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 |
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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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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. 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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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