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The Reciprocal Rela...
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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 ...
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2020-09
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AMER PSYCHOLOGICAL ASSOC,2020
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:liu-168854
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-168854URI
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https://doi.org/10.1037/ccp0000594DOI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Funding Agencies|Swiss National Science FoundationSwiss National Science Foundation (SNSF) [PP00P1_163702]; Foundation for Research in Science University of Zurich [STWF-19-018]
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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.
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Rubel, JulianJustus Liebig Univ Giessen, Germany
(author)
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Del Re, A. C.Univ Zurich, Switzerland
(author)
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Horvath, Adam O.Simon Fraser Univ, Canada
(author)
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Wampold, Bruce E.Modum Bad Psychiat Ctr, Norway; Univ Wisconsin, WI 53706 USA
(author)
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Crits-Christoph, PaulUniv Penn, PA 19104 USA
(author)
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Atzil-Slonim, DanaBar Ilan Univ, Israel
(author)
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Compare, AngeloUniv Bergamo, Italy
(author)
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Falkenström, FredrikLinköpings universitet,Psykologi,Filosofiska fakulteten(Swepub:liu)frefa24
(author)
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Ekeblad, AnnikaLinköpings universitet,Institutionen för beteendevetenskap och lärande,Filosofiska fakulteten(Swepub:liu)annek60
(author)
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Errazuriz, PaulaUniv Chile, Chile
(author)
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Fisher, HadarBar Ilan Univ, Israel
(author)
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Hoffart, AsleModum Bad Psychiat Ctr, Norway
(author)
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Huppert, Jonathan D.Hebrew Univ Jerusalem, Israel
(author)
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Kivity, YogevBar Ilan Univ, Israel
(author)
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Kumar, ManasiUniv Nairobi, Kenya
(author)
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Lutz, WolfgangUniv Trier, Germany
(author)
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Muran, John ChristopherAdelphi Univ, NY 21402 USA
(author)
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Strunk, Daniel R.Ohio State Univ, OH 43210 USA
(author)
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Tasca, Giorgio A.Univ Ottawa, Canada
(author)
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Visla, AndreeaUniv Zurich, Switzerland
(author)
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Voderholzer, UlrichUniv Munich, Germany
(author)
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Webb, Christian A.Harvard Med Sch, MA 02115 USA; McLean Hosp, MA USA
(author)
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Xu, HuiLoyola Univ Chicago, IL USA
(author)
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Zilcha-Mano, SigalUniv Haifa, Israel
(author)
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Barber, Jacques P.Adelphi Univ, NY 21402 USA
(author)
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Univ Zurich, SwitzerlandJustus Liebig Univ Giessen, Germany
(creator_code:org_t)
Related titles
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In:Journal of Consulting and Clinical Psychology: AMER PSYCHOLOGICAL ASSOC88:9, s. 829-8430022-006X1939-2117
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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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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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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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Linköping University