Advertisement

Mente e cuore pp 291-316 | Cite as

La terapia interpersonale per il trattamento della depressione

  • D. Koszycki

Estratto

La depressione è una condizione frequente nei pazienti affetti da cardiopatia coronarica. È stato stimato che dal 15% al 20% dei pazienti con angina instabile colpiti da infarto miocardico (MI), che hanno avuto un infarto congestivo o che sono stati sottoposti ad un intervento chirurgico di bypass, soddisfano i criteri diagnostici per la depressione maggiore nel corso del periodo di ospedalizzazione, mentre una quota pari a circa il 15–25% sperimenta forme di depressione più lievi [1, 2, 3, 4]. Sebbene esistano relativamente pochi studi longitudinali riguardanti i pazienti affetti da coronaropatia, i dati disponibili indicano come la patologia tenda a seguire un decorso cronico che conduce ad una significativa disabilità e ad un danneggiamento nel funzionamento psicosociale [5, 6]. Condizioni depressive, che possono variare da un livello moderato a grave, sono state riportate a distanza di un anno in un significativo numero di pazienti colpiti da MI [7]. Inoltre, un terzo dei pazienti ricoverati a causa di MI mostra un umore sostanzialmente depresso a distanza di tre anni dall’episodio cardiaco [8] ed un quinto non è in grado di raggiungere un adattamento emozionale dopo 5 anni [9]. È stata inoltre rilevata una significativa percentuale di pazienti affetti da patologia coronarica, diagnosticati con depressione minore che progredivano verso la depressione maggiore nell’arco di 12 mesi [6].

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliografia

  1. 1.
    Frasure-Smith N, Lespérance F, Talajic M (1995) Depression and 18-month prognosis after myocardial infarction. Circulation 91:999–1005PubMedGoogle Scholar
  2. 2.
    Lespérance F, Frasure-Smith N, Juneau M et al (2000) Depression and 1-year prognosis in unstable angina. Arch Intern Med 160:1354–1360PubMedCrossRefGoogle Scholar
  3. 3.
    Jiang W, Alexander J, Christopher E et al (2001) Relationship of depression to increased risk of mortality and rehospitalization in patients with congestive heart failure. Arch Intern Med 161:1849–1856PubMedCrossRefGoogle Scholar
  4. 4.
    Connerney I, Shapiro PA, McLaughlin JS et al (2001) Relation between depression after coronary artery bypass surgery and 12-month outcome: a prospective study. Lancet 358:1766–1771PubMedCrossRefGoogle Scholar
  5. 5.
    Lespérance F, Frasure-Smith N, Talajic M (1996) Major depression before and after myocardial infarction: its nature and consequences. Psychosom Med 58:99–110PubMedGoogle Scholar
  6. 6.
    Hance M, Carney RM, Freedland KE et al (1996) Depression in patients with coronary heart disease: a 12 month follow-up. Gen Hospital Psychiatry 18:61–65CrossRefGoogle Scholar
  7. 7.
    Follick MJ, Gorkin L, Smith TW et al (1988) Quality of life post-myocardial infarction: effects of a transtelephonic coronary intervention system. Health Psychol 7:169–182PubMedCrossRefGoogle Scholar
  8. 8.
    Waltz M, Badura B, Pfaff H et al (1988) Marriage and the psychological consequences of a heart attack: a longitudinal study of adaptation to chronic illness after 3 years. Soc Sci Med 27:149–158PubMedCrossRefGoogle Scholar
  9. 9.
    Havik OE, Maelands JG (1991) Patterns of emotional ractions after a myocardial infarction. J Psychosom Med 100:555–561Google Scholar
  10. 10.
    Frasure-Smith N, Lespérance F, Talajic M (1993) Depression following myocardial infarction: impact on 6-month survival. JAMA 270:1819–1825PubMedCrossRefGoogle Scholar
  11. 11.
    Ladwig KH, Lehmacher W, Roth R et al (1992) Factors which provoke post-infarction depression: results from the post-infarction late potential study (PILP). J Psychsom Res 36:723–729CrossRefGoogle Scholar
  12. 12.
    Frasure-Smith N, Lespérance F (2003) Depression and other psychological risk factors following myocardial infarction. Arch Gen Psychiatry 60:627–636PubMedCrossRefGoogle Scholar
  13. 13.
    Barefoot JC, Helms MJ, Mark DB et al (1966) Depression and long-term mortality risk in patients iwth coronary artery disease. Am J Cardiol 78:613–617CrossRefGoogle Scholar
  14. 14.
    Carney RM, Freeland KE, Eisen SA et al (1995) Major depression and medication adherence in elder pateints with coronary artery disease. Health Psychol 14:88–90PubMedCrossRefGoogle Scholar
  15. 15.
    Musselman DL, Evans DL, Nemeroff CB (1998) The relationship of depression to cardiac disease. Arch Gen Psychiatry 55:580–592PubMedCrossRefGoogle Scholar
  16. 16.
    Krishnan KRR (2002) Comorbidity of depression with other medical diseases in the elderly. Biol Psychiatry 52:559–588PubMedCrossRefGoogle Scholar
  17. 17.
    Hollon SD, Muñoz RF, Barlow DH et al (2002) Psychosocial intervention development for the prevention and treatment of depression: promoting innovation and increasing access. Biol Psychiatry 52:610–630PubMedCrossRefGoogle Scholar
  18. 18.
    Klerman G, Weissman M, Rounsaville B et al (1984) Interpersonal psychotherapy of depression. Basic Books, New YorkGoogle Scholar
  19. 19.
    Markowitz JC, Swartz HA (1997) Case formulation in interpersonal psychotherapy for depression. In: Eels TD (ed) Handbook of psychotherapy case formulation. Guidford Press, New York, pp 192–222Google Scholar
  20. 20.
    Weissman MM, Markowitz JC (2002) Interpersonal psychotherapy for depression. In: Gotlib IA, Hammen CL (ed) Handbook of depression. Guldford Press, New York, pp 404–421Google Scholar
  21. 21.
    Weissman MM, Klerman GL, Paykel ES et al (1974) Treatment effects of the social adjustment of depressed patients. Arch Gen Psychiatry 30:771–788PubMedGoogle Scholar
  22. 22.
    Coyne JC (1976) Depression and the response of others. J Abnormal Psychology 85:186–193CrossRefGoogle Scholar
  23. 23.
    Aneshensel CS, Stone JD (1982) Stress and depression: a test of the buffering model of social supports. Arch Gen Psychiatry 39:1392–1396PubMedGoogle Scholar
  24. 24.
    Weissman MM, Markowitz JC, Klerman GL (2000) Comprehensive guide to interpersonal psychotherapy. Basic Books, New YorkGoogle Scholar
  25. 25.
    Markowitz JC, Weissman MM (1995) Interpersonal psychotherapy. In: Beckham EE, Leber WR (eds) Handbook of depression. Guildford Press, New York, pp 376–390Google Scholar
  26. 26.
    Markowitz JC (1998) Interpersonal psychotherapy for dysthymia. American Psychiatry Press, Washington DCGoogle Scholar
  27. 27.
    Swartz HA, Markowitz JC, Frank E (2002) Intepersonal psychotherapy for unipolar and bipolar disorders. In: Hofmann SG, Tompson MC (eds) Treating chronic and severe mental disorders: a handbood of empirically supported interventions. Guildford Press, New York, pp 131–158Google Scholar
  28. 28.
    Jack DC (1999) Silencing the self: inner dialogues and outer realities. In: Joiner T, Coyne JC (eds) The interactional nature of depression. American Psychological Association, Washington DC, pp 221–246CrossRefGoogle Scholar
  29. 29.
    Wilfley DE, MacKenzie KR, Welch RR et al (2000) Interpersonal psychotherapy for group. Basic Books, New YorkGoogle Scholar
  30. 30.
    Markowitz JC, Svartberg M, Swartz HA. Is IPT time-limited psychotherapy? J Psychotherapy Practice and Research 7:198–195Google Scholar
  31. 31.
    Stuart S, Robertson M (2003) Interpersonal psychotherapy: a clinician’s guide. Oxford University Press Inc, New YorkGoogle Scholar
  32. 32.
    Weissman MM, Prusoff BA, DiMascio A et al (1979) The efficacy of drugs and psychotherapy in the treatment of acute depressive episodes. Am J Psychiatry 136:555–558PubMedGoogle Scholar
  33. 33.
    Weissman MM, Klerman GL, Prusoff BA et al (1981) Depressed outpatients: results one year after treatment with drugs ad/or interpersonal psychotherapy. Arch Gen Psychiatry 38:51–55PubMedGoogle Scholar
  34. 34.
    Elkin I, Shea MT, Watkins JT et al (1989) National Institute of Mental Health Treatment of Depression Collaborative Research Program: general effectiveness of treatments. Arch Gen Psychiatry 46:971–982PubMedGoogle Scholar
  35. 35.
    Hamilton M (1960) A rating scale for depression. J Neurol Neurosurg Psychiatry 23:56–62PubMedGoogle Scholar
  36. 36.
    Brown G, Steiner M, Roberts J et al (2002) Sertraline and/or interpersonal psychotherapy for patients with dysthymic disorder in primary care: 6-month comparison with longitudinal 2-year follow-up of effectiveness and costs. J Affective Disorder 68:317–330CrossRefGoogle Scholar
  37. 37.
    Spinelli MG, Endicott J (2003) Controlled clinical trial of interpersonal psychotherapy versus parenting education for depressed pregnant women. Am J Psychiatry 160:555–562PubMedCrossRefGoogle Scholar
  38. 38.
    Stuart S, O’Hara MW (1995) IPT for postpartum depression. J Psychother Prac Res 4:18–29Google Scholar
  39. 39.
    Markowitz J, Kocsis JH, Fishman B et al (1998) Treatment of HIV-positive patients with depressive symptoms. Arch Gen Psychiatry 55:452–457PubMedCrossRefGoogle Scholar
  40. 40.
    Mufson L, Moreau D, Weissman MM et al (1993) Interpersonal psychotherapy for depressed adolescents. Guildford Press, New YorkGoogle Scholar
  41. 41.
    Mufson L, Weissman MM, Moreau D et al (1999) Efficacy of interpersonal psychotherapy for depressed adolescents. Arch Gen Psychiatry 56:573–579PubMedCrossRefGoogle Scholar
  42. 42.
    Reynolds CF III, Millier MD, Pasternak RE et al (1999) Treatment of bereavement-related major depressive-episodes in later life: a controlled study of acute and continuation treatment with nortriptyline and interpersonal psychotherapy. Am J Psychiatry 156:202–208PubMedGoogle Scholar
  43. 43.
    Schulberg H, Block M, Madonia M et al (1996) Treating major depression in primary care practice: Eight month clinical outcomes. Arch Gen Psychiatry 153:1293–1300Google Scholar
  44. 44.
    Frank E, Swartz HA, Kupfer DJ (2000) Interpersonal and social rhythms therapy: managing the chaos of bipolar disorder. Biol Psychiatry 48:593–604PubMedCrossRefGoogle Scholar
  45. 45.
    Reynolds CF III, Frank E, Perel JM et al (1999) Nortriptyline and interpersonal psychotherapy as maintenance therapies for recurrent major depression: a randomized controlled trial in patients. JAMA 28:39–45CrossRefGoogle Scholar
  46. 46.
    Lenze EJ, Dew MA, Mazumdar S (2002) Combined pharmacotherapy and psychotherapy as maintenance treatment for late-life depression: effects on social adjustment. Am J Psychiarty 159:466–468CrossRefGoogle Scholar
  47. 47.
    Hellerstein DJ, Little SAS, Samstag LW et al (2001) Adding group psychotherapy to medication treatment in dysthymia: a randomized prospective pilot study. J Psychother Pract Res 10:93–103PubMedGoogle Scholar
  48. 48.
    Levkovitz Y, Shahar G, Native G et al (2000) Group interpersonal psychotherapy for patients with major depression disorder-pilot study. J Affective Disorders 60:191–195CrossRefGoogle Scholar
  49. 49.
    Scocco P, De Le D, Frank E (2002) Is interpersonal psychotherapy in group format a therapeutic option in late-life depression? Clin Psychol Psychotherap 9:68–75CrossRefGoogle Scholar
  50. 50.
    Frank E, Kupfer DJ, Perel JM et al (1990) Three-year outcome for maintenance therapies in recurrent depression. Arch Gen Psychiatry 47:1093–1099PubMedGoogle Scholar
  51. 51.
    Kupfer DJ, Frank E, Perel JM (1992) Five-year outcome for maintenance therapies in recurrent depression. Arch Gen Psychiatry 49:769–773PubMedGoogle Scholar
  52. 52.
    Berkman LF, Syme SL (1979) Social networks, host resistance, and mortality: a nine-year follow-up study of alameda county residents. Am J Epidemilogy 109:186–204Google Scholar
  53. 53.
    Oxman TE, Hull JG (1997) Social support, depression, and activities of daily living in older heart surgery patients. J Gerontology 52B:1–14Google Scholar
  54. 54.
    Berkman LF, Leo-Summers L, Horwitz RI (1992) Emotional support and survival after myocardial infarction: a prospective population-based study of the elderly. Ann Intern Med 117:1003–1009PubMedGoogle Scholar
  55. 55.
    Case RB, Moss AJ, Case N et al (1992) Living alone after myocardial infarction: impact on prognosis. JAMA 267:515–519PubMedCrossRefGoogle Scholar
  56. 56.
    Williams RB, Barefoot JC, Califf RM et al (1992) Prognostic importance of social and economic resources among medically treated patients with angiographically documented coronary artery disease. JAMA 267:520–524PubMedCrossRefGoogle Scholar
  57. 57.
    Wallerston BS, Alagna SW, DeVellis B et al (1983) Social support and physical health. Health Psychol 2:367–391Google Scholar
  58. 58.
    Gianetti VJ, Reynolds J, Rihn T (1985) Factors which differentiate smokers from ex-smokers among cardiovascular patients: a discriminant analysis. Soc Sci Med 20:241–245CrossRefGoogle Scholar
  59. 59.
    Williams CA, Baresford SA, James SA et al (1985) The Edgecombe County High Blood Pressure Control Program, III: social support, social stressors and treatment dropout. Am J Public Health 75: 483–486PubMedGoogle Scholar
  60. 60.
    Oxman TE, Berkman LF (1990) Assessment of social relationships in elderly patients. Int J Psychiatry Med 20:65–84PubMedCrossRefGoogle Scholar
  61. 61.
    Oxman TE, Freeman DH, Manheimer ED et al (1994) Social support and depression after cardiac surgery in elderly patients. Am J Geriatric Psychiatry 2:309–323CrossRefGoogle Scholar
  62. 62.
    Bramwell L (1990) Social support in cardiac rehabilitation. Can J Cardiovascular Nursing 1:7–13Google Scholar
  63. 63.
    Schaefer C, Coyne JC, Lazarus RS (1981) The health-related functions of social support. J Behav Med 4:381–406PubMedCrossRefGoogle Scholar
  64. 64.
    Goodheart CD, Lansing MH (1997) Treating people with chronic disease: a psychological guide. American Psychological Association, Washington DCGoogle Scholar
  65. 65.
    Segrin C (2001) Interpersonal processes in psychological problems. The Guildford Press, New YorkGoogle Scholar
  66. 66.
    Koszycki D, Lafontaine S, Frasure-Smith N et al (2004) An open-label trial of interpersonal psycotherapy in depressed patients with coronary disease. Psychosomatics 45:319–324PubMedCrossRefGoogle Scholar
  67. 67.
    Beck AT, Ward CH, Mendelson M et al (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571PubMedGoogle Scholar
  68. 68.
    Parsons T (1951) Illness and the role of the physician: a sociological perspective. Am J Orthopsychiatry 21:452–460PubMedCrossRefGoogle Scholar
  69. 69.
    Mikulincer M, Florian V, Wller A (1993) Attachment styles, coping strategies and posttraumatic psychological distress: the impact of the GulfWar in Israel. J Person Soc Psychol 64:817–826CrossRefGoogle Scholar
  70. 70.
    Lespérance F, Frasure-Smith N (2000) Depression in patients with cardiac disease: a practical review. J Psychosomatic Res 48:379–391CrossRefGoogle Scholar
  71. 71.
    American Psychiatry Association (1993) Practice guideline for major depressive disorder in adults. Am J Psychiatry 150:4 (Supplement)Google Scholar
  72. 72.
    Sotsky SM, Glass DR, Shea MT et al (1991) Patient-predictors of response to psychotherapy and pharmacotherapy: findings in the NIMH treatment of depression collaborative research program. Am J Psychiatry 148:997–1008PubMedGoogle Scholar
  73. 73.
    Stoudemire A, Blazer DG (1985) Depression in the elderly. In: Beckham ER, Leber WR (eds) Handbook of depression: treatment, assessment and research. The Dorsey Press, IllinoisGoogle Scholar
  74. 74.
    Krause N (1991) Stress and isolation from close ties in later life. J Gerontol 46:S183–194PubMedGoogle Scholar
  75. 75.
    Solomon DA, Keller MB, Leon AC et al (1997) Recovery from major depression: a 10 year prospective follow-up across multiple episodes. Arch Gen Psychiatry 54:1001–1006PubMedGoogle Scholar
  76. 76.
    Keller MB, Lavori PW, Lewis CE et al (1983) Predictors of relapse in major depressive disorder. JAMA 250:3299–3304PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • D. Koszycki
    • 1
    • 2
  1. 1.Stress and Anxiety, Clinical Research UnitUniversity of Ottawa Institute of Mental Health Research Royal Ottawa HospitalCanada
  2. 2.University of OttawaCanada

Personalised recommendations