A1 Journal article (refereed)
Interpersonal Counseling in the Treatment of Adolescent Depression : A Randomized Controlled Effectiveness and Feasibility Study in School Health and Welfare Services (2020)


Parhiala, P., Ranta, K., Gergov, V., Kontunen, J., Law, R., La Greca, A. M., Torppa, M., & Marttunen, M. (2020). Interpersonal Counseling in the Treatment of Adolescent Depression : A Randomized Controlled Effectiveness and Feasibility Study in School Health and Welfare Services. School Mental Health, 12(2), 265-283. https://doi.org/10.1007/s12310-019-09346-w


JYU authors or editors


Publication details

All authors or editorsParhiala, P.; Ranta, K.; Gergov, V.; Kontunen, J.; Law, R.; La Greca, A. M.; Torppa, M.; Marttunen, M.

Journal or seriesSchool Mental Health

ISSN1866-2625

eISSN1866-2633

Publication year2020

Volume12

Issue number2

Pages range265-283

PublisherSpringer New York LLC

Publication countryUnited States

Publication languageEnglish

DOIhttps://doi.org/10.1007/s12310-019-09346-w

Publication open accessOpenly available

Publication channel open accessPartially open access channel

Publication is parallel published (JYX)https://jyx.jyu.fi/handle/123456789/66112


Abstract

In order to offer early and accessible treatment for adolescents with depression, brief and effective treatments in adolescents’ everyday surroundings are needed. This randomized controlled trial studied the preliminary effectiveness, feasibility, and acceptability of interpersonal counseling (IPC) and brief psychosocial support (BPS) in school health and welfare services. The study was conducted in the 28 lower secondary schools of a large city in Southern Finland, randomized to provide either IPC or BPS. Help-seeking 12–16-year-old adolescents with mild-to-moderate depression, with and without comorbid anxiety, were included in the study. Fifty-five adolescents received either 6 weekly sessions of IPC or BPS and two follow-up sessions. Outcome measures included self- and clinician-rated measures of depression, global functioning, and psychological distress/well-being. To assess feasibility and acceptability of the treatments, adolescents’ and counselors’ treatment compliance and satisfaction with treatment were assessed. Both treatments were effective in reducing depressive disorders and improving adolescents’ overall functioning and well-being. At post-treatment, in both groups, over 50% of adolescents achieved recovery based on self-report and over 70% based on observer report. Effect sizes for change were medium or large in both groups at post-treatment and increased at 6-month follow-up. A trend indicating greater baseline symptom severity among adolescents treated in the IPC-providing schools was observed. Adolescents and counselors in both groups were satisfied with the treatment, and 89% of the adolescents completed the treatments and follow-ups. This trial suggests that both IPC and BPS are feasible, acceptable, and effective treatments for mild-to-moderate depression in the school setting. In addition, IPC seems effective even if comorbid anxiety exists. Our study shows that brief, structured interventions, such as IPC and BPS, are beneficial in treating mild-to-moderate depression in school settings and can be administered by professionals working at school.


Keywordsyoung peopledepression (mental disorders)personal assistancebrief therapyschool health care

Free keywordsadolescents; depression; interpersonal counseling; brief treatment; school health and welfare services


Contributing organizations


Related projects


Ministry reportingYes

Reporting Year2020

JUFO rating1


Last updated on 2024-03-04 at 22:05