IMPACT
Improving Mood with Psychoanalytic and Cognitive Therapies
Patient / Population Intervention / Exposition Comparaison Critère de jugement
In 470 adolescents with moderate-to-severe MDD, CBT, short-term psychoanalytic psychotherapy or brief psychosocial intervention produced equivalent 86-week response in head-to-head comparison.
N
470
Schéma
Pragmatic RCT, UK
Critère
MFQ depression at 86 weeks
Pertinence
3
RésultatAll three therapies equally effective; ~80% reached remission. No advantage of intensive over brief therapy.
Goodyer IM, et al. Lancet Psychiatry. 2017;4(2):109-119. 10.1016/S2215-0366(16)30378-9
Discussion et critique
Supports a brief-first stepped approach in adolescent depression; intensity is not the active ingredient.