Rafaeli Alexandra K, Bar-Kalifa Eran, Verdeli Helen, Miller Leslie
Department of Psychological Services, Tel Aviv University, Tel Aviv, Israel (Rafaeli); Department of Psychology, Ben-Gurion University, Be'er Sheva, Israel (Bar-Kalifa); Department of Clinical Psychology, Teachers College, Columbia University, New York City (Verdeli); Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore (Miller).
Am J Psychother. 2021 Dec 1;74(4):165-171. doi: 10.1176/appi.psychotherapy.20200038. Epub 2021 Jun 17.
University counseling centers struggle to meet the growing demand for mental health treatment by students in distress. More acutely distressed students typically receive priority, whereas those with mild to moderate depression often face longer wait times and fewer available therapy sessions. For this reason, interpersonal counseling for college students (IPC-C) was created as a brief manualized psychotherapy, suitable for students with mild to moderate depression, that maintains the core components of interpersonal counseling and integrates components from interpersonal psychotherapy for adolescents and other developmentally appropriate techniques. This article describes a pilot trial of IPC-C.
IPC-C is delivered in three to six psychotherapy sessions focused on alleviating depressive symptoms and increasing social support. Ten participants from two university counseling centers were recruited to receive IPC-C. The inclusion criterion was a Patient Health Questionnaire-9 (PHQ-9) score of 5-14, indicating mild to moderate depression. Participants completed the PHQ-9 at each session, the College Adjustment Test at baseline and termination, and the IPC Satisfaction Scale at termination.
Nine of the 10 participants completed the study, attending an average of five therapy sessions each. Participants agreed that the number of sessions was appropriate and indicated satisfaction with the IPC-C intervention. Participants exhibited significantly reduced depression severity (Cohen's d=2.45) and significantly improved college adjustment (d=0.92).
In this pilot trial, IPC-C was found to be a feasible and acceptable intervention for university-based treatment of young adults with mild to moderate depressive symptoms. IPC-C holds promise as a potentially effective intervention for this population and warrants further study in a randomized trial.
大学咨询中心难以满足处于困境的学生对心理健康治疗日益增长的需求。苦恼程度更高的学生通常会优先获得治疗，而那些患有轻度至中度抑郁症的学生往往面临更长的等待时间和更少的可用治疗疗程。因此，大学生人际咨询（IPC-C）作为一种简短的手册化心理治疗方法应运而生，适用于患有轻度至中度抑郁症的学生，它保留了人际咨询的核心成分，并整合了青少年人际心理治疗的成分以及其他适合发展阶段的技术。本文描述了IPC-C的一项试点试验。
IPC-C通过三到六次心理治疗疗程来实施，重点是减轻抑郁症状和增加社会支持。从两个大学咨询中心招募了10名参与者接受IPC-C治疗。纳入标准是患者健康问卷-9（PHQ-9）得分为5至14分，表明患有轻度至中度抑郁症。参与者在每次疗程时完成PHQ-9，在基线和结束时完成大学适应测试，并在结束时完成IPC满意度量表。
10名参与者中有9人完成了研究，每人平均参加了五次治疗疗程。参与者一致认为疗程次数合适，并表示对IPC-C干预感到满意。参与者的抑郁严重程度显著降低（科恩d值=2.45），大学适应能力显著提高（d值=0.92）。
在这项试点试验中，发现IPC-C是一种可行且可接受的干预措施，用于对患有轻度至中度抑郁症状的年轻人进行大学治疗。IPC-C有望成为针对这一人群的潜在有效干预措施，值得在随机试验中进一步研究。
