Interpersonal problems as predictors of alliance, symptomatic improvement and premature termination in treatment of depression

Ulrike Dinger, Sigal Zilcha-Mano, Kevin S. McCarthy, Marna S. Barrett, Jacques P. Barber

Research output: Contribution to journalArticlepeer-review

Abstract

Background Previous studies reported inconsistent findings regarding the association of interpersonal problems with therapy outcome. The current study investigates if interpersonal problems predict process and outcome of three different treatments for depression. Methods The data originate from a randomized clinical trial comparing supportive-expressive psychotherapy, antidepressant medication and pill-placebo for treatment of depression. Interpersonal problems were used as predictors of alliance, symptomatic improvement and premature termination of treatment. Results Interpersonal problems related to communion predicted better alliances, but slower symptomatic improvement. Low agency predicted slower symptomatic improvement in supportive-expressive psychotherapy, but not in the medication or placebo condition. Lower interpersonal distress was associated with an increased likelihood to terminate treatment prematurely. Limitations The sample size did not allow the detection of small effects within the treatment groups. Conclusions Interpersonal problems are influential for the treatment of depression, but parts of their effects depend on the type of treatment.

Original languageAmerican English
Pages (from-to)800-803
Number of pages4
JournalJournal of Affective Disorders
Volume151
Issue number2
DOIs
StatePublished - Nov 2013
Externally publishedYes

Keywords

  • Depression
  • Interpersonal problems
  • Psychotherapy

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Clinical Psychology

Fingerprint

Dive into the research topics of 'Interpersonal problems as predictors of alliance, symptomatic improvement and premature termination in treatment of depression'. Together they form a unique fingerprint.

Cite this