotherapy for late life depression. Biological Psychiatry. 2002;52(3):293303.Google Scholar
Taylor, MP, Reynolds, CF, Frank, E, et al. Which elderly depressed patients remain well on maintenance interpersonal psychotherapy alone? report from the Pittsburgh study of maintenance therapies in late-life depression. Depress Anxiety. 1999;10:5560.3.0.CO;2-F>CrossRefGoogle ScholarPubMed
Miller, MD, Richards, V, Zukoff, A, et al. A model for modifying interpersonal psychotherapy (IPT) for depressed elders with cognitive impairment. Clin Gerontol. 2006;30(2):79101.Google Scholar
Miller, MD, Reynolds, CF. Expanding the usefulness of interpersonal psychotherapy (IPT) for depressed elders with co-morbid cognitive impairment. Int J Geriatr Psychiatry. 2007;22:101105.Google Scholar
Miller, M. Clinician’s guide to interpersonal psychotherapy in late life. New York: Oxford University Press; 2009.Google Scholar
Nasreddine, ZS, Phillips, NA, Bediran, V. The Montreal cognitive assessment, MOCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53(4):695699.Google Scholar
Kroenke, K, Spitzer, J.B. Williams. The PHQ-9: validity of a brief depression measure. J Gen Intern Med. 2001;16(9):606613.Google Scholar

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