Personality pathology and time to remission in depressed outpatients treated with interpersonal psychotherapy
Personality pathology and time to remission in depressed outpatients treated with interpersonal psychotherapy
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DOI：
10.1521/pedi.1996.10.2.164
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发表时间：
1996-06-01
影响因子：
2.3
通讯作者：
Frank, E
中科院分区：
文献类型：
--
作者：
Bearden, C;Lavelle, N;Frank, E
本研究调查了76例接受人际心理治疗的抑郁症门诊患者的临床特征与缓解时间的关系。符合边缘型人格障碍或反社会型人格障碍全部标准的患者被排除在研究之外；然而，患有其他人格障碍诊断的患者也包括在内，那些有边缘或反社会特征的患者也包括在内。唯一显著的缓解时间预测因子是人格病理程度。生存分析显示SIDP-R人格障碍诊断次数与缓解时间有显著关系（p < 0.01）。根据他们表现出的SIDP-R人格特征的数量，患者也被评为“高”和“低”人格障碍。“高干扰”患者达到稳定缓解的中位时间为28.7周，而“低干扰”患者达到稳定缓解的中位时间为19.4周（p < .03）。我们得出的结论是，患有更严重的人格病态的抑郁症患者对人际心理治疗的反应可能更慢，或者根本没有反应。
The present study investigates the relationship between clinical features and time to remission in a population of 76 depressed outpatients treated with interpersonal psychotherapy (IPT). Patients meeting full criteria for borderline personality disorder or antisocial personality disorder were excluded from the study; however, patients with other personality disorder diagnoses were included, as were those with borderline or antisocial features. The only significant predictor of time to remission was the degree of personality pathology. Survival analysis revealed a significant relationship between the number of SIDP-R personality disorder diagnoses and time to remission (p < .01). Patients were also rated as ''high'' versus ''low'' personality disturbance based on the number of SIDP-R personality traits they exhibited. ''High-disturbance'' patients had a median time to stable remission of 28.7 weeks, whereas those classified as ''low disturbance'' had a median time to remission of 19.4 weeks (p < .03). We conclude that depressed patients with greater concurrent personality pathology are likely to either respond more slowly to Interpersonal psychotherapy or not respond at all.