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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 (författare)
- Hebrew Univ Jerusalem, Israel
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- Strauss, Asher Y. (författare)
- Hebrew Univ Jerusalem, Israel
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- Halaj, Asala (författare)
- Hebrew Univ Jerusalem, Israel
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- Barzilay, Snir (författare)
- Hebrew Univ Jerusalem, Israel
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- Fradkin, Isaac (författare)
- Hebrew Univ Jerusalem, Israel
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- Katz, Benjamin A. (författare)
- Hebrew Univ Jerusalem, Israel
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- Ganor, Tal (författare)
- Hebrew Univ Jerusalem, Israel
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- Ebert, David Daniel (författare)
- Vrije Univ, Netherlands
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- Andersson, Gerhard, Fil dr, Med dr, 1966- (författare)
- Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Karolinska Inst, Sweden
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- Huppert, Jonathan D. (författare)
- Hebrew Univ Jerusalem, Israel
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(creator_code:org_t)
- 2021-02-10
- 2021
- Engelska.
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Ingår i: Psychotherapy Research. - : Routledge. - 1050-3307 .- 1468-4381. ; 31:8, s. 1022-1035
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
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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.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Nyckelord
- ICBT; symptom reduction; adherence; dropout; internet alliance; internet intervention; I-PEAR
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Till lärosätets databas
- Av författaren/redakt...
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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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visa fler...
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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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visa färre...
- Om ämnet
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- SAMHÄLLSVETENSKAP
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SAMHÄLLSVETENSKA ...
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och Psykologi
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och Tillämpad psykol ...
- Artiklar i publikationen
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Psychotherapy Re ...
- Av lärosätet
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Linköpings universitet
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Karolinska Institutet