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Interpersonal Psychotherapy: A Scoping Review and Historical Perspective (1974–2017)

心理信息 人际心理治疗 人口 梅德林 心理学 人际交往 心理健康 心理治疗师 焦虑 随机对照试验 临床心理学 精神科 医学 社会心理学 外科 环境卫生 法学 政治学
作者
Paula Ravitz,Priya Watson,Andrea Lawson,Michael J. Constantino,Samantha L. Bernecker,Jamie Park,Holly A. Swartz
出处
期刊:Harvard Review of Psychiatry [Ovid Technologies (Wolters Kluwer)]
卷期号:27 (3): 165-180 被引量:20
标识
DOI:10.1097/hrp.0000000000000219
摘要

Interpersonal Psychotherapy (IPT) is an affect- and relationally focused, time-limited treatment supported by research spanning >4 decades. IPT focuses on stressful interpersonal experiences of loss, life changes, disputes, and social isolation. It emphasizes the role of relationships in recovery. This scoping review describes, within a historical perspective, IPT's evolution as an evidence-supported treatment of psychiatric disorders.English-language publications (n = 1119) identified via EMBASE, MEDLINE, PsycINFO, and Web of Science databases (1974-2017), augmented with manual reference searches, were coded for clinical focus, population demographics, format, setting, publication type, and research type. Quantitative and qualitative analyses identified IPT publications' characteristics and trends over four epochs of psychotherapy research.IPT literature primarily focused on depression (n = 772 articles; 69%), eating disorders (n = 135; 12%), anxiety disorders (n = 68; 6%), and bipolar disorder (n = 44; 4%), with rising publication rates and numbers of well-conducted randomized, controlled trials over time, justifying inclusion in consensus treatment guidelines. Research trends shifted from efficacy trials to effectiveness studies and population-based dissemination initiatives. Process research examined correlates of improvement and efficacy moderators. Innovations included global initiatives, prevention trials, and digital, web-based training and treatment.Sparked by clinical innovations and scientific advances, IPT has evolved as an effective treatment of psychiatric disorders across the lifespan for diverse patients, including underserved clinical populations. Future research to elucidate mechanisms of change, improve access, and adapt to changing frameworks of psychopathology and treatment planning is needed. IPT addresses the universal centrality of relationships to mental health, which is as relevant today as it was over 40 years ago.
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