Solving interpersonal problems correlates with symptom improvement in interpersonal psychotherapy - Preliminary findings
Solving interpersonal problems correlates with symptom improvement in interpersonal psychotherapy - Preliminary findings
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DOI：
10.1097/01.nmd.0000195314.80210.41
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发表时间：
2006-01-01
影响因子：
1.9
通讯作者：
Levitan, E
中科院分区：
文献类型：
--
作者：
Markowitz, JC;Bleiberg, KL;Levitan, E
人际心理治疗(IPT)研究更多地关注结果而不是机制。本研究使用新的人际心理治疗结果量表(IPOS)来检验IPT中症状改善反映人际问题领域解决的理论公理。首次公开募股的比率在人际关系问题的焦点领域发生变化，满分5分。在一项关于恶劣心境障碍的时间限制的IPT结果研究中，患者(N=24)和治疗师(N=7)，以及在创伤后应激障碍的公开试验中的患者(N=11)，在治疗终止时完成了IPOS。所有有反应的恶劣心境受试者(N=24)和治疗师(N=21)都报告了人际关系的改善：恶劣心境患者得分4.39(SD=0.52)，治疗师得分4.27(0.53)。创伤后应激障碍患者的评分为4.75(0.34)。患者和治疗师的IPOS评分与客观测量的症状改善相关，具有完全或趋势统计意义。尽管存在方法上的限制，但对IPO的初步测试支持了解决人际危机和改善IPT之间的理论联系。
Interpersonal psychotherapy (IPT) research has addressed outcome more than mechanism. This study used the novel Interpersonal Psychotherapy Outcome Scale (IPOS) to test the theoretical axiom that symptomatic improvement in IPT reflects resolution of interpersonal problem areas. The IPOS rates change in focal interpersonal problem areas on a 5-point scale. Patients (N = 24) and therapists (N = 7) in a time-limited IPT outcome study of dysthymic disorder, and patients (N = 11) in an open trial for posttraumatic stress disorder, completed the IPOS at treatment termination. All responding dysthymic subjects (N = 24) and therapists (N = 21) reported interpersonal gains: dysthymic patients scored 4.39 (SD = 0.52) out of 5, therapists 4.27 (0.53). Posttraurnatic stress disordered patients rated 4.75 (0.34). Patient and therapist IPOS ratings correlated with objectively measured symptomatic improvement with full or trend statistical significance. Despite methodological limitations, initial testing of the IPOS supports the theorized link between resolving interpersonal crises and improvement in IPT.