Parker Gordon, Parker Isabella, Brotchie Heather, Stuart Scott
School of Psychiatry, University of New South Wales, Black Dog Institute, Australia.
J Affect Disord. 2006 Oct;95(1-3):1-11. doi: 10.1016/j.jad.2006.03.019. Epub 2006 May 19.
Interpersonal psychotherapy (IPT) has long been viewed as an efficacious treatment for depression, with a large number of published studies allowing its efficacy and utility to be considered closely.
We review original studies and the one published meta-analysis of controlled efficacy trials, examining acute-phase and prophylactic studies, comparison studies with cognitive behaviour therapy, and studies evaluating its efficacy in combination with pharmacotherapy.
We highlight difficulties in evaluating any psychotherapy, particularly when tested as having universal application for varying depressive conditions, but do identify circumstances where IPT may have specific salience.
As for other treatments, IPT is unlikely to be a universal therapy for depression. This review offers suggestions as to where its preferential utility may lie, and argues for modified research paradigms to assist definition of its therapeutic niche.
人际心理治疗（IPT）长期以来一直被视为治疗抑郁症的有效方法，大量已发表的研究使其疗效和实用性得到了深入探讨。
我们回顾了原始研究以及一项已发表的对照疗效试验的荟萃分析，考察了急性期和预防性研究、与认知行为疗法的比较研究，以及评估其与药物疗法联合使用疗效的研究。
我们强调了评估任何心理治疗方法时存在的困难，尤其是当测试其对不同抑郁状况具有普遍适用性时，但确实确定了IPT可能具有特定显著作用的情况。
与其他治疗方法一样，IPT不太可能成为治疗抑郁症的通用疗法。本综述就其优先适用领域提出了建议，并主张采用改进的研究范式来帮助界定其治疗定位。
