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联络精神医学中的人际问题领域:一项可行性研究。

Interpersonal Problematic Areas in Liaison Psychiatry: A Feasibility Study.

作者信息

Miniati Mario, Palagini Laura, Conversano Ciro, Pardini Francesco, Massa Lucia, Pini Stefano, Marazziti Donatella, Orrù Graziella, Cuffini Federico, Gemignani Angelo, Grassi Luigi

机构信息

Department of Clinical and Experimental Medicine, University of Pisa, Italy.

Department of Surgical, Medical and Molecular Pathology, Critical and Care Medicine University of Pisa, Italy.

出版信息

Clin Neuropsychiatry. 2021 Jun;18(3):170-175. doi: 10.36131/cnfioritieditore20210304.

DOI:10.36131/cnfioritieditore20210304
PMID:34909031
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8629066/
Abstract

OBJECTIVE

Interpersonal Psychotherapy (IPT) model, with its four problematic areas of grief, deficit, role transition and role dispute, provides a useful frame of reference for a quick case formulation. We aimed at applying the IPT problematic areas assessment in a sample of patients from a liaison psychiatry setting.

METHODS

One-hundred and twenty-nine hospitalized patients of both sexes, aged between 18 and 80 years were interviewed. The 'Interpersonal Problem Areas Rating Scale' (IPARS) was used to detect the interpersonal focuses.

RESULTS

IPARS problematic areas were identified in the 76% of the sample (n=98). Grief and role transition, interpersonal deficits and role disputes were, respectively, the most frequently (43.4 and 42.6%, respectively) and the less frequently described focuses (14 and 11.6%). Moreover, 31 patients (24%) showed no problem areas related to current symptomatology.

CONCLUSIONS

The IPT model has proved to be an easy-to-use tool, able to guide the psychological interview and allowing the collection of information from an interpersonal perspective in a short time, although no specific focuses were detected as related to current psychological distress in around 25% of the sample.

摘要

目的

人际心理治疗(IPT)模型及其在哀伤、缺陷、角色转换和角色冲突这四个问题领域的内容,为快速进行病例分析提供了有用的参考框架。我们旨在对联络精神科的患者样本应用IPT问题领域评估。

方法

对129名年龄在18至80岁之间的住院男女患者进行了访谈。使用“人际问题领域评定量表”(IPARS)来检测人际焦点。

结果

在76%的样本(n = 98)中确定了IPARS问题领域。哀伤和角色转换、人际缺陷以及角色冲突分别是最常被描述的焦点(分别为43.4%和42.6%)以及最少被描述的焦点(14%和11.6%)。此外,31名患者(24%)未表现出与当前症状学相关的问题领域。

结论

IPT模型已被证明是一种易于使用的工具,能够指导心理访谈,并能在短时间内从人际角度收集信息,尽管在约25%的样本中未检测到与当前心理困扰相关的特定焦点。

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