A Pilot Study of Interpersonal Psychotherapy for Posttraumatic Stress Disorder

Cornell University, Итак, New York, United States
American Journal of Psychiatry (Impact Factor: 12.3). 01/2005; 162(1):181-3. DOI: 10.1176/appi.ajp.162.1.181
Source: PubMed


This article describes pilot testing of interpersonal psychotherapy adapted for posttraumatic stress disorder (PTSD). Unlike most psychotherapies for PTSD, interpersonal psychotherapy is not exposure-based, focusing instead on interpersonal sequelae of trauma.
Fourteen consecutively enrolled subjects with chronic PTSD (DSM-IV) from various traumas received an open, 14-week interpersonal psychotherapy trial.
Treatment was well tolerated: 13 subjects (93%) completed therapy. After 14 weeks, 12 of 14 subjects no longer met diagnostic criteria for PTSD, 69% responded (50% Clinician Administered PTSD Scale score decrement), and 36% remitted (score < or =20). Thirteen subjects reported declines in PTSD symptoms across all three symptom clusters. Depressive symptoms, anger reactions, and interpersonal functioning also improved.
Treating interpersonal sequelae of PTSD appears to improve other symptom clusters. Interpersonal psychotherapy may be an efficacious alternative for patients who refuse repeated exposure to past trauma. This represents an exciting extension of interpersonal psychotherapy to an anxiety disorder.

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Available from: John C Markowitz, Nov 10, 2015
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    • "In other cases, such as exposure-based approaches to PTSD or other anxiety disorders, dropout may occur because of patients' difficulty tolerating treatment procedures [43e45]. Preliminary data suggest that alternative treatment approaches [e.g., interpersonal psychotherapy (IPT)] based on different mechanisms of action may help to improve both retention and outcomes for these patients [46]. Studies comparing the effectiveness of exposure and prevention of response therapy vs. IPT are ongoing (R01 MH079078: PI, Markowitz). "
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    • "This RCT compares three disparate manualized psychotherapies delivered over 14 weeks for patients with chronic PTSD: Prolonged Exposure (PE; Foa and Rothbaum, 1998), Relaxation Therapy (RT; Jacobsen, 1938), and Interpersonal Psychotherapy (IPT; Weissman et al., 2007; Bleiberg and Markowitz, 2005). PE reconstructs a detailed trauma narrative and provides in vivo and imaginal exposure to trauma reminders. "
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