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Patient alliance wi...
Patient alliance with the program predicts treatment outcomes whereas alliance with the therapist predicts adherence in internet-based therapy for panic disorder
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- Zalaznik, Dina (author)
- Hebrew Univ Jerusalem, Israel
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- Strauss, Asher Y. (author)
- Hebrew Univ Jerusalem, Israel
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- Halaj, Asala (author)
- Hebrew Univ Jerusalem, Israel
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- Barzilay, Snir (author)
- Hebrew Univ Jerusalem, Israel
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- Fradkin, Isaac (author)
- Hebrew Univ Jerusalem, Israel
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- Katz, Benjamin A. (author)
- Hebrew Univ Jerusalem, Israel
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- Ganor, Tal (author)
- Hebrew Univ Jerusalem, Israel
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- Ebert, David Daniel (author)
- Vrije Univ, Netherlands
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- Andersson, Gerhard, Fil dr, Med dr, 1966- (author)
- Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Karolinska Inst, Sweden
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- Huppert, Jonathan D. (author)
- Hebrew Univ Jerusalem, Israel
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(creator_code:org_t)
- 2021-02-10
- 2021
- English.
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In: Psychotherapy Research. - : Routledge. - 1050-3307 .- 1468-4381. ; 31:8, s. 1022-1035
- Related links:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
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- Objective This study examines relationships among different aspects of therapeutic alliance with treatment outcome, adherence and attrition in internet delivered cognitive behavioral therapy (ICBT) for panic disorder. Methods: We examined alliance-outcome relationships in ICBT (N = 74) using a newly developed self-report alliance measure that disentangles alliance with program content (Internet Patients Experience of Attunement and Responsiveness with the program; I-PEARp) and with the therapist (I-PEARt). We compared ICBT outcomes of patient rated and therapist-rated alliance with conventional alliance scales (WAI-6 and WAI-T). Results: Consistent with our hypothesis, I-PEARp and I-PEARt distinguished between different aspects of the alliance and predicted outcomes better than standard alliance scales. Furthermore, higher ratings of I-PEARp were associated with subsequent lower symptoms and lower symptoms were associated with higher subsequent alliance. In contrast, I-PEARt predicted adherence, but not symptoms. Although therapists ratings of alliance (thI-PEAR) improved significantly during treatment, they did not predict subsequent symptoms, adherence, or dropout. Conclusion: Results indicate that the patient experience of the alliance in ICBT includes two aspects, each of which uniquely contributes to outcomes; patient connection to the program is related to symptom outcomes whereas the dyadic relationship with the therapist serves as the glue to allow the treatment to hold.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Keyword
- ICBT; symptom reduction; adherence; dropout; internet alliance; internet intervention; I-PEAR
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Zalaznik, Dina
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Strauss, Asher Y ...
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Halaj, Asala
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Barzilay, Snir
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Fradkin, Isaac
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Katz, Benjamin A ...
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show more...
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Ganor, Tal
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Ebert, David Dan ...
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Andersson, Gerha ...
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Huppert, Jonatha ...
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show less...
- About the subject
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Psychology
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and Applied Psycholo ...
- Articles in the publication
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Psychotherapy Re ...
- By the university
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Linköping University
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Karolinska Institutet