A significant proportion of veterans continue to experience depression or anxiety following treatment with the empirically supported psychotherapies offered by the Veterans Health Administration. Continued development and testing of new treatments may be useful. Brief dynamic interpersonal therapy (DIT) is a short-term psychodynamic therapy developed for depression in the United Kingdom and is being disseminated as an alternative to cognitive behavioral therapy within the National Health Service. This study represents the first evaluation of DIT in the United States, implemented at a veterans affairs medical center for veterans with depression and/or anxiety. Electronic medical records of veterans receiving DIT from 2012 to 2018 at a New York-based veterans affairs medical center were reviewed. Linear mixed-effects models were used to analyze depression and anxiety scores collected at each session from the Patient Health Questionnaire and the Generalized Anxiety Disorder seven-item scale. Following DIT, patients presenting with clinically significant depression and/or anxiety reported a 46% reduction in Patient Health Questionnaire-9 scores (N = 60) and a 43% reduction in Generalized Anxiety Disorder seven-item scale scores (N = 46). Large effect sizes on both measures were found (d = 1.17, 95% CI [0.88, 1.47], p < .0001; d = 1.24, 95% CI [0.90, 1.58], p < .0001, respectively). DIT is a promising alternative to currently offered psychotherapies for veterans with depression and anxiety. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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简短的动态人际关系疗法（DIT）对退伍军人抑郁和焦虑的影响。

在退伍军人卫生管理局提供的经验支持的心理治疗后，仍有很大一部分退伍军人继续感到沮丧或焦虑。继续开发和测试新疗法可能会有用。简短的动态人际关系疗法（DIT）是英国针对抑郁症而开发的一种短期心理动力疗法，目前正在国民卫生服务部门内推广，作为认知行为疗法的替代方法。这项研究代表了美国DIT的首次评估，该评估在退伍军人事务医学中心针对患有抑郁症和/或焦虑症的退伍军人进行。回顾了2012年至2018年在纽约的退伍军人事务医疗中心接受DIT的退伍军人的电子病历。线性混合效应模型用于分析每次会议期间从患者健康调查表和广义焦虑症七个项目量表中收集的抑郁和焦虑评分。DIT后，表现出临床上显着抑郁和/或焦虑的患者报告说，患者健康问卷9得分降低了46％（N = 60），广义焦虑症七项量表得分降低了43％。两种方法的效果均较大（分别为d = 1.17，95％CI [0.88，1.47]，p <.0001； d = 1.24，95％CI [0.90，1.58]，p <.0001）。对于患有抑郁症和焦虑症的退伍军人，DIT是目前提供的心理治疗的有希望的替代方法。（PsycINFO数据库记录（c）2020 APA，保留所有权利）。