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Interpersonal Psychotherapy in the Treatment of Perinatal Depression  [PDF]
Gamze Ergil Altin
Psikiyatride Guncel Yaklasimlar , 2012,
Abstract: Perinatal depression is a psychiatric disorder that is not sufficiently diagnosed and directed to treatment. Its acute and chronic outcomes influence not only the mother but also the infant and the relationship between them. Both pregnancy and the postpartum periods are the times of significant physiological and emotional changes which also influence interpersonal relationships. Interpersonal risk factors like insufficient social support and increased social conflict can have an important impact on the women’s mental and physiological health during this period. Studies have shown that women prefer psychological and social management over drugs during this period. Interpersonal psychotherapy is a time-limited treatment approach, especially focusing on interpersonal difficulties with the goal of reducing depressive symptoms and improving interpersonal functioning. Such distressing factors which can occur during pregnancy and delivery are compatible with the four main problem areas that interpersonal psychotherapy addresses so that the therapist can easily use interpersonal psychotherapy in order to solve such difficulties.
Soldier’s social adaptation during the military service
Dedi? Gordana
Vojnosanitetski Pregled , 2004, DOI: 10.2298/vsp0406637d
Abstract: Soldier’s social adaptation includes his interpersonal relationships with his environment integration into the military community and the ability to fulfill his role in the military environment and to function adequately outside of it. The aim of this study was to establish the dynamics of soldier’s social adaptation during the military service. The study involved soldiers of two platoons of the Armed Forces of Serbia and Montenegro, divided into three groups according to the period of the study: after the first month, after the basic training and at the end of the military service. The instruments applied for the study were sociodemografic questionnaire and Social Adaptation Self-evaluation Scale. Statistical analysis of the obtained data was done using Stident’s t-test. The results of the study that soldier's contentment with his professional role and with the quality of his interpersonal relations was highest during the basic training, but the quality of leisure activities was lowest at the end of the military service.
An adaptation of the Interpersonal Problem Areas Rating Scale: pilot and interrater agreement study
Andrade, Ana Claudia Fontes de;Frank, Ellen;Lotufo Neto, Francisco;Houck, Patricia R;
Revista Brasileira de Psiquiatria , 2008, DOI: 10.1590/S1516-44462008000400010
Abstract: objective: this article describes the adaptation of a rating scale of interpersonal psychotherapy problem areas to include a fifth problem area appropriate to bipolar disorder and an interrater agreement study in identifying interpersonal problem areas and selecting a primary treatment focus if patients were to engage in treatment. method: five research interpersonal psychotherapists assessed nine audiotapes of a single interview with five bipolar and four unipolar patients in which the interpersonal inventory and identification of problem areas were undertaken. results: raters agreed on presence and absence of problem areas in seven tapes. kappas for identification of problem areas were 1.00 (grief), 0.77 (role dispute), 0.61 (role transition), 0.57 (interpersonal deficits) and 1.00 (loss of healthy self). kappa for agreement on a primary clinical focus if patients were to engage in interpersonal psychotherapy treatment was 0.64. conclusions: the adaptation of the original scale to include an area pertinent to bipolar disorder proved to be applicable and relevant for use with this population. the results show substantial interrater agreement in identifying problem areas and potential treatment focus.
The Development of Interpersonal Psychotherapy

Xu Haiyan,Huang Xiting,

心理科学进展 , 2007,
Abstract: Interpersonal psychotherapy is a time-limited, manual-and-life-event based, diagnosis-targeted, and empirically tested treatment, which was originally developed for adult out-patients diagnosed with major depression and now for many sorts of disorders. There are some changes in its therapy process, including whether or not to give patients a"sick role", what to include in its problem areas, and how to deal with its termination and arrange time. Besides, this article provides a few process studies, analyses its briefness and integration with other psychotherapeutic factors and at last offers a discussion of features and problems of interpersonal psychotherapy's development.
Rejection Sensitivity and Marital Adjustment among Military Spouses during Deployments  [PDF]
E. C. Hurley, Tiffany Field, Debra Bendell-Estoff
Psychology (PSYCH) , 2012, DOI: 10.4236/psych.2012.36067
Abstract: This research examined the relationship between rejection sensitivity and marital adjustment. The Adult Rejection Sensitivity Questionnaire (ARSQ) and the Revised Dyadic Adjustment Scale (RDAS) were given to address this question among a sample of 129 spouses of individuals currently deployed on military missions in Iraq or Afghanistan. Other potentially confounding variables were examined including gender, age, education, number of times married, number of children in the household, number of previous deployments, and number of months separated during the current combat deployment. Rejection sensitivity and number of deployments contributed to 34% of the variance on relationship adjustment.
Antidepressants versus interpersonal psychotherapy in treating depression in HIV positive patients
MYH Moosa, FY Jeenah
South African Journal of Psychiatry , 2012,
Abstract: Aim. Despite the prevalence of HIV and AIDS in South Africa reaching pandemic proportions, very few studies have been published on co-morbid depression. This study at Chris Hani Baragwanath Hospital was conducted on a group of HIV-positive patients with depression who were receiving antiretroviral treatment. The aim of the study was to describe their response to treatment with either an antidepressant or psychotherapy. Method. The study was prospective, randomised and controlled. The sampling was a convenience sampling, as it included patients attending the HIV clinic. At entry to the study, a clinical diagnostic evaluation and the Hamilton Depression Rating Scale (HAMD) were performed on all subjects by the investigator. The depressed patients were randomly assigned to receive either an antidepressant (citalopram) or psychotherapy (interpersonal psychotherapy, IPT). The HAMD was repeated at the study endpoint of 8 weeks. Results. Sixty-two HIV-positive persons receiving antiretrovirals participated in this study. Thirty of them were not depressed and served as controls, and 32 were depressed. There were no significant differences between the controls and the patients (either receiving pharmacotherapy or psychotherapy) in respect of any of the socio-demographic characteristics evaluated (p>0.05). Approximately 60% (n=19) of the depressed patients were, randomised to receive pharmacotherapy, while 40.6% (n=13) received IPT. The mean HAMD scores of the patients on pharmacotherapy decreased from 25.7 to 6.2 from entry to completion of the study, and those for patients receiving psychotherapy decreased from 22.5 to 8.2. The decreases in HAMD scores in patient groups receiving either pharmacotherapy or psychotherapy were not significantly associated with any socio-demographic variables (p>0.05). Conclusion. Both pharmacotherapy and psychotherapy may be equally effective in the treatment of depression in HIV-positive patients. The choice of treatment will be influenced by factors such as adverse effects of antidepressants and adding another medication to an already complex antiretroviral regimen. In such cases, IPT may be particularly beneficial.
Universality of interpersonal psychotherapy (IPT) problem areas in Thai depressed patients
Peeraphon Lueboonthavatchai, Nuntika Thavichachart
BMC Psychiatry , 2010, DOI: 10.1186/1471-244x-10-87
Abstract: The Thai Hamilton Rating Scale for Depression (Thai HRSD) and Thai Interpersonal Questionnaire were used to assess 90 depressed and 90 non-depressed subjects in King Chulalongkorn Memorial Hospital, during July 2007 - January 2008. The association between interpersonal problem areas/sociodemographic variables and depressive disorder were analyzed by chi-square test. A multivariable analysis was performed by using logistic regression to identify the remaining factors associated with depressive disorder.Most of the subjects were young to middle-aged females living in Bangkok and the Central Provinces. All four interpersonal problem areas (grief, interpersonal role disputes, role transitions, and interpersonal deficits) were increased in the depressed subjects as compared to the non-depressed subjects, as were the sociodemographic variables (low education, unemployment, low income, and having a physical illness). Logistic regression showed that all interpersonal problem areas still remained problems associated with depression (grief: adjusted OR = 6.01, 95%CI = 1.93 - 18.69, p < 0.01; interpersonal role disputes: adjusted OR = 6.01, 95%CI = 2.18 - 16.52, p < 0.01; role transitions: adjusted OR = 26.30, 95%CI = 7.84 - 88.25, p < 0.01; and interpersonal deficits: adjusted OR = 2.92, 95%CI = 1.12 - 7.60, p < 0.05).All four interpersonal problem areas were applicable to Thai depressed patients.Depressive disorder was one of the leading causes of worldwide disease burden, accounting for 4.46% of total disability-adjusted life-years (DALYs), and for 12.1% of total years lived with disabilities (YLDs) in 2000 [1]. Both major depressive disorder and dysthymic disorder are common depressive disorders, with a lifetime prevalence of about 15% and 3 - 6% respectively [2,3]. In Thailand, the lifetime prevalence of depressive disorder is about 5.7-20.9% [4]. Depressive disorder is believed to be caused by both biological and psychosocial factors.Interpersonal psychotherapy (IPT), de
Psicoterapia interpersonal en el tratamiento de la depresión mayor Interpersonal Psychotherapy in the Treatment of Major Depressive Disorder
Andrés Heerlein
Revista Chilena de Neuro-Psiquiatría , 2002,
Abstract: Introducction. Interpersonal psychotherapy (IPT), a time-limited psychotherapy, was developed in the 1970s as a treatment for outpatient adults with major depression. It has been subsequently modified for different age groups and types of mood and non mood disorders and for use as a long-term treatment. It has grown since in its range of research applications and in its clinical accessibility. Method. Review of recent research and educational developments on IPT. Results. IPT has demonstrated efficacy in several randomized controlled trials for acute major depression, for other psychiatric conditions and for long-term treatment of depression. Conclusions. By enhancing interpersonal functioning of the depressed patient IPT initiates the reduction of depressive symptomatology and helps solving current life problems as dual goal of therapy. The publication of efficacy data and the appearance of two North American practice guidelines that include IPT among validated treatments for depression have increased the interest among clinicians in many countries
The Effect of Interpersonal Psychotherapy and other Psychodynamic Therapies versus ‘Treatment as Usual’ in Patients with Major Depressive Disorder  [PDF]
Janus Christian Jakobsen,Jane Lindschou Hansen,Erik Simonsen,Christian Gluud
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0019044
Abstract: Major depressive disorder afflicts an estimated 17% of individuals during their lifetimes at tremendous suffering and costs. Interpersonal psychotherapy and other psychodynamic therapies may be effective interventions for major depressive disorder, but the effects have only had limited assessment in systematic reviews.
Duelo, duelo patológico y terapia interpersonal Grief, Complicated Grief and Interpersonal Psychotherapy  [cached]
Ricardo Millán-González,Nicolás Solano-Medina
Revista Colombiana de Psiquiatría , 2010,
Abstract: Introducción: El duelo es una reacción emocional normal ante la pérdida de un ser querido o de un estatus humano determinado. El duelo complicado es un constructo independiente que describe un cuadro clínico de mayor duración y gravedad luego de una determinada pérdida y que se considera cualitativamente distinto a los trastornos del afecto. La terapia interpersonal (TI) aborda cuatro elementos principales, uno de ellos el duelo. Objetivo: Revisar la literatura existente sobre duelo, duelo patológico y tratamiento con terapia interpersonal. Resultados: Algunos estudios sugieren el logro de efectos adecuados al emplear TI para el manejo de la depresión y otras entidades psiquiátricas, pero son pocos los que se centran en reacciones de duelo propiamente dicho o de duelo patológico. Conclusiones: La mayoría de estudios de TI no distinguen entre duelo normal y patológico, así como otras entidades psiquiátricas; por lo tanto, se desconoce su utilidad en estos casos y se requiere mayor investigación que contemple estas diferencias para obtener conclusiones más firmes. Introduction: Grief is a natural reaction human beings face when a loved one dies or a particular status is lost. Complicated grief (CG) is an independent construct that describes greater severity and longer duration as a consequence of a particular loss, which is qualitatively different from mood disorders. Interpersonal psychotherapy (IP) uses four main elements to approach patients, one of which is grief. Objective: To review the scientific literature regarding grief, complicated grief and its treatment with IP. Results: There are some studies that support the use of IP in the treatment of depression and other psychiatric conditions, but only a few have addressed grief or CG directly. Conclusions: Most IP studies do not make the distinction between normal grief, CG and other mood and anxiety disorders. Thus, its real usefulness when facing this scenario is unknown. More research having in mind these differences would yield stronger conclusions.
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