Poleshuck Ellen L, Talbot Nancy E, Zlotnick Caron, Gamble Stephanie A, Liu Xiang, Tu Xin, Giles Donna E
Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd, Rochester, NY 14642, USA.
J Nerv Ment Dis. 2010 Aug;198(8):597-600. doi: 10.1097/NMD.0b013e3181ea4d3d.
Chronic pain is prevalent among patients with depression and a risk factor for poor depression treatment outcomes. No known psychotherapy approaches have been developed to target the needs of patients with comorbid depression and chronic pain. This study's goals were to evaluate feasibility, acceptability, and initial effects of interpersonal psychotherapy adapted for women with depression and chronic pain. Seventeen women with major depression and chronic pelvic pain were offered 8 sessions of individual treatment, interpersonal psychotherapy for depression and pain (IPT-P). Participants were recruited from a women's health clinic, were predominantly low-income and minority, and generally did not initially self-identify as depressed. Large effect sizes with significant improvements were found for depression severity and social adjustment; pain interference remained unchanged. Most enrolled patients reported a high level of satisfaction with IPT-P. This pilot study provides preliminary support for the use of IPT-P for patients with comorbid depression and chronic pain.
慢性疼痛在抑郁症患者中普遍存在，并且是抑郁症治疗效果不佳的一个风险因素。目前尚未开发出针对合并抑郁症和慢性疼痛患者需求的已知心理治疗方法。本研究的目标是评估针对患有抑郁症和慢性疼痛的女性改编的人际心理治疗的可行性、可接受性和初步效果。为17名患有重度抑郁症和慢性盆腔疼痛的女性提供了8节个体治疗课程，即针对抑郁症和疼痛的人际心理治疗（IPT-P）。参与者从一家妇女健康诊所招募，主要是低收入和少数族裔，并且最初普遍不认为自己患有抑郁症。在抑郁严重程度和社会适应方面发现了较大的效应量且有显著改善；疼痛干扰保持不变。大多数登记患者对IPT-P表示高度满意。这项试点研究为将IPT-P用于合并抑郁症和慢性疼痛的患者提供了初步支持。
