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Dynamic Interpersonal Therapy for U.S. Veterans in a Primary Care Setting
Cassondra L Feldman1, Christopher D Schadt1, Binhuan Wang1
1College of Psychology, Nova Southeastern University, Fort Lauderdale, Florida (Feldman); Santa Monica Therapy, Santa Monica, California (Schadt); Division of Biostatistics, School of Medicine, New York University, New York City (Wang); U.S. Department of Veterans Affairs (VA) New York Harbor Healthcare System, New York City (Polkes, Ratner, Chen); Department of Clinical Psychology, Long Island University, New York City (Chen).
Objective:
Brief dynamic interpersonal therapy (DIT) is an evidence-based psychodynamic intervention for depression offered by the U.K. National Health Service and previously studied in the context of a U.S. Department of Veterans Affairs medical center. This study assessed the clinical value of DIT in primary care for veterans with general medical conditions.
Methods:
The authors examined outcome data of veterans (N=30; all but one had ≥1 comorbid general medical conditions) referred to DIT from primary care.
Results:
Veterans who began treatment with clinically elevated depression or anxiety experienced a 42% reduction in symptom severity, as measured by the nine-item Patient Health Questionnaire or by the seven-item Generalized Anxiety Disorder questionnaire, respectively, representing large effect sizes.
Conclusions:
Significant decreases in depression and anxiety symptoms suggest the utility of DIT for veterans with comorbid general medical conditions. DIT's dynamically informed framework may improve patients' help seeking, which is relevant for patients experiencing comorbid medical conditions.
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