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dc.contributor.author
Coyne, Alice E.
dc.contributor.author
Constantino, Michael J.
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Gómez Penedo, Juan Martín
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Gnall, Katherine E.
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Ravitz, Paula
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McBride, Carolina
dc.date.available
2020-04-16T18:38:40Z
dc.date.issued
2018-12
dc.identifier.citation
Coyne, Alice E.; Constantino, Michael J.; Gómez Penedo, Juan Martín; Gnall, Katherine E.; Ravitz, Paula; et al.; Relation of patient and therapist interpersonal impact messages to outcome in interpersonal therapy for depression; American Psychological Association Inc.; Journal of Psychotherapy Integration; 28; 4; 12-2018; 475-488
dc.identifier.issn
1573-3696
dc.identifier.uri
http://hdl.handle.net/11336/102772
dc.description.abstract
Interpersonal depression theories posit that excessive submissiveness in social interactions perpetuates negative mood. Correspondingly, many psychotherapies postulate that improvement can be facilitated by patient-therapist interactions. However, few studies have tested in-session patient and therapist behaviors that should, in theory, associate with depression reduction. Addressing this gap, the present study examined such associations in interpersonal psychotherapy (IPT). We hypothesized that decreases in patients´ submissive interpersonal impacts on their therapist would be associated with greater depression reduction, as would increases in therapists´ friendly submissive impacts on their patient; theoretically, such therapist behavior would pull for patients to complement it with adaptive assertiveness, thereby disrupting their submissive tendencies. Data derived from an open trial of 16 IPT sessions for adults with major depression. Patients (N = 119) and therapists (N = 39) rated the others´ interpersonal impacts at Sessions 3 and 16 via the Impact Message Inventory. Patients rated their depression on the Beck Depression Inventory-Second Edition after each session. As predicted, multilevel modeling revealed that decreases in patients´ submissive impacts were associated with greater concurrent depression reduction (p = .03) and lower posttreatment depression level (p = .03). Also, although therapists did not differ in their change in friendly submissive impacts, thus precluding a test of the influence of such change on outcome, a greater average level of therapist friendly submissiveness related to lower posttreatment depression (p = .008). Results support interpersonal depression theories and the therapeutic benefit of specific patient and therapist change processes in IPT.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
American Psychological Association Inc.
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
DEPRESSION
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INTERPERSONAL IMPACT MESSAGES
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INTERPERSONAL PSYCHOTHERAPY
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PSYCHOTHERAPY PROCESS
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TREATMENT OUTCOME
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Otras Psicología
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Psicología
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CIENCIAS SOCIALES
dc.title
Relation of patient and therapist interpersonal impact messages to outcome in interpersonal therapy for depression
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2020-04-15T20:42:15Z
dc.identifier.eissn
1053-0479
dc.journal.volume
28
dc.journal.number
4
dc.journal.pagination
475-488
dc.journal.pais
Estados Unidos
dc.description.fil
Fil: Coyne, Alice E.. University of Massachusetts Amherst; Estados Unidos
dc.description.fil
Fil: Constantino, Michael J.. University of Massachusetts Amherst; Estados Unidos
dc.description.fil
Fil: Gómez Penedo, Juan Martín. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: Gnall, Katherine E.. University of Massachusetts Amherst; Estados Unidos
dc.description.fil
Fil: Ravitz, Paula. University of Toronto; Canadá
dc.description.fil
Fil: McBride, Carolina. University of Toronto; Canadá
dc.journal.title
Journal of Psychotherapy Integration
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1037/int0000125
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://psycnet.apa.org/doiLanding?doi=10.1037%2Fint0000125
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