Research Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, UK; Anna Freud National Centre for Children and Families, London, UK.
Research Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, UK; Anna Freud National Centre for Children and Families, London, UK; Faculty of Psychology and Educational Sciences, University of Leuven, Leuven, Belgium; Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA.
J Affect Disord. 2018 Jan 15;226:108-123. doi: 10.1016/j.jad.2017.09.036. Epub 2017 Sep 25.
Interpersonal problems are commonly reported by depressed patients, but the effect of psychotherapeutic treatment on them remains unclear. This paper reviews the effectiveness of psychotherapeutic interventions for depression on interpersonal problems as measured by the Inventory of Interpersonal Problems (IIP).
An electronic database search identified articles reporting IIP outcome scores for individual adult psychotherapy for depression. A systematic review and, where possible, meta-analysis was conducted.
Twenty-eight studies met inclusion criteria, 10 of which could be included in a meta-analysis investigating changes in the IIP after brief psychotherapy. Reasons for exclusion from the meta-analysis were too few participants with a diagnosis of depression (n=13), IIP means and SDs unobtainable (n=3) and long-term therapy (n=2). A large effect size (g=0.74, 95% CI=0.56-0.93) was found for improvement in IIP scores after brief treatment.
Paucity of IIP reporting and treatment type variability mean results are preliminary. Heterogeneity for improvement in IIP after brief psychotherapy was high (I=75%).
Despite being central to theories of depression, interpersonal problems are infrequently included in outcome studies. Brief psychotherapy was associated with moderate to large effect sizes in reduction in interpersonal problems. Of the dimensions underlying interpersonal behaviour, the dominance dimension may be more amenable to change than the affiliation dimension. Yet, high pre-treatment affiliation appeared to be associated with better outcomes than low affiliation, supporting the theory that more affiliative patients may develop a better therapeutic relationship with the therapist and consequently respond more positively than more hostile patients.
人际问题是抑郁患者常报告的问题，但心理治疗对此的疗效仍不清楚。本文综述了人际问题量表（IIP）评估的心理治疗对抑郁患者人际问题的疗效。
电子数据库检索报告了针对成人抑郁的个体心理治疗的 IIP 结果评分的文章。进行了系统评价，并在可能的情况下进行了荟萃分析。
28 项研究符合纳入标准，其中 10 项可纳入荟萃分析，以调查短程心理治疗后 IIP 的变化。排除荟萃分析的原因是：患有抑郁症的参与者太少（n=13）、无法获得 IIP 的均值和标准差（n=3）和治疗时间过长（n=2）。在短程治疗后，IIP 评分改善的效应量较大（g=0.74，95%CI=0.56-0.93）。
IIP 报告和治疗类型的变异性不足意味着结果是初步的。短程心理治疗后 IIP 改善的异质性很高（I=75%）。
尽管人际问题是抑郁理论的核心，但它们在结局研究中很少被纳入。短程心理治疗与人际问题的中度至较大程度的减少相关。在人际行为的维度中，支配维度可能比亲和维度更容易改变。然而，高治疗前的亲和性似乎与更好的结果相关，而低亲和性则与较差的结果相关，这支持了这样一种理论，即更亲和的患者可能与治疗师建立更好的治疗关系，从而比更敌对的患者更积极地做出反应。
