Interpersonal differentiation within depression diagnosis: Relating interpersonal subgroups to symptom load and the quality of the early therapeutic alliance

Holtforth, Martin Grosse; Altenstein, David; Krieger, Tobias; Flückiger, Christoph; Wright, Aidan G.C.; Caspar, Franz

doi:10.1080/10503307.2013.829253

Cited by 41 publications

(50 citation statements)

References 54 publications

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“…Previous studies have found that generalized anxiety disorder, on average, has an exploitable interpersonal style (Przeworski et al, 2011;Salzer et al, 2011Salzer et al, , 2008; our results may differ due to our diagnostic approach. Our results for major depression are consistent with sample averages from previous studies (Barrett and Barber, 2007;Dinger et al, 2015;Grosse Holtforth et al, 2014;Locke et al, 2016;Quilty et al, 2013;Stangier et al, 2006).…”

Section: Psychopathology and Interpersonal Problemssupporting

confidence: 82%

“…Due to methodological and reporting limitations of many of these studies, conclusions regarding profile descriptors are difficult to draw. In general, these studies suggest that major depressive disorder has a nonassertive and socially avoidant style (Barrett and Barber, 2007;Dinger et al, 2015;Grosse Holtforth et al, 2014;Locke et al, 2016;Quilty et al, 2013;Stangier et al, 2006), social phobia has a nonassertive style (Cain et al, 2010;Kachin et al, 2001;Stangier et al, 2006), and generalized anxiety disorder has an exploitable style (Przeworski et al, 2011;Salzer et al, 2008Salzer et al, , 2011. These disorders also seem to have marked elevation.…”

Section: Introductionmentioning

confidence: 99%

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Interpersonal Problems Across Levels of the Psychopathology Hierarchy

Girard¹,

Wright²,

Beeney³

et al. 2017

Preprint

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We examined the relationship between psychopathology and interpersonal problems in a sample of 825 clinical and community participants. Sixteen psychiatric diagnoses and five transdiagnostic dimensions were examined in relation to self-reported interpersonal problems. The structural summary method was used with the Inventory of Interpersonal Problems Circumplex Scales to examine interpersonal problem profiles for each diagnosis and dimension. We built a structural model of mental disorders including factors corresponding to detachment (avoidant personality, social phobia, major depression), internalizing (dependent personality, borderline personality, panic disorder, posttraumatic stress, major depression), disinhibition (antisocial personality, drug dependence, alcohol dependence, borderline personality), dominance (histrionic personality, narcissistic personality, paranoid personality), and compulsivity (obsessivecompulsive personality). All dimensions showed good interpersonal prototypicality (e.g., detachment was defined by a socially avoidant/nonassertive interpersonal profile) except for internalizing, which was diffusely associated with elevated interpersonal distress. The findings for individual disorders were largely consistent with the dimension that each disorder loaded on, with the exception of the internalizing and dominance disorders, which were interpersonally heterogeneous. These results replicate previous findings and provide novel insights into social dysfunction in psychopathology by wedding the power of hierarchical (i.e., dimensional) modeling and interpersonal circumplex assessment.

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Section: Psychopathology and Interpersonal Problemssupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Interpersonal Problems Across Levels of the Psychopathology Hierarchy

Girard¹,

Wright²,

Beeney³

et al. 2017

Preprint

View full text Add to dashboard Cite

show abstract

“…Studies focusing on posttraumatic stress disorder (PTSD; Thomas et al, 2014) and GAD (Przeworski et al, 2011) identified four empirically derived interpersonal clusters arrayed around the quadrants of the circumplex (warm-dominant, warm-submissive, cold-submissive, and cold-dominant). Studies focusing on depression identified six (Cain et al, 2012) and eight (Grosse Holtforth et al, 2014) clusters. Despite differences between the two or more interpersonal clusters solutions, the overall message is that interpersonal heterogeneity appears to exist within specific disorders.…”

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confidence: 99%

Are there subtypes of panic disorder? An interpersonal perspective.

Zilcha‐Mano¹,

McCarthy

Dinger

et al. 2015

Journal of Consulting and Clinical Psychology

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Objective Panic disorder (PD) is associated with significant personal, social, and economic costs. However, little is known about specific interpersonal dysfunctions that characterize the PD population. The current study systematically examined these interpersonal dysfunctions. Method The present analyses included 194 patients with PD out of a sample of 201 who were randomized to cognitive-behavioral therapy, panic-focused psychodynamic psychotherapy, or applied relaxation training. Interpersonal dysfunction was measured using the Inventory of Interpersonal Problems–Circumplex (Horowitz, Alden, Wiggins, & Pincus, 2000). Results Individuals with PD reported greater levels of interpersonal distress than that of a normative cohort (especially when PD was accompanied by agoraphobia), but lower than that of a cohort of patients with major depression. There was no single interpersonal profile that characterized PD patients. Symptom-based clusters (with versus without agoraphobia) could not be discriminated on core or central interpersonal problems. Rather, as revealed by cluster analysis based on the pathoplasticity framework, there were two empirically derived interpersonal clusters among PD patients which were not accounted for by symptom severity and were opposite in nature: domineering-intrusive and nonassertive. The empirically derived interpersonal clusters appear to be of clinical utility in predicting alliance development throughout treatment: While the domineering-intrusive cluster did not show any changes in the alliance throughout treatment, the non-assertive cluster showed a process of significant strengthening of the alliance. Conclusions Empirically derived interpersonal clusters in PD provide clinically useful and non-redundant information about individuals with PD.

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“…Furthermore, Couto, Vandenberghe, Tavares, and Silva (2012) found relationships between interpersonal traits and social skills, while Cain et al (2012) showed that these traits can influence the course of depression and delay its remission. Grosse Holtforth et al (2014) found an association between interpersonal problems, depressive symptoms and the quality of the therapeutic alliance in psychotherapy. Interpersonal traits also predict the effect of treatment in patients with obesity problems (Lo Coco, Gullo, Scrima, & Bruno, 2012).…”

mentioning

confidence: 99%

Interpersonal Interactions in the Marital Pair and Mental Health: A Comparative and Correlational Study

Santos

Vandenberghe

Tavares

2015

Paidéia (Ribeirão Preto)

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Interpersonal interactions as social processes reflect and influence individuals' mental health. The aim of the study was to verify how marital interactions relate to mental health, and to investigate evidence for the validity of the Checklist for Interpersonal Transactions II (CLOIT-II). Participants were 169 couples from the southeast of the Brazilian state of Goiás, aged between 18 and 55 years (M = 21; SD = 5.48). They responded to a General Health Questionnaire (GHQ) and the CLOIT-II. Participants with low mental health problem scores in the GHQ (asymptomatic participants) tended to occupy interpersonal positions in the range between Deference/Trust and Affective warmth/Friendliness. In the group with high scores (symptomatic participants), interactions were defined by Coldness/Hostility. Mental health problems were positively correlated with mistrust, coldness and hostility and negatively correlated with positions of Affiliation. These results, in addition to supporting the validity of the CLOIT-II, indicate that the study of interpersonal relationships is relevant for the understanding of mental health.

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Interpersonal differentiation within depression diagnosis: Relating interpersonal subgroups to symptom load and the quality of the early therapeutic alliance

Cited by 41 publications

References 54 publications

Interpersonal Problems Across Levels of the Psychopathology Hierarchy

Interpersonal Problems Across Levels of the Psychopathology Hierarchy

Are there subtypes of panic disorder? An interpersonal perspective.

Interpersonal Interactions in the Marital Pair and Mental Health: A Comparative and Correlational Study

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