Interpersonal counselling for depression in general practice: a model

Journal title RIVISTA SPERIMENTALE DI FRENIATRIA
Author/s Marco Menchetti, Francesca Mongelli, Domenico Berardi
Publishing Year 2014 Issue 2014/1
Language Italian Pages 14 P. 85-98 File size 1525 KB
DOI 10.3280/RSF2014-001006
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Interpersonal Counselling (IPC) is an adaptation of interpersonal psychotherapy, developed to treat depressive disorders in a primary care setting. This approach connects the onset and the duration of the depressive episode with the patient’s interpersonal problems. The initial goal of the treatment is to reduce the depressive symptoms. However, the basic purpose of the treatment is to improve the quality of the patient’s relationships and social functioning. The most frequent IPC practice consists of six thirty minute sessions a week. IPC comprises an appropriate assessment of symptoms connected to life events, support techniques, improvement in communication skills and relational strategies and if necessary referrals to other treatments (pharmacological and psychological) or providers either in primary care or in specialized services. The authors describe the theoretical framework and structure of IPC. They also present a case study and a brief review of the literature on experimental studies that have tested this method

Keywords: Counseling interpersonale, depressione, cure primarie, medicina generale

  1. [1] Kessler RC, Berglund P, Demler O, Jin R, Koretz D, Merikangas KR, Rush AJ, Walters EE, Wang PS. National Comorbidity Survey Replication. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). Journal of American Medical Association 2003; 289(23): 3095-105. DOI: 10.1001/jama.289.23.3095
  2. [2] Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H, de Girolamo G, Graaf R, Demyttenaere K, Gasquet I, Haro JM, Katz SJ, Kessler RC,Kovess V, Lépine JP, Ormel J, Polidori G, Russo LJ, Vilagut G, Almansa J,Arbabzadeh-Bouchez S, Autonell J, Bernal M, Buist-Bouwman MA, Codony M, Domingo-Salvany A, Ferrer M, Joo SS, Martínez-Alonso M, Matschinger H, Mazzi F, Morgan Z, Morosini P, Palacín C, Romera B, Taub N, Vollebergh WA; ESEMeD/MHEDEA 2000 Investigators, European Study of the Epidemiology of Mental Disorders (ESEMeD) Project. Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica 2004; 420(suppl.): 21-7.
  3. [3] Melzer H, Gill B, Petticrew M. OPCS Surveys of Psychiatric Morbidity in Great Britain. Report 1: The Prevalence of Psychiatric Morbidity among Adults Living in Private Households. London: HMSO; 1996.
  4. [4] WHO. Global burden of disease estimates. Geneva: World Health Organization; 2004.
  5. [5] WHO European Ministerial Conference on Mental Health. Mental Health Declaration for Europe. Facing the Challenges, Building Solutions. Helsinki, Finland, 12-15 January 2005.
  6. [6] National Institute for Health and Clinical Excellence (NICE). Depression: the Treatment and Management of Depression in Adults; 2009.
  7. [7] Vidair HB, Boccia AS, Johnson JG, Verdeli H, Wickramaratne P, Klink KA, Weissman MM. Depressed parents’ treatment needs and children’s problems in an urban family medicine practice. Psychiatric Services 2011; 62(3): 317-21. DOI: 10.1176/appi.ps.62.3.317
  8. [8] McHugh RK, Whitton SW, Peckham AD, Welge JA, Otto MW. Patient preference for psychological vs. pharmacological treatment of psychiatric disorders: a meta-analytic review. Journal of Clinical Psychiatry 2013; 74(6): 595-602. DOI: 10.4088/JCP.12r07757
  9. [9] Klerman GL, Weissman MM, Rounsaville BJ, Chevron ES. Interpersonal Psychotherapy of Depression. New York, NY: Basic Books; 1984.
  10. [10] Barth J, Munder T, Greger H, Nüesch E, Trelle S, Znoj H, Jüni P, Cuijipers P. Comparative efficacy of seven psychotherapeutic interventions for patients with depression: A network meta-analysis. PLoS Med 2013; 10(5): e1001454. DOI: 10.1371/journal.pmed.1001454
  11. [11] Klerman GL, Budman S, Berwick D, Weissman MM, Damico-White J, Demby A, Feldstein M. Efficacy of a brief psychosocial intervention for symptoms of stress and distress among patients in primary care. Medical Care 1987; 25(11): 1078-88. DOI: 10.1097/00005650-198711000-00006
  12. [12] Weissman MM Markowitz JC & Klerman GL. Comprehensive guide to interpersonal psychotherapy. New York: Basic Books; 2000.
  13. [13] Weissman, MM, Verdeli H. Interpersonal psychotherapy: Evaluation, support, triage. Clinical Psychology & Psychotherapy 2012; 19(2): 106-12. DOI: 10.1002/cpp.1775
  14. [14] Judd FK, Piterman L, Cockram AM, McCall L, Weissman MM. A comparative study of venlafaxine with a focused education and psychotherapy program versus venlafaxine alone in the treatment of depression in general practice. Human Psychopharmacology: Clinical and Experimental 2001; 16(5), 423-428. DOI: 10.1002/hup.311
  15. [15] Menchetti M, Rucci P, Bortolotti B, Bombi A, Scocco P, Kraemer H, Berardi D, DEPICS Study Group. Moderators of remission with Interpersonal counseling or SSRI in depressed primary care patients. The DEPICS randomized controlled trial. British Journal of Psychiatry 2014. DOI: 10.1192/bjp.bp.112.122663
  16. [16] Mossey JM, Knott KA, Higgins M, Talarico K. Effectiveness of a psychosocial intervention, interpersonal counseling, for subdysthymic depression in medically ill elderly. J Gerontol A Biol Sci Med Sci 1996; 51: M172-M178. DOI: 10.1093/gerona/51A.4.M172
  17. [17] Neugebauer R, Kilne J, Markowitz JC, Bleiberg KL, Baxi L, Rosing MA, Keith J. Pilot randomized controlled trial of interpersonal counseling for subsyndromal depression following miscarriage. Journal of Clinical Psychiatry 2006; 67(8): 1299-304. DOI: 10.4088/JCP.v67n0819
  18. [18] Holmes A, Hodgins G, Adey S, Menzel S, Danne P, Kossman T., Judd F. Trial of interpersonal counselling after major physical trauma. The Australia and New Zealand Journal of Psychiatry 2007; 41(11), 926-933. DOI: 10.1080/00048670701634945
  19. [19] Badger T, Segrin C, Figueredo AJ, Harrington J, Sheppard K, Passalacqua S, Pasvogel A, Bishop M. Psychosocial interventions to improve quality of life in prostate cancer survivors and their intimate or family partners. Quality of Life Research 2001; 20: 833-44. DOI: 10.1007/s11136-010-9822-2
  20. [20] Badger T, Segrin C, Dorros SM, Meek P, Lopez AM. Depression and anxiety in women with breast cancer and their partners. Nursing Research 2007; 56: 44-53. DOI: 10.1097/00006199-200701000-00006
  21. [21] Oranta O, Luutonen S, Salokangas RKR, Vahlber T, Leino-Kilpi H. The outcomes of interpersonal counselling on depressive symptoms and distress after myocardial infarction. Nordic Journal of Psychiatry 2010; 64(2): 78-86. DOI: 10.3109/08039480903402227
  22. [22] Oranta O, Luutonen S, Salokangas RK, Vahlberg T, Leino-Kilpi H. The effects of interpersonal counselling on health-related quality of life after myocardial infarction. Journal of Clinical Nursing 2011; 20(23-24): 3373-82. DOI: 10.1111/j.1365-2702.2011.03798.x
  23. [23] Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine 2001; 16(9): 606-13. DOI: 10.1046/j.1525-1497.2001.016009606.x

Marco Menchetti, Francesca Mongelli, Domenico Berardi, Un modello di counseling interpersonale per la depressione in medicina generale in "RIVISTA SPERIMENTALE DI FRENIATRIA" 1/2014, pp 85-98, DOI: 10.3280/RSF2014-001006