Interpersonal Psychotherapy: Healing with a Relational Focus

Ravitz, Paula; Watson, Priya

doi:10.1176/appi.focus.12.3.275

Cited by 11 publications

(6 citation statements)

References 67 publications

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“…IPT is a time-limited treatment that focuses on relational stressors that are associated with the onset or perpetuation of symptoms. Specific therapeutic guidelines for grief, social role transitions, role disputes and interpersonal sensitivity help clients to work through triggering interpersonal experiences (Ravitz & Watson, 2014). Exclusion criteria included scoring less than 15 at pretreatment on the Beck Depression Inventory-Second Edition (BDI-II; Beck, Steer, & Brown, 1996), suicidality, borderline and antisocial personality disorder, and an active medical illness.…”

Section: Methods Participantsmentioning

confidence: 99%

Autonomous and controlled motivation for interpersonal therapy for depression: Between-therapists and within-therapist effects.

Zuroff

McBride

Ravitz

et al. 2017

Journal of Counseling Psychology

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Differences between therapists in the average outcomes their patients achieve are well documented, and researchers have begun to try to explain such differences (Baldwin & Imel, 2013). Guided by Self-Determination Theory (Deci & Ryan, 2000), we examined the effects on outcome of differences between therapists in their patients' average levels of autonomous and controlled motivation for treatment, as well as the effects of differences among the patients within each therapist's caseload. Between and within-therapist differences in the SDT construct of perceived relational support were explored as predictors of patients' motivation. Nineteen therapists treated 63 patients in an outpatient clinic providing manualized interpersonal therapy (IPT) for depression. Patients completed the BDI-II at pretreatment, posttreatment, and each treatment session. The Impact Message Inventory was administered at the third session and scored for perceived therapist friendliness, a core element of relational support. We created between-therapists (therapist-level) scores by averaging over the patients in each therapist's caseload; within-therapist (patient-level) scores were computed by centering within each therapist's caseload. As expected, better outcome was predicted by higher levels of therapist-level and patient-level autonomous motivation and by lower levels of therapist-level and patient-level controlled motivation. In turn, autonomous motivation was predicted by therapist-level and patient-level relational support (friendliness). Controlled motivation was predicted solely by patient self-critical perfectionism. The results extend past work by demonstrating that both between-therapists and within-therapist differences in motivation predict outcome. As well, the results suggest that therapists should monitor their interpersonal impact so as to provide relational support. (PsycINFO Database Record

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Section: Methods Participantsmentioning

confidence: 99%

Autonomous and controlled motivation for interpersonal therapy for depression: Between-therapists and within-therapist effects.

Zuroff

McBride

Ravitz

et al. 2017

Journal of Counseling Psychology

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“…The 4 focal interpersonal problem areas (i.e., bereavement, social role transitions, social deficits with interpersonal sensitivity, and disputes) each have a set of therapeutic guidelines. 106,107 The goals of IPT are to alleviate suffering, remit symptoms, and improve functioning.…”

Section: What Is Interpersonal Therapy (Ipt) and Its Efficacy In The mentioning

confidence: 99%

Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder

et al. 2016

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First-line psychological treatment recommendations for acute MDD include cognitive-behavioural therapy (CBT), interpersonal therapy (IPT), and behavioural activation (BA). Second-line recommendations include computer-based and telephone-delivered psychotherapy. Where feasible, combining psychological treatment (CBT or IPT) with antidepressant treatment is recommended because combined treatment is superior to either treatment alone. First-line psychological treatments for maintenance include CBT and mindfulness-based cognitive therapy (MBCT). Patient preference, in combination with evidence-based treatments and clinician/system capacity, will yield the optimal treatment strategies for improving individual outcomes in MDD.

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“…IPT focuses on stressful life events of grief, interpersonal disputes, life transitions, or social isolation or deficits that are associated with the onset, exacerbation, or perpetuation of current symptoms, while helping patients to connect with social supports and to improve the quality of their relationships (13,14). The beginning phase tasks include the forming of a therapeutic alliance, conducting a psychiatric assessment with an extended social history and interpersonal inventory, providing psychoeducation, instilling hope, and choosing an interpersonal focus.…”

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confidence: 99%

Interpersonal Psychotherapy for Mental Health Problems: A Comprehensive Meta-Analysis

Cuijpers¹,

Donker²,

Weissman³

et al. 2016

AJP

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244

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Objective: Interpersonal psychotherapy (IPT) has been developed for the treatment of depression but has been examined for several other mental disorders. A comprehensive meta-analysis of all randomized trials examining the effects of IPT for all mental health problems was conducted.Method: Searches in PubMed, PsycInfo, Embase, and Cochrane were conducted to identify all trials examining IPT for any mental health problem.Results: Ninety studies with 11,434 participants were included. IPT for acute-phase depression had moderate-to-large effects compared with control groups (g=0.60; 95% CI=0.45-0.75). No significant difference was found with other therapies (differential g=0.06) and pharmacotherapy (g=-0.13). Combined treatment was more effective than IPT alone (g=0.24). IPT in subthreshold depression significantly prevented the onset of major depression, and maintenance IPT significantly reduced relapse. IPT had significant effects on eating disorders, but the effects are probably slightly smaller than those of cognitive-behavioral therapy (CBT) in the acute phase of treatment. In anxiety disorders, IPT had large effects compared with control groups, and there is no evidence that IPT was less effective than CBT. There was risk of bias as defined by the Cochrane Collaboration in the majority of studies. There was little indication that the presence of bias influenced outcome.Conclusions: IPT is effective in the acute treatment of depression and may be effective in the prevention of new depressive disorders and in preventing relapse. IPT may also be effective in the treatment of eating disorders and anxiety disorders and has shown promising effects in some other mental health disorders.

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Interpersonal Psychotherapy: Healing with a Relational Focus

Cited by 11 publications

References 67 publications

Autonomous and controlled motivation for interpersonal therapy for depression: Between-therapists and within-therapist effects.

Autonomous and controlled motivation for interpersonal therapy for depression: Between-therapists and within-therapist effects.

Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder

Interpersonal Psychotherapy for Mental Health Problems: A Comprehensive Meta-Analysis

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