Robertson Michael, Rushton Paul, Batrim Dee, Moore Elizabeth, Morris Philip
Department of Psychological Medicine, University of Sydney, Sydney, NSW, Australia.
Australas Psychiatry. 2007 Oct;15(5):375-9. doi: 10.1080/10398560701354948.
The aim of this study was to investigate the feasibility of adapting group-based interpersonal psychotherapy (IPT-G) for patients with chronic post traumatic stress disorder (PTSD).
Thirteen subjects with DSM-IV-defined PTSD, with symptom duration greater than 12 months, entered the study, an 8-week treatment programme conducted in a clinical setting using IPT-G modified for the treatment of PTSD. Data obtained were analysed qualitatively and quantitatively.
All 13 subjects completed the treatment programme and showed significant improvement in social functioning, general wellbeing and depressive symptoms. Treatment completers demonstrated a moderate reduction in the avoidant symptom cluster of PTSD. These improvements appeared stable at 3-month follow-up. Benefits appeared to be associated with perceived intra-therapy progress in resolving identified IPT problem areas. Qualitative analysis found that themes of 'reconnection' and 'interpersonal efficacy' were core parts of the experience of the treatment.
IPT-G modified for PTSD appears to be of modest symptomatic benefit, but may lead to improvement in social functioning, general psychological wellbeing and enhanced interpersonal functioning. Further studies are indicated.
本研究旨在探讨将基于团体的人际心理治疗（IPT-G）应用于慢性创伤后应激障碍（PTSD）患者的可行性。
13名符合DSM-IV标准、症状持续时间超过12个月的PTSD患者进入研究，这是一项在临床环境中进行的为期8周的治疗项目，采用针对PTSD治疗进行调整的IPT-G。对获得的数据进行了定性和定量分析。
所有13名受试者均完成了治疗项目，在社交功能、总体幸福感和抑郁症状方面均有显著改善。完成治疗的受试者在PTSD的回避症状群方面有适度减轻。这些改善在3个月的随访中似乎保持稳定。益处似乎与在解决已确定的IPT问题领域中感知到的治疗内进展相关。定性分析发现，“重新建立联系”和“人际效能”主题是治疗体验的核心部分。
针对PTSD调整的IPT-G似乎有适度的症状改善作用，但可能会改善社交功能、总体心理健康并增强人际功能。需要进一步研究。
