IMPACT

Improving Mood with Psychoanalytic and Cognitive Therapies

Paziente / Popolazione Intervento / Esposizione Confronto Esito

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.

470

Disegno

Pragmatic RCT, UK

Esito

MFQ depression at 86 weeks

Rilevanza

RisultatoAll 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

Discussione e critica

Supports a brief-first stepped approach in adolescent depression; intensity is not the active ingredient.