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Therapeutic Alliance in Internet-Delivered Cognitive Behaviour Therapy for Depression or Generalized Anxiety
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- Hesser, Hugo (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Pugh, N. E. (author)
- Department of Psychology, University of Regina, Regina SK, Canada,University of Regina, Canada; 715 East 12th Ave, Canada
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- Hesser, Hugo, 1982- (author)
- Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden
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- (creator_code:org_t)
- 2016-04-06
- 2017
- English.
- In: Clinical Psychology and Psychotherapy. - : John Wiley & Sons. - 1063-3995 .- 1099-0879. ; 24:2, s. 451-461
- Journal article (peer-reviewed)
Abstract
Subject headings
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- There has been limited research on therapeutic alliance in the context of therapist-assisted Internet-delivered cognitive behaviour therapy (ICBT) when delivered in clinical practice. The present study investigated therapeutic alliance in ICBT delivered to patients seeking treatment for symptoms of depression (n=83) or generalized anxiety (n=112) as part of an open dissemination trial. ICBT was provided by 27 registered therapists or 28 graduate students working in six geographically dispersed clinics; therapist-assistance was delivered primarily through secure messages and occasionally telephone calls. The Generalized Anxiety Disorder-7 and Patient Health Questionnaire-9 were collected pre-, mid- and post-treatment, and the Therapeutic Alliance Questionnaire was assessed mid- and post-treatment. Therapeutic alliance ratings were high both at mid-treatment and post-treatment (above 80%). There was no relationship between therapeutic alliance ratings and improvement on primary outcomes. Among patients treated for depression, lower ratings of mid-treatment alliance were associated with concurrent treatment by a psychiatrist and fewer phone calls and emails from their therapist. Among patients treated for generalized anxiety, ratings of mid-treatment alliance were higher among registered providers as compared to graduate students. Multiple directions for future research on therapeutic alliance in ICBT are offered, including suggestions for developing a new measure of therapeutic alliance specific to ICBT and measuring therapeutic alliance throughout the treatment process.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Keyword
- Depression
- Generalized Anxiety
- Internet delivered
- Cognitive Behaviour Therapy
- Therapeutic Alliance
Publication and Content Type
- ref (subject category)
- art (subject category)
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- Hesser, Hugo
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- SOCIAL SCIENCES
- SOCIAL SCIENCES
- and Psychology
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- Örebro University
- Karolinska Institutet
- Linköping University
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