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

The DOI matches its Crossref record; 188 of the 188 references it cites were found in a registry or an index.

Mechanisms of change in interpersonal therapy (IPT)

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

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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  1. Anchin, 1982, Vol. 1981
  2. Meyer, 1951, Vol. 2

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Metadata

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.
Venue
Clinical Psychology Review
Publisher
Elsevier BV
Published
2013-12
Volume
33
Issue
8
Pages
1134-1147
ISSN
0272-7358 (ISSN-L)
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
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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