Dynamic Interpersonal Therapy for U.S. Veterans in a Primary Care Setting.

IF 2.3 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-09-01 DOI:10.1176/appi.psychotherapy.20220007

Cassondra L Feldman, Christopher D Schadt, Binhuan Wang, Aliza J Polkes, Bella Ratner, Cory K Chen

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引用次数: 1

Abstract

Objective: Brief dynamic interpersonal therapy (DIT) is an evidence-based psychodynamic intervention for depression offered by the U.K. National Health Service and previously studied in the context of a U.S. Department of Veterans Affairs medical center. This study assessed the clinical value of DIT in primary care for veterans with general medical conditions.

Methods: The authors examined outcome data of veterans (N=30; all but one had ≥1 comorbid general medical conditions) referred to DIT from primary care.

Results: Veterans who began treatment with clinically elevated depression or anxiety experienced a 42% reduction in symptom severity, as measured by the nine-item Patient Health Questionnaire or by the seven-item Generalized Anxiety Disorder questionnaire, respectively, representing large effect sizes.

Conclusions: Significant decreases in depression and anxiety symptoms suggest the utility of DIT for veterans with comorbid general medical conditions. DIT's dynamically informed framework may improve patients' help seeking, which is relevant for patients experiencing comorbid medical conditions.

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美国退伍军人在初级保健环境中的动态人际治疗。

目的:简短动态人际治疗(DIT)是一种基于证据的抑郁症心理动力学干预方法，由英国国家卫生服务提供，此前在美国退伍军人事务部医疗中心进行了研究。本研究评估了DIT在具有一般医疗条件的退伍军人初级保健中的临床价值。方法:对退伍军人(N=30;除1例外，所有患者均有≥1例合并症(一般医疗状况)。结果:通过9项患者健康问卷和7项广泛性焦虑障碍问卷分别测量，在临床抑郁或焦虑升高的退伍军人开始治疗后，症状严重程度降低了42%，表现出较大的效应量。结论:抑郁和焦虑症状的显著减少表明DIT对有合并症的一般医疗条件的退伍军人的效用。DIT的动态知情框架可能会改善患者寻求帮助，这与患有合并症的患者相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

AMERICAN JOURNAL OF PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-

CiteScore

2.90

自引率

4.00%

发文量

期刊介绍： Founded in 1939, the American Journal of Psychotherapy (AJP) has long been a leader in the publication of eclectic articles for all psychotherapists. Transtheoretic in reach (offering information for psychotherapists across all theoretical foundations), the goal of AJP is to present an overview of the psychotherapies, subsuming a host of schools, techniques, and psychological modalities within the larger domain of clinical practice under broad themes including dynamic, behavioral, spiritual, and experiential.