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  • Fluckiger, ChristophUniv Zurich, Switzerland (author)

The Reciprocal Relationship Between Alliance and Early Treatment Symptoms: A Two-Stage Individual Participant Data Meta-Analysis

  • Article/chapterEnglish2020

Publisher, publication year, extent ...

  • 2020-09
  • AMER PSYCHOLOGICAL ASSOC,2020
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:liu-168854
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-168854URI
  • https://doi.org/10.1037/ccp0000594DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding Agencies|Swiss National Science FoundationSwiss National Science Foundation (SNSF) [PP00P1_163702]; Foundation for Research in Science University of Zurich [STWF-19-018]
  • 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.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Rubel, JulianJustus Liebig Univ Giessen, Germany (author)
  • Del Re, A. C.Univ Zurich, Switzerland (author)
  • Horvath, Adam O.Simon Fraser Univ, Canada (author)
  • Wampold, Bruce E.Modum Bad Psychiat Ctr, Norway; Univ Wisconsin, WI 53706 USA (author)
  • Crits-Christoph, PaulUniv Penn, PA 19104 USA (author)
  • Atzil-Slonim, DanaBar Ilan Univ, Israel (author)
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  • Errazuriz, PaulaUniv Chile, Chile (author)
  • Fisher, HadarBar Ilan Univ, Israel (author)
  • Hoffart, AsleModum Bad Psychiat Ctr, Norway (author)
  • Huppert, Jonathan D.Hebrew Univ Jerusalem, Israel (author)
  • Kivity, YogevBar Ilan Univ, Israel (author)
  • Kumar, ManasiUniv Nairobi, Kenya (author)
  • Lutz, WolfgangUniv Trier, Germany (author)
  • Muran, John ChristopherAdelphi Univ, NY 21402 USA (author)
  • Strunk, Daniel R.Ohio State Univ, OH 43210 USA (author)
  • Tasca, Giorgio A.Univ Ottawa, Canada (author)
  • Visla, AndreeaUniv Zurich, Switzerland (author)
  • Voderholzer, UlrichUniv Munich, Germany (author)
  • Webb, Christian A.Harvard Med Sch, MA 02115 USA; McLean Hosp, MA USA (author)
  • Xu, HuiLoyola Univ Chicago, IL USA (author)
  • Zilcha-Mano, SigalUniv Haifa, Israel (author)
  • Barber, Jacques P.Adelphi Univ, NY 21402 USA (author)
  • Univ Zurich, SwitzerlandJustus Liebig Univ Giessen, Germany (creator_code:org_t)

Related titles

  • In:Journal of Consulting and Clinical Psychology: AMER PSYCHOLOGICAL ASSOC88:9, s. 829-8430022-006X1939-2117

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