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- Vernmark, Kristofer, et al.
(author)
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The role of therapeutic alliance in blended treatment for depression
- 2017
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Conference paper (peer-reviewed)abstract
- Introduction: Blended Cognitive Behaviour Therapy (bCBT) uses a combination of face-to-face sessions and online material, such as self-help modules, and can be used in the treatment of depression. The blended format has the potential of integrating internet-based components into treatment without completely removing the traditional face-to-face setting. This way of delivery can lower the threshold when it comes to using digital components in CBT. The role of therapeutic alliance in this format is yet to be explored, specifically the role of therapist rated alliance, as most studies only include patient rated measurements of alliance. Methods: Working alliance and depression ratings from 73 participants in a study on bCBT for depression (part of the E-COMPARED project) was analysed using growth curve models. Results: High ratings for both patient-and therapist rated working alliance were found. Therapist rated alliance predicted a positive change (decreased PHQ-9 scores) in depression during treatment. Discussion: Ratings of therapeutic alliance was similar to what have been seen in face-to-face and internet-based treatment. Patient rated alliance could not predict change rate in depression, which is a common finding in ICBT-studies. However, therapist rated alliance had a significant correlation with change rate and predicted a decrease in depression during treatment. These results sheds more light on the concept and role of therapeutic alliance in internet-based and blended treatments.
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| 2. |
- Vernmark, Kristofer, 1976-, et al.
(author)
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Working alliance as a predictor of change in depression during blended cognitive behaviour therapy
- 2019
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In: Cognitive Behaviour Therapy. - : Informa UK Limited. - 1650-6073 .- 1651-2316. ; 48:4, s. 285-299
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Journal article (peer-reviewed)abstract
- 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.
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