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The Reciprocal Rela...
The Reciprocal Relationship Between Alliance and Early Treatment Symptoms: A Two-Stage Individual Participant Data Meta-Analysis
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- Fluckiger, Christoph (author)
- Univ Zurich, Switzerland
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- Rubel, Julian (author)
- Justus Liebig Univ Giessen, Germany
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- Del Re, A. C. (author)
- Univ Zurich, Switzerland
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- Horvath, Adam O. (author)
- Simon Fraser Univ, Canada
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- Wampold, Bruce E. (author)
- Modum Bad Psychiat Ctr, Norway; Univ Wisconsin, WI 53706 USA
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- Crits-Christoph, Paul (author)
- Univ Penn, PA 19104 USA
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- Atzil-Slonim, Dana (author)
- Bar Ilan Univ, Israel
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- Compare, Angelo (author)
- Univ Bergamo, Italy
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- Falkenström, Fredrik (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Ekeblad, Annika (author)
- Linköpings universitet,Institutionen för beteendevetenskap och lärande,Filosofiska fakulteten
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- Errazuriz, Paula (author)
- Univ Chile, Chile
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- Fisher, Hadar (author)
- Bar Ilan Univ, Israel
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- Hoffart, Asle (author)
- Modum Bad Psychiat Ctr, Norway
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- Huppert, Jonathan D. (author)
- Hebrew Univ Jerusalem, Israel
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- Kivity, Yogev (author)
- Bar Ilan Univ, Israel
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- Kumar, Manasi (author)
- Univ Nairobi, Kenya
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- Lutz, Wolfgang (author)
- Univ Trier, Germany
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- Muran, John Christopher (author)
- Adelphi Univ, NY 21402 USA
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- Strunk, Daniel R. (author)
- Ohio State Univ, OH 43210 USA
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- Tasca, Giorgio A. (author)
- Univ Ottawa, Canada
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- Visla, Andreea (author)
- Univ Zurich, Switzerland
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- Voderholzer, Ulrich (author)
- Univ Munich, Germany
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- Webb, Christian A. (author)
- Harvard Med Sch, MA 02115 USA; McLean Hosp, MA USA
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- Xu, Hui (author)
- Loyola Univ Chicago, IL USA
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- Zilcha-Mano, Sigal (author)
- Univ Haifa, Israel
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- Barber, Jacques P. (author)
- Adelphi Univ, NY 21402 USA
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(creator_code:org_t)
- 2020-09
- 2020
- English.
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In: Journal of Consulting and Clinical Psychology. - : AMER PSYCHOLOGICAL ASSOC. - 0022-006X .- 1939-2117. ; 88:9, s. 829-843
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Objective: Even though the early alliance has been shown to robustly predict posttreatment outcomes, the question whether alliance leads to symptom reduction or symptom reduction leads to a better alliance remains unresolved. To better understand the relation between alliance and symptoms early in therapy, we meta-analyzed the lagged session-by-session within-patient effects of alliance and symptoms from Sessions I to 7. Method: We applied a 2-stage individual participant data meta-analytic approach. Based on the data sets of 17 primary studies from 9 countries that comprised 5,350 participants, we first calculated standardized session-by-session within-patient coefficients. Second, we meta-analyzed these coefficients by using random-effects models to calculate omnibus effects across the studies. Results: In line with previous meta-analyses, we found that early alliance predicted posttreatment outcome. We identified significant reciprocal within-patient effects between alliance and symptoms within the first 7 sessions. Cross-level interactions indicated that higher alliances and lower symptoms positively impacted the relation between alliance and symptoms in the subsequent session. Conclusion: The findings provide empirical evidence that in the early phase of therapy. symptoms and alliance were reciprocally related to one other, often resulting in a positive upward spiral of higher alliance/lower symptoms that predicted higher alliances/lower symptoms in the subsequent sessions. Two-stage individual participant data meta-analyses have the potential to move the field forward by generating and interlinking well-replicable process-based knowledge.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Keyword
- working alliance; early response; process-based therapy; within-patient effects; individual participant data meta-analysis
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Fluckiger, Chris ...
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Rubel, Julian
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Del Re, A. C.
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Horvath, Adam O.
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Wampold, Bruce E ...
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Crits-Christoph, ...
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show more...
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Atzil-Slonim, Da ...
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Compare, Angelo
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Falkenström, Fre ...
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Ekeblad, Annika
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Errazuriz, Paula
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Fisher, Hadar
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Hoffart, Asle
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Huppert, Jonatha ...
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Kivity, Yogev
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Kumar, Manasi
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Lutz, Wolfgang
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Muran, John Chri ...
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Strunk, Daniel R ...
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Tasca, Giorgio A ...
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Visla, Andreea
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Voderholzer, Ulr ...
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Webb, Christian ...
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Xu, Hui
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Zilcha-Mano, Sig ...
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Barber, Jacques ...
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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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Journal of Consu ...
- By the university
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Linköping University