Interpersonal psychotherapy for women with comorbid depression and chronic pain.
Chronic pain is prevalent among patients with depression and a risk factor for poor depression treatment outcomes. No known psychotherapy approaches have been developed to target the needs of patients with comorbid depression and chronic pain. This study's goals were to evaluate feasibility, acceptability, and initial effects of interpersonal psychotherapy adapted for women with depression and chronic pain. Seventeen women with major depression and chronic pelvic pain were offered 8 sessions of individual treatment, interpersonal psychotherapy for depression and pain (IPT-P). Participants were recruited from a women's health clinic, were predominantly low-income and minority, and generally did not initially self-identify as depressed. Large effect sizes with significant improvements were found for depression severity and social adjustment; pain interference remained unchanged. Most enrolled patients reported a high level of satisfaction with IPT-P. This pilot study provides preliminary support for the use of IPT-P for patients with comorbid depression and chronic pain.
Poleshuck
Ellen L
EL
Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd, Rochester, NY 14642, USA. ellen_poleshuck@urmc.rochester
Talbot
Nancy E
NE
Zlotnick
Caron
C
Gamble
Stephanie A
SA
Liu
Xiang
X
Tu
Xin
X
Giles
Donna E
DE
D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008875:Middle Aged; D008913:Minority Groups; D010146:Pain / Q000453:epidemiology; D059408:Pain Management; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction; D010865:Pilot Projects; D011203:Poverty; D011320:Primary Health Care / Q000379:methods; D011613:Psychotherapy / Q000379:methods*; D012720:Severity of Illness Index; D012944:Social Support; D011795:Surveys and Questionnaires; D016896:Treatment Outcome