Klier C M, Muzik M, Rosenblum K L, Lenz G
Department of Psychiatry, University of Vienna, Austria.
J Psychother Pract Res. 2001 Spring;10(2):124-31.
Interpersonal psychotherapy (IPT) has demonstrated efficacy in the individual treatment of antepartum and postpartum depression. The current investigation extends prior work by examining the efficacy of a group IPT approach for the treatment of postpartum depression. Depression scores of 17 women diagnosed with postpartum depressive disorder (DSM-IV criteria) decreased significantly from pre- to post-treatment. Follow-up assessments at 6 months revealed continuation of the treatment effect. Results indicate that IPT adapted for a group model has positive implications for the treatment of postpartum depression, demonstrating both short-term and longer-term effects in the reduction of depressive symptomatology. Study limitations include the small sample size, absence of control group, possible bias in therapist's assessments, and lack of monitoring adherence, which may have jeopardized the accuracy of the results.
人际心理治疗（IPT）已证明在个体治疗产前和产后抑郁症方面具有疗效。当前的研究通过考察团体人际心理治疗方法治疗产后抑郁症的疗效，对先前的工作进行了拓展。17名被诊断为产后抑郁障碍（依据《精神疾病诊断与统计手册》第四版标准）的女性，其抑郁评分在治疗前到治疗后显著降低。6个月后的随访评估显示治疗效果得以持续。结果表明，适用于团体模式的人际心理治疗对产后抑郁症的治疗具有积极意义，在减轻抑郁症状方面显示出短期和长期效果。研究的局限性包括样本量小、缺乏对照组、治疗师评估可能存在偏差以及缺乏对依从性的监测，这些可能损害了结果的准确性。
