Psychosocial Treatment for Women With Depression and Pain

University of Rochester

Status: Completed

Conditions: Pelvic Pain; Depression

Treatments: Behavioral: Interpersonal Therapy for Pain (IPT-P); Behavioral: Enhanced Support and Connection to Counseling

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00895999

5K23MH079347 (U.S. NIH Grant/Contract)

Poleshuck K23

Details and patient eligibility

About

Patients with depression and pain have poorer outcomes in response to depression treatments than depressed patients without pain. While psychotherapy treatment studies have demonstrated improvement in pain and depression, no psychosocial interventions have been developed and tested prospectively specifically for patients with both conditions. Interpersonal psychotherapy (IPT), an effective treatment for depression, has been adapted successfully for physically ill patients and demonstrates good adherence, treatment satisfaction, and depression outcomes. The investigators propose to test a modified form of IPT-P for depressed patients with co-morbid pain.

Enrollment: 60 patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• major depression
• chronic pelvic pain

Exclusion criteria

• current or past psychosis
• moderate mental retardation or greater
• active suicidal intent
• active abuse of non-prescribed substances (< 3 months)
• current individual psychotherapy
• current pregnancy
• terminal illness
• inability to communicate in English
• men

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

1

Experimental group

Description:

Female patients (n=30) who meet criteria for major depression and chronic pelvic pain will be randomly assigned to 8 individual sessions of IPT adapted for depression and pain.

Treatment:

Behavioral: Interpersonal Therapy for Pain (IPT-P)

2

Other group

Description:

Female patients (n=30) who meet criteria for major depression and chronic pelvic pain will be randomly assigned to Enhanced Support and Connection to Counseling (ESCC).

Treatment:

Behavioral: Enhanced Support and Connection to Counseling