Luty Suzanne E, Scalia Sebastiano
Associate Professor, Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Head of School, Vision College, Christchurch, New Zealand.
Australas Psychiatry. 2018 Apr;26(2):200-205. doi: 10.1177/1039856217751784. Epub 2018 Feb 6.
There are limited options for depressed patients to have access to evidence-based psychotherapies in the community. This pilot study explored the feasibility of delivering interpersonal psychotherapy (IPT) to clients in a community support agency.
A total of 18 clients with depression completed at least eight sessions of IPT (range 8-13) and 17 completed a range of pre- and post-treatment measures.
Clients had a high level of depression and were functioning poorly. All found the delivery of IPT in the community useful and would recommend therapy to others. There was a significant reduction in self-report and clinician-rated depression, and improvement in social functioning.
This study supports the notion that therapy can be delivered by appropriately trained non-mental-health clinicians in the community with good effect and adds to the range of options for delivery of psychiatric care.
社区中抑郁症患者获得循证心理治疗的选择有限。这项试点研究探讨了在社区支持机构为来访者提供人际心理治疗（IPT）的可行性。
共有18名抑郁症患者完成了至少8节IPT治疗（范围为8 - 13节），17名患者完成了一系列治疗前和治疗后的测量。
患者抑郁程度高且功能受损严重。所有人都认为在社区提供IPT治疗很有用，并会向他人推荐该疗法。自我报告及临床医生评定的抑郁水平显著降低，社会功能得到改善。
本研究支持这样一种观点，即经过适当培训的非心理健康临床医生可以在社区提供治疗且效果良好，这增加了精神科护理的提供方式。
