Objective: The aim of this study was to investigate the feasibility of adapting group-based interpersonal psychotherapy (IPT-G) for patients with chronic post traumatic stress disorder (PTSD).
Methods: Thirteen subjects with DSM-IV-defined PTSD, with symptom duration greater than 12 months, entered the study, an 8-week treatment programme conducted in a clinical setting using IPT-G modified for the treatment of PTSD. Data obtained were analysed qualitatively and quantitatively.
Results: All 13 subjects completed the treatment programme and showed significant improvement in social functioning, general wellbeing and depressive symptoms. Treatment completers demonstrated a moderate reduction in the avoidant symptom cluster of PTSD. These improvements appeared stable at 3-month follow-up. Benefits appeared to be associated with perceived intra-therapy progress in resolving identified IPT problem areas. Qualitative analysis found that themes of ‘reconnection’ and ‘interpersonal efficacy’ were core parts of the experience of the treatment.
Conclusion: IPT-G modified for PTSD appears to be of modest symptomatic benefit, but may lead to improvement in social functioning, general psychological wellbeing and enhanced interpersonal functioning. Further studies are indicated.
McFarlaneAYehudaR. Clinical treatment of posttraumatic stress disorder: Conceptual challenges raised by recent research. Australian and New Zealand Journal of Psychiatry2000; 34: 940–953.
2.
van der KolkBMcFarlaneAvan der HartO. A general approach to treatment of posttraumatic stress disorder. Traumatic Stress, van der KolkBMcFarlaneAWeisathL. Guilford Press, New York1989.
3.
KlermanGWeissmanMRounsavilleBChevronE. Interpersonal Psychotherapy for Depression. Basic Books, New York1984.
4.
StuartSRobertsonM. Interpersonal Psychotherapy – A Clinician's Guide. Arnold, London2003.
5.
ElkinISheaMWatkinsJImberS. National Institute of Mental Health Treatment of Depression Collaborative Research Program: General effectiveness of treatments. Archives of General Psychiatry1989; 46: 971–982.
6.
BleibergKMarkowitzJ. A pilot study of interpersonal psychotherapy for posttraumatic stress disorder. American Journal of Psychiatry2005; 162: 181–183.
7.
WilfleyDFrankMWelchRSpurrellERounsavilleB. Adapting interpersonal psychotherapy to a group format (IPT-G) for binge eating disorder: toward a model for adapting empirically supported treatments. Psychotherapy Research1988; 8: 379–391.
8.
WilfleyDMacKenzieKWelchRAyresVWeissmanM. Interpersonal Psychotherapy for Groups. Basic Books, New York2000.
9.
RobertsonMRushtonPBartrimDRayR. Group-based interpersonal psychotherapy for post traumatic stress disorder: Theoretical and clinical aspects. International Journal of Group Psychotherapy2004; 52: 145–175.
10.
MacKenzieKGrabovacA. Interpersonal Therapy Group (IPT-G) for depression. Journal of Psychotherapy Practice and Research2001; 10: 46–51.
11.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th edn. Washington: American Psychiatric Press, 1994.
12.
DavidsonJSmithRKudlerH. The validity and reliability of the DSM-III criteria for post-traumatic stress disorder: Experiences with a structured interview. Journal of Nervous and Mental Disease1989; 177: 336–341.
13.
WeissDMarmarC. The impact of the Event Scale – Revised. Assessing Psychological Trauma and PTSD: A Practitioner's Handbook, WilsonJKeaneT. Guilford, New York1997; 399–411.
14.
GoldbergDHillierV. A scaled version of the General Health Questionnaire. Psychological Medicine1979; 9: 139–145.
15.
TaylorSBogdanR. Introduction to Qualitative Research Methods: The Search for Meanings. John Wiley and Sons, New York1984.
16.
Van EttenMTaylorS. Comparative efficacy of treatments for posttraumatic stress disorder: A meta-analysis. Clinical Psychology and Psychotherapy1998; 5: 144–154.
17.
ShermanJ. Effects of psychotherapeutic treatments for PTSD. Journal of Traumatic Stress1998; 11: 413–416.
18.
CroweMLutyS. Patterns of response and non-response in Interpersonal Psychotherapy: A qualitative study. Psychiatry2005; 68: 337–349.
