Cited by 214Psychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPersonality Disorders and Psychopathology

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Mechanisms of change in interpersonal therapy (IPT)

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Lipsitz, Joshua D., Markowitz, John C.·2013·Clinical Psychology Review

DOI 10.1016/j.cpr.2013.09.002PMC PMC4109031

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Abstract

Although interpersonal therapy (IPT) has demonstrated efficacy for mood and other disorders, little is known about how IPT works. We present interpersonal change mechanisms that we hypothesize account for symptom change in IPT. Integrating relational theory and insights based on research findings regarding stress, social support, and illness, IPT highlights contextual factors thought to precipitate and maintain psychiatric disorders. It frames therapy around a central interpersonal problem in the patient's life, a current crisis or relational predicament that is disrupting social support and increasing interpersonal stress. By mobilizing and working collaboratively with the patient to resolve this problem, IPT seeks to activate several interpersonal change mechanisms. These include: 1) enhancing social support, 2) decreasing interpersonal stress, 3) facilitating emotional processing, and 4) improving interpersonal skills. We hope that articulating these mechanisms will help therapists to formulate cases and better maintain focus within an IPT framework. Here we propose interpersonal mechanisms that might explain how IPT's interpersonal focus leads to symptom change. Future work needs to specify and test candidate mediators in clinical trials. We anticipate that pursuing this more systematic strategy will lead to important refinements and improvements in IPT and enhance its application in a range of clinical populations.

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Authors: Lipsitz, J. D., & Markowitz, J. C.
Affiliations: Ben-Gurion University of the Negev (IL)
New York State Psychiatric Institute (US)
Corresponding author: Lipsitz, Joshua D.
ORCID: Lipsitz, Joshua D.
Markowitz, John C.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2013-12
Volume: 33
Issue: 8
Pages: 1134-1147
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2013.09.002
PMC: PMC4109031
OpenAlex: W2041230728
Cited by: 214
References: 180
Citations by year: 2026: 21 · 2025: 28 · 2024: 27 · 2023: 23 · 2022: 17 · 2021: 24 · 2020: 22 · 2019: 14 · 2018: 11 · 2017: 13 · 2016: 5 · 2015: 4 · 2014: 4
FWCI: 0.63
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R01MH079078)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords: interpersonal psychotherapy, mechanisms of change, social support, interpersonal stress, emotional processing, social skills, mood disorders, relational theory, case formulation
MeSH terms: Humans, Interpersonal Relations, Psychotherapy, Social Support, Treatment Outcome, Mood Disorders

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