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Interpersonal factors in understanding and treating posttraumatic stress disorder
John C Markowitz1, Barbara Milrod, Kathryn Bleiberg
1New York State Psychiatric Institute, Columbia University College of Physicians and Surgeons, 1051 Riverside Drive, New York, NY 10032, USA. jcm42@columbia.edu
Exposure therapy is common for post-traumatic stress disorder (PTSD), but interpersonal factors like social support are also key. Interpersonal psychotherapy (IPT) shows promise for improving relationships and reducing PTSD symptoms.
Area of Science:
- Psychiatry
- Psychology
- Social Science
Background:
- Exposure therapy is a primary treatment for post-traumatic stress disorder (PTSD).
- Interpersonal factors significantly influence PTSD onset, chronicity, and treatment outcomes.
- Social support plays a crucial role as a protective factor and recovery mechanism post-trauma.
Purpose of the Study:
- To review the role of interpersonal factors in PTSD.
- To explore interpersonal psychotherapy (IPT) as an alternative PTSD treatment.
- To propose a mechanism linking relationship improvement to PTSD symptom amelioration.
Main Methods:
- Literature review of interpersonal factors in PTSD.
- Discussion of interpersonal psychotherapy (IPT) principles and application.
- Presentation of findings from two initial IPT studies for PTSD.
Main Results:
- Interpersonal factors, particularly social support, are critical in PTSD.
- Initial studies of IPT for PTSD show encouraging results.
- Attachment and relationships are highlighted as important for recovery.
Conclusions:
- Interpersonal psychotherapy (IPT) offers a promising alternative or adjunctive treatment for PTSD.
- Improving interpersonal relationships may be a key mechanism for reducing PTSD symptoms.
- Further research into the interpersonal aspects of PTSD treatment is warranted.
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