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Outcomes in Psychotherapy for Depression: The Role of Interpersonal Problems

McFarquhar, Tara; (2021) Outcomes in Psychotherapy for Depression: The Role of Interpersonal Problems. Doctoral thesis (Ph.D), UCL (University College London). Green open access

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Abstract

Interpersonal problems are frequently the target of psychotherapeutic treatments for depression, but there is a scarcity of empirical evidence as to which, if any, particular type of interpersonal problems respond most favourably to these treatments. The scope of this thesis is to explore the relationship between interpersonal problems and outcomes in psychotherapy, in particular Dynamic Interpersonal Therapy (DIT). Specifically, its focus is the development of a new method of classifying the interpersonal focus of therapy, which could then be used as a predictor of treatment outcomes. Different types of interpersonal problems can be identified using a well-established measure, the Inventory of Interpersonal Problems (IIP), however, it cannot identify which problems actually become the specific target of treatment. DIT provides an ideal construct for this in the form of its key component: the interpersonal affective focus of treatment (IPAF). Chapter one reviews the development and use of the Inventory of Interpersonal Problems (IIP) in the context of interpersonal approaches to depression and explores how it might be most usefully employed as a basis for a new coding system for IPAFs. Chapter two is the first systematic review and meta-analysis of research into changes in interpersonal problems over the course of psychotherapeutic treatment of depression. Chapter three reports the development of the IPAF coding system. A theory-driven qualitative analysis of audio recordings of IPAFs obtained from pilot trials of DIT is presented, using the IIP as a predetermined analytic framework. In chapter four, the reliability and validity of this typology is further investigated. Chapter five is a study of the relationship between interpersonal problems (measured with both the IIP and the IPAF typology) and treatment outcomes in DIT. Lastly, chapter six provides a summary of findings and a discussion of limitations and directions for future research.

Type: Thesis (Doctoral)
Qualification: Ph.D
Title: Outcomes in Psychotherapy for Depression: The Role of Interpersonal Problems
Event: UCL (University College London)
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2021. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10132904
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