规范与指南

抑郁障碍的人际心理治疗中国专家共识

  • 骆艳丽 ,
  • 赵敏 ,
  • 王小平 ,
  • 洪武 ,
  • 孙霞 ,
  • 吴志国 ,
  • 徐欣心 ,
  • 钟沛然 ,
  • 黄满丽 ,
  • 李卫晖 ,
  • 马现仓 ,
  • 仇剑崟 ,
  • 李惠
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  • 1上海交通大学医学院附属仁济医院心理医学科,上海 200127;
    2上海交通大学医学院精神与临床心理学院,上海 200030;
    3上海交通大学医学院附属精神卫生中心,上海 200030;
    4中南大学湘雅二医院,长沙 410011;
    5香港东区尤德夫人那打素医院,香港 00852;
    6浙江大学医学院附属第一医院,杭州 310003;
    7西安交通大学第一附属医院,西安 710061
骆艳丽,医学博士,主任医师,博士生导师。研究方向:人际心理治疗(IPT)的应用和推广,抑郁症与睡眠障碍相互作用的机制研究、躯体症状障碍的基础和临床研究。

网络出版日期: 2025-09-03

基金资助

国家自然科学基金项目(U22A20305,82271548),上海申康医院发展中心2025临床队列项目(SHDC2025CCS012)

Chinese National Expert Consensus on Interpersonal Psychotherapy for Depressive Disorders

  • LUO Yanli ,
  • ZHAO Min ,
  • WANG Xiaoping ,
  • HONG Wu ,
  • SUN Xia ,
  • WU Zhiguo ,
  • XU Xinxin ,
  • CHUNG Pui Yin ,
  • HUANG Manli ,
  • LI Weihui ,
  • MA Xiancang ,
  • QIU Jianyin ,
  • LI Hui
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  • 1Department of Psychological Medicine, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China;
    2School of Mental and Clinical Psychology, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China;
    3Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China;
    4The Second Xiangya Hospital of Central South University, Changsha 410011, China;
    5Pamela Youde Nethersole Eastern Hospital, Hong Kong 00852, China;
    6First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China;
    7The First Affiliated Hospital of Xi'an Jiaotong University, Xi’an 710061, China;

Online published: 2025-09-03

摘要

人际心理治疗(interpersonal psychotherapy,IPT)是一种限时且结构化的心理治疗,旨在通过改善人际功能来缓解抑郁症状。大量研究证据表明,IPT在抑郁障碍患者中具有良好的疗效,且患者脱落率较低。为规范IPT在中国抑郁障碍临床实践中的应用,专家组采用改良德尔菲法制定了本共识。由24位来自精神医学、心理治疗和相关领域的专家组成共识专家组,经系统性文献检索与证据整合后制定了本共识。共识确立了IPT治疗抑郁障碍的基本原则、标准化治疗流程和目标人群,依据现有临床证据形成分级推荐意见,并讨论了IPT的创新模式,旨在为中国临床心理工作者提供规范化操作指南,促进IPT在中国的广泛采用和实践,优化抑郁障碍心理治疗资源的配置。

本文引用格式

骆艳丽 , 赵敏 , 王小平 , 洪武 , 孙霞 , 吴志国 , 徐欣心 , 钟沛然 , 黄满丽 , 李卫晖 , 马现仓 , 仇剑崟 , 李惠 . 抑郁障碍的人际心理治疗中国专家共识[J]. 心理学通讯, 2025 , 8(2) : 84 -92 . DOI: 10.12100/j.issn.2096-5494.225013

Abstract

Interpersonal psychotherapy (IPT) is a time-limited, structured psychological treatment focusing on improving interpersonal functions to alleviate depressive symptoms. It has good research evidence to support its use in patients with depressive disorders, with a low dropout rate. To standardize the implementation of IPT in clinical practice for depression in China, this expert consensus was developed using an improved Delphi method. The consensus was formulated by a panel of 24 experts from psychiatry, psychotherapy and related fields, following a systematic literature review and evidence synthesis. It establishes the fundamental principles, standardized treatment processes, and target populations for IPT in treating depression. The consensus also offers graded recommendations based on current clinical evidence and discusses innovative models of IPT. This consensus aims to provide clinicians in China with standardized operational guidelines, to promote the widespread adoption and application of IPT in China, and to optimize the allocation of psychological treatment resources for depressive disorders.

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