Skip to main content
Top
Published in: BMC Psychiatry 1/2010

Open Access 01-12-2010 | Research article

Universality of interpersonal psychotherapy (IPT) problem areas in Thai depressed patients

Authors: Peeraphon Lueboonthavatchai, Nuntika Thavichachart

Published in: BMC Psychiatry | Issue 1/2010

Login to get access

Abstract

Background

Many studies have shown the efficacy of interpersonal psychotherapy (IPT) on depression; however, there are limited studies concerning the universality of the IPT problem areas in different countries. This study identifies whether the interpersonal problem areas defined in the IPT manual are endorsed by Thai depressed patients.

Methods

The Thai Hamilton Rating Scale for Depression (Thai HRSD) and Thai Interpersonal Questionnaire were used to assess 90 depressed and 90 non-depressed subjects in King Chulalongkorn Memorial Hospital, during July 2007 - January 2008. The association between interpersonal problem areas/sociodemographic variables and depressive disorder were analyzed by chi-square test. A multivariable analysis was performed by using logistic regression to identify the remaining factors associated with depressive disorder.

Results

Most of the subjects were young to middle-aged females living in Bangkok and the Central Provinces. All four interpersonal problem areas (grief, interpersonal role disputes, role transitions, and interpersonal deficits) were increased in the depressed subjects as compared to the non-depressed subjects, as were the sociodemographic variables (low education, unemployment, low income, and having a physical illness). Logistic regression showed that all interpersonal problem areas still remained problems associated with depression (grief: adjusted OR = 6.01, 95%CI = 1.93 - 18.69, p < 0.01; interpersonal role disputes: adjusted OR = 6.01, 95%CI = 2.18 - 16.52, p < 0.01; role transitions: adjusted OR = 26.30, 95%CI = 7.84 - 88.25, p < 0.01; and interpersonal deficits: adjusted OR = 2.92, 95%CI = 1.12 - 7.60, p < 0.05).

Conclusion

All four interpersonal problem areas were applicable to Thai depressed patients.
Literature
1.
go back to reference Ustun TB, Ayuso-Mateos JL, Chatterji S, Mathers C, Murray CJL: Global burden of depressive disorders in the year 2000. Br J Psychiatry. 2004, 184: 386-92. 10.1192/bjp.184.5.386.CrossRefPubMed Ustun TB, Ayuso-Mateos JL, Chatterji S, Mathers C, Murray CJL: Global burden of depressive disorders in the year 2000. Br J Psychiatry. 2004, 184: 386-92. 10.1192/bjp.184.5.386.CrossRefPubMed
2.
go back to reference Sadock BJ, Sadock VA: Synopsis of psychiatry: behavioral sciences/clinical psychiatry. 2007, Lippincott: Williams & Wilkins, 10 Sadock BJ, Sadock VA: Synopsis of psychiatry: behavioral sciences/clinical psychiatry. 2007, Lippincott: Williams & Wilkins, 10
3.
go back to reference Sadock BJ, Sadock VA: Synopsis of psychiatry: behavioral sciences/clinical psychiatry. 2003, Baltimore: Williams & Wilkins, 9 Sadock BJ, Sadock VA: Synopsis of psychiatry: behavioral sciences/clinical psychiatry. 2003, Baltimore: Williams & Wilkins, 9
4.
go back to reference Thavichachart N, Intoh P, Thavichachart T, Meksupa O, Tangwongchai S, Sughondhabirom A, et al: Epidemiological survey of mental disorders and knowledge attitude practice upon mental health among people in Bangkok Metropolis. J Med Assoc Thai. 2001, 84 (Suppl 1): S118-26.PubMed Thavichachart N, Intoh P, Thavichachart T, Meksupa O, Tangwongchai S, Sughondhabirom A, et al: Epidemiological survey of mental disorders and knowledge attitude practice upon mental health among people in Bangkok Metropolis. J Med Assoc Thai. 2001, 84 (Suppl 1): S118-26.PubMed
5.
go back to reference Meyer A: Psychobiology: a science of man. 1957, Springfield, Ill: Charles C. Thomas Meyer A: Psychobiology: a science of man. 1957, Springfield, Ill: Charles C. Thomas
6.
go back to reference Sullivan HS: The interpersonal theory of psychiatry. 1953, New York: W.W. Norton Sullivan HS: The interpersonal theory of psychiatry. 1953, New York: W.W. Norton
7.
go back to reference Weissman MM, Markowitz JC, Klerman GL: Comprehensive guide to interpersonal psychotherapy. 2000, New York: Basic Books Weissman MM, Markowitz JC, Klerman GL: Comprehensive guide to interpersonal psychotherapy. 2000, New York: Basic Books
8.
go back to reference Stuart S, Robertson M: Interpersonal psychotherapy: a clinician's guide. 2003, New York: Oxford University Press Inc Stuart S, Robertson M: Interpersonal psychotherapy: a clinician's guide. 2003, New York: Oxford University Press Inc
9.
go back to reference Lueboonthavatchai P: Interpersonal psychotherapy: a new option for treatment of depression. J Psychiatr Assoc Thailand. 2006, 51 (2): 117-31. Lueboonthavatchai P: Interpersonal psychotherapy: a new option for treatment of depression. J Psychiatr Assoc Thailand. 2006, 51 (2): 117-31.
10.
go back to reference Cuijpers P, van Straten A, Andersson G, van Oppen P: Psychotherapy for depression in adults: a meta-analysis of comparative outcome studies. J Consult Clin Psychol. 2008, 76 (6): 909-22. 10.1037/a0013075.CrossRefPubMed Cuijpers P, van Straten A, Andersson G, van Oppen P: Psychotherapy for depression in adults: a meta-analysis of comparative outcome studies. J Consult Clin Psychol. 2008, 76 (6): 909-22. 10.1037/a0013075.CrossRefPubMed
11.
go back to reference Chambless D, Hollon S: Defining empirically supported therapies. J Consult Clin Psychol. 1998, 66 (1): 7-18. 10.1037/0022-006X.66.1.7.CrossRefPubMed Chambless D, Hollon S: Defining empirically supported therapies. J Consult Clin Psychol. 1998, 66 (1): 7-18. 10.1037/0022-006X.66.1.7.CrossRefPubMed
12.
go back to reference Weissman MM, Sanderson WC: Promises and problems in modern psychotherapy: the need for increased training in evidence-based treatments. Modern psychiatry: challenges in educating health professionals to meet new needs. Edited by: Hager M. 2003, New York: Macy Foundation, 132-65. Weissman MM, Sanderson WC: Promises and problems in modern psychotherapy: the need for increased training in evidence-based treatments. Modern psychiatry: challenges in educating health professionals to meet new needs. Edited by: Hager M. 2003, New York: Macy Foundation, 132-65.
13.
go back to reference Weissman MM, Prusoff BA, DiMascio A, Neu C, Goklaney M, Klerman GL: The efficacy of drugs and psychotherapy in the treatment of acute depressive episodes. Am J Psychiatry. 1979, 136 (4B): 555-8.PubMed Weissman MM, Prusoff BA, DiMascio A, Neu C, Goklaney M, Klerman GL: The efficacy of drugs and psychotherapy in the treatment of acute depressive episodes. Am J Psychiatry. 1979, 136 (4B): 555-8.PubMed
14.
go back to reference Lueboonthavatchai P: Interpersonal psychotherapy: A current evidence-based therapy of depression. Rational management in medical practice: proceeding of the 47th Annual Scientific Meeting, Faculty of Medicine, Chulalongkorn University. Edited by: Kanchanatawan B, Hemrungrojn S, Roomruangwong C. 2006, Bangkok: Phabpim, 109-19. Lueboonthavatchai P: Interpersonal psychotherapy: A current evidence-based therapy of depression. Rational management in medical practice: proceeding of the 47th Annual Scientific Meeting, Faculty of Medicine, Chulalongkorn University. Edited by: Kanchanatawan B, Hemrungrojn S, Roomruangwong C. 2006, Bangkok: Phabpim, 109-19.
15.
go back to reference Weissman MM, Klerman GL, Prusoff BA, Sholomskas D, Padian N: Depressed outpatients: results one year after treatment with drugs and/or interpersonal psychotherapy. Arch Gen Psychiatry. 1981, 38 (1): 51-5.CrossRefPubMed Weissman MM, Klerman GL, Prusoff BA, Sholomskas D, Padian N: Depressed outpatients: results one year after treatment with drugs and/or interpersonal psychotherapy. Arch Gen Psychiatry. 1981, 38 (1): 51-5.CrossRefPubMed
16.
go back to reference DiMascio A, Weissman MM, Prusoff BA, Neu C, Zwilling M, Klerman GL: Differential symptom reduction by drugs and psychotherapy in acute depression. Arch Gen Psychiatry. 1979, 36 (13): 1450-6.CrossRefPubMed DiMascio A, Weissman MM, Prusoff BA, Neu C, Zwilling M, Klerman GL: Differential symptom reduction by drugs and psychotherapy in acute depression. Arch Gen Psychiatry. 1979, 36 (13): 1450-6.CrossRefPubMed
17.
go back to reference Elkin I, Shea MT, Watkins JT, Imber SD, Sotsky SM, Collins JF, et al: National Institute of Mental Health Treatment of Depression Collaborative Research Program: general effectiveness of treatments. Arch Gen Psychiatry. 1989, 46 (11): 971-82.CrossRefPubMed Elkin I, Shea MT, Watkins JT, Imber SD, Sotsky SM, Collins JF, et al: National Institute of Mental Health Treatment of Depression Collaborative Research Program: general effectiveness of treatments. Arch Gen Psychiatry. 1989, 46 (11): 971-82.CrossRefPubMed
18.
go back to reference Holmes TH, Rahe RH: The Social Readjustment Rating Scale. J Psychosom Res. 1967, 11 (2): 213-8. 10.1016/0022-3999(67)90010-4.CrossRefPubMed Holmes TH, Rahe RH: The Social Readjustment Rating Scale. J Psychosom Res. 1967, 11 (2): 213-8. 10.1016/0022-3999(67)90010-4.CrossRefPubMed
19.
go back to reference Kendler KS, Kessler RC, Walters EE, MacLean C, Neale MC, Heath AC, et al: Stressful life events, genetic liability, and the onset of an episode of major depression in women. Am J Psychiatry. 1995, 152 (6): 833-42.CrossRefPubMed Kendler KS, Kessler RC, Walters EE, MacLean C, Neale MC, Heath AC, et al: Stressful life events, genetic liability, and the onset of an episode of major depression in women. Am J Psychiatry. 1995, 152 (6): 833-42.CrossRefPubMed
20.
go back to reference Markowitz JC, Bleiberg KL, Chrristos P, Levitan E: Solving interpersonal problems correlates with symptom improvement in interpersonal psychotherapy: preliminary findings. J Nerv Ment Dis. 2006, 194 (1): 15-20. 10.1097/01.nmd.0000195314.80210.41.CrossRefPubMed Markowitz JC, Bleiberg KL, Chrristos P, Levitan E: Solving interpersonal problems correlates with symptom improvement in interpersonal psychotherapy: preliminary findings. J Nerv Ment Dis. 2006, 194 (1): 15-20. 10.1097/01.nmd.0000195314.80210.41.CrossRefPubMed
21.
go back to reference Markowitz JC, Leon AC, Miller NL, Cherry S, Clougherty KF, Villalobos L: Rater agreement on interpersonal psychotherapy problem areas. J Psychother Pract Res. 2000, 9 (3): 131-5.PubMedPubMedCentral Markowitz JC, Leon AC, Miller NL, Cherry S, Clougherty KF, Villalobos L: Rater agreement on interpersonal psychotherapy problem areas. J Psychother Pract Res. 2000, 9 (3): 131-5.PubMedPubMedCentral
22.
go back to reference Verdeli H, Clougherty K, Bolton P, Speelman L, Lincoln L, Bass J, et al: Adapting group interpersonal psychotherapy for a developing country: experience in rural Uganda. World Psychiatry. 2003, 2 (2): 114-20.PubMedPubMedCentral Verdeli H, Clougherty K, Bolton P, Speelman L, Lincoln L, Bass J, et al: Adapting group interpersonal psychotherapy for a developing country: experience in rural Uganda. World Psychiatry. 2003, 2 (2): 114-20.PubMedPubMedCentral
23.
go back to reference American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. Text Revision. 2000, Washington, D.C.: American Psychiatric Association, 4 American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. Text Revision. 2000, Washington, D.C.: American Psychiatric Association, 4
24.
go back to reference Lotrakul M, Sukanich P, Sukying C: The reliability and validity of Thai version of Hamilton Rating Scale for Depression. J Psychiatr Assoc Thailand. 1996, 41 (4): 235-46. Lotrakul M, Sukanich P, Sukying C: The reliability and validity of Thai version of Hamilton Rating Scale for Depression. J Psychiatr Assoc Thailand. 1996, 41 (4): 235-46.
26.
go back to reference Lueboonthavatchai P: Developmental stages: adulthood. Human behavior & mental disorder. Edited by: Kanchanatawan B, Lueboonthavatchai P. 2004, Bangkok: Chulalongkorn University Press, 39-61. 2 Lueboonthavatchai P: Developmental stages: adulthood. Human behavior & mental disorder. Edited by: Kanchanatawan B, Lueboonthavatchai P. 2004, Bangkok: Chulalongkorn University Press, 39-61. 2
27.
go back to reference Kessler CK: Sociology and psychiatry. Kaplan & Sadock's comprehensive textbook of psychiatry. Edited by: Sadock BJ, Sadock VA. 2005, Baltimore: Lippincott Williams & Wilkins, 1: 623-7. 8 Kessler CK: Sociology and psychiatry. Kaplan & Sadock's comprehensive textbook of psychiatry. Edited by: Sadock BJ, Sadock VA. 2005, Baltimore: Lippincott Williams & Wilkins, 1: 623-7. 8
28.
go back to reference Swan GE, Dame A, Carmelli D: Involuntary retirement, type A behavior, and current functioning in elderly men: 27-year follow-up of the Western Collaborative Group Study. Psychol Aging. 1991, 6 (3): 384-91. 10.1037/0882-7974.6.3.384.CrossRefPubMed Swan GE, Dame A, Carmelli D: Involuntary retirement, type A behavior, and current functioning in elderly men: 27-year follow-up of the Western Collaborative Group Study. Psychol Aging. 1991, 6 (3): 384-91. 10.1037/0882-7974.6.3.384.CrossRefPubMed
29.
go back to reference Kongsuk T, Udomratn P, Arunpongpaisan S, Lotrakul M, Maneeton N, Sitthiruk N, et al: Association between stressful life events and the onset of major depressive disorder episode in patients from five university hospitals in Thailand, 2006. J Psychiatr Assoc Thailand. 2008, 53 (1): 61-8. Kongsuk T, Udomratn P, Arunpongpaisan S, Lotrakul M, Maneeton N, Sitthiruk N, et al: Association between stressful life events and the onset of major depressive disorder episode in patients from five university hospitals in Thailand, 2006. J Psychiatr Assoc Thailand. 2008, 53 (1): 61-8.
30.
go back to reference Lueboonthavatchai P: Role of stress areas, stress severity, and stressful life events on the onset of depressive disorder: a case-control study. J Med Assoc Thai. 2009, 92 (9): 1240-9.PubMed Lueboonthavatchai P: Role of stress areas, stress severity, and stressful life events on the onset of depressive disorder: a case-control study. J Med Assoc Thai. 2009, 92 (9): 1240-9.PubMed
31.
go back to reference Hensley PL: Treatment of bereavement-related depression and traumatic grief. J Affect Disord. 2006, 92 (1): 117-24. 10.1016/j.jad.2005.12.041.CrossRefPubMed Hensley PL: Treatment of bereavement-related depression and traumatic grief. J Affect Disord. 2006, 92 (1): 117-24. 10.1016/j.jad.2005.12.041.CrossRefPubMed
32.
go back to reference Zisook S, Shuchter SR, Sledge PA: Diagnostic and treatment considerations in depression associated with late-life bereavement. Diagnosis and treatment of depression in late life. Edited by: Schneider LS, Reynolds CF, Lebowitz BD, Friedhoff AJ. 1994, Washington DC: American Psychiatric Press, 419-36. Zisook S, Shuchter SR, Sledge PA: Diagnostic and treatment considerations in depression associated with late-life bereavement. Diagnosis and treatment of depression in late life. Edited by: Schneider LS, Reynolds CF, Lebowitz BD, Friedhoff AJ. 1994, Washington DC: American Psychiatric Press, 419-36.
33.
go back to reference Clayton PJ, Darvish HS: Course of depressive symptoms following the stress of bereavement. Stress and mental disorder. Edited by: Barrett J, Rose RM, Klerman GL. 1979, New York: Raven Press, 121-36. Clayton PJ, Darvish HS: Course of depressive symptoms following the stress of bereavement. Stress and mental disorder. Edited by: Barrett J, Rose RM, Klerman GL. 1979, New York: Raven Press, 121-36.
34.
go back to reference Zisook S, Shuchter SR: Depression through the first year after the death of a spouse. Am J Psychiatry. 1991, 148 (10): 1346-52.CrossRefPubMed Zisook S, Shuchter SR: Depression through the first year after the death of a spouse. Am J Psychiatry. 1991, 148 (10): 1346-52.CrossRefPubMed
35.
go back to reference Lueboonthavatchai P: Grief and interpersonal psychotherapy: principle and management. J Psychiatr Assoc Thailand. 2007, 52 (1): 29-45. Lueboonthavatchai P: Grief and interpersonal psychotherapy: principle and management. J Psychiatr Assoc Thailand. 2007, 52 (1): 29-45.
36.
go back to reference Weissman MM, Paykel ES: The depressed women: a study of social relationships. 1974, Chicago: University of Chicago Press Weissman MM, Paykel ES: The depressed women: a study of social relationships. 1974, Chicago: University of Chicago Press
37.
go back to reference Hammen C: Generation of stress in the course of unipolar depression. J Abnorm Psychol. 1991, 100 (4): 555-61. 10.1037/0021-843X.100.4.555.CrossRefPubMed Hammen C: Generation of stress in the course of unipolar depression. J Abnorm Psychol. 1991, 100 (4): 555-61. 10.1037/0021-843X.100.4.555.CrossRefPubMed
38.
go back to reference Davila J, Hammen C, Burge D, Paley B, Daley SE: Poor interpersonal problem solving as a mechanism of stress generation in depression among adolescent women. J Abnorm Psychol. 1995, 104 (4): 592-600. 10.1037/0021-843X.104.4.592.CrossRefPubMed Davila J, Hammen C, Burge D, Paley B, Daley SE: Poor interpersonal problem solving as a mechanism of stress generation in depression among adolescent women. J Abnorm Psychol. 1995, 104 (4): 592-600. 10.1037/0021-843X.104.4.592.CrossRefPubMed
39.
go back to reference Hammen C, Brennen PA: Interpersonal dysfunction in depressed women: impairments independent of depressive symptoms. J Affect Disord. 2002, 72 (2): 145-56. 10.1016/S0165-0327(01)00455-4.CrossRefPubMed Hammen C, Brennen PA: Interpersonal dysfunction in depressed women: impairments independent of depressive symptoms. J Affect Disord. 2002, 72 (2): 145-56. 10.1016/S0165-0327(01)00455-4.CrossRefPubMed
40.
go back to reference Zlotnick C, Kohn R, Keitner G, Della Grotta SA: The relationship between quality of interpersonal relationships and major depressive disorder: findings from the National Comorbidity Survey. J Affect Discord. 2000, 59 (3): 205-15. 10.1016/S0165-0327(99)00153-6.CrossRef Zlotnick C, Kohn R, Keitner G, Della Grotta SA: The relationship between quality of interpersonal relationships and major depressive disorder: findings from the National Comorbidity Survey. J Affect Discord. 2000, 59 (3): 205-15. 10.1016/S0165-0327(99)00153-6.CrossRef
41.
go back to reference Sangon S: Predictors of depression in Thai women. Res Theory Nurs Pract. 2004, 18 (2-3): 243-60. 10.1891/rtnp.18.2.243.61276.CrossRefPubMed Sangon S: Predictors of depression in Thai women. Res Theory Nurs Pract. 2004, 18 (2-3): 243-60. 10.1891/rtnp.18.2.243.61276.CrossRefPubMed
Metadata
Title
Universality of interpersonal psychotherapy (IPT) problem areas in Thai depressed patients
Authors
Peeraphon Lueboonthavatchai
Nuntika Thavichachart
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2010
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-10-87

Other articles of this Issue 1/2010

BMC Psychiatry 1/2010 Go to the issue