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)
Open accessAbstract
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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“However, IPT's uniqueness lies in seeking to activate all of these in a coherent, plausible therapeutic frame, defined by a current interpersonal crisis or predicament in the patient's lifeand in a time-limited, diagnosis-focused treatment (37).”
From Ultra-Brief Crisis IPT-A Based Intervention for Suicidal Children and Adolescents (IPT-A-SCI) Pilot Study Results (2020) · cites this paper as [37]
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“According to (37) by mobilizing and working collaboratively with the patient to resolve this problem, IPT seeks to activate several interpersonal change mechanisms. These include: enhancing social support; decreasing interpersonal stress; facilitating emotional processing; and improving interpersonal skills.”
From Ultra-Brief Crisis IPT-A Based Intervention for Suicidal Children and Adolescents (IPT-A-SCI) Pilot Study Results (2020) · cites this paper as [37]
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Is Exposure Necessary? A Randomized Clinical Trial of Interpersonal Psychotherapy for PTSD
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Social Safety Theory: Conceptual foundation, underlying mechanisms, and future directions
Slavich, G. M., Roos, L. G., Mengelkoch, S., Webb, C. A., Shattuck, E. C., Moriarity, D. P., & Alley, J. C. (2023) · Health Psychology Review · doi:10.1080/17437199.2023.2171900 · Cited by 193
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)
- 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
- 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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