Working alliance as a predictor of change in depression during blended cognitive behaviour therapy

Blended Cognitive Behaviour Therapy (bCBT) is a new form of treatment, mixing internet-based modules and face-to-face therapist sessions. How participants rate the therapeutic alliance in bCBT has not yet been thoroughly explored, and neither is it clear whether therapist- and patient-rated alliance...

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Veröffentlicht in:Cognitive behaviour therapy 2019-01, Vol.48 (4), p.285-299
Hauptverfasser: Vernmark, Kristofer, Hesser, Hugo, Topooco, Naira, Berger, Thomas, Riper, Heleen, Luuk, Liisa, Backlund, Lisa, Carlbring, Per, Andersson, Gerhard
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container_end_page 299
container_issue 4
container_start_page 285
container_title Cognitive behaviour therapy
container_volume 48
creator Vernmark, Kristofer
Hesser, Hugo
Topooco, Naira
Berger, Thomas
Riper, Heleen
Luuk, Liisa
Backlund, Lisa
Carlbring, Per
Andersson, Gerhard
description Blended Cognitive Behaviour Therapy (bCBT) is a new form of treatment, mixing internet-based modules and face-to-face therapist sessions. How participants rate the therapeutic alliance in bCBT has not yet been thoroughly explored, and neither is it clear whether therapist- and patient-rated alliances are predictors of change in depression during treatment. Depression and alliance ratings from 73 participants in a treatment study on bCBT (part of the E-COMPARED project) were analysed using growth curve models. Alliance, as rated by both patients and therapists, was high. The therapist-rated working alliance was predictive of subsequent changes in depression scores during treatment, whereas the patient-rated alliance was not. A therapeutic alliance can be established in bCBT. The role of the therapist-rated alliance seems to be of particular importance and should be carefully considered when collecting data in future studies on bCBT.
doi_str_mv 10.1080/16506073.2018.1533577
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subjects Adult
Behavior modification
blended treatment
Cognitive Behavioral Therapy - methods
Cognitive therapy
depression
Depressive Disorder, Major - therapy
Female
growth models
Humans
Internet
internet-based treatment
Male
Medicin och hälsovetenskap
Mental depression
Psychology
psykologi
Therapeutic Alliance
Therapy, Computer-Assisted
Treatment Outcome
Young Adult
title Working alliance as a predictor of change in depression during blended cognitive behaviour therapy
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