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Interpersonal Problematic Areas in Liaison Psychiatry: A Feasibility Study.

Mario Miniati¹, Laura Palagini¹, Ciro Conversano²

¹Department of Clinical and Experimental Medicine, University of Pisa, Italy.

Clinical Neuropsychiatry

|December 15, 2021

Summary

The Interpersonal Psychotherapy (IPT) model effectively identified interpersonal problem areas in 76% of patients. Grief, role transition, and deficits were common, though 24% had no identified IPT issues linked to distress.

Keywords:

IPARS IPT depression liaison psychiatry psychosomatic

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Area of Science:

Psychiatry
Clinical Psychology

Background:

The Interpersonal Psychotherapy (IPT) model offers a framework for case formulation, categorizing issues into grief, deficit, role transition, and role dispute.
Liaison psychiatry settings frequently encounter patients with complex psychological needs requiring efficient assessment tools.

Purpose of the Study:

To evaluate the applicability of the IPT problematic areas assessment in a liaison psychiatry patient sample.
To determine the prevalence and types of interpersonal problem areas identified using the IPT model in this clinical setting.

Main Methods:

A sample of 129 hospitalized patients (aged 18-80) were interviewed.
The Interpersonal Problem Areas Rating Scale (IPARS) was utilized to identify interpersonal focuses within the IPT framework.

Main Results:

Interpersonal Problem Areas Rating Scale (IPARS) problematic areas were identified in 76% of the patients (n=98).
Grief and role transition issues were most prevalent (43.4% and 42.6%), followed by interpersonal deficits (14%) and role disputes (11.6%).
A significant portion, 24% of patients (n=31), did not present with IPT-defined problem areas related to their current symptomatology.

Conclusions:

The IPT model serves as an accessible tool for guiding psychological interviews and gathering interpersonal information efficiently.
While useful, the IPT assessment did not identify specific interpersonal problem areas linked to current psychological distress in approximately 25% of the studied sample.