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Improvement of the ...
Improvement of the Working Alliance in One Treatment Session Predicts Improvement of Depressive Symptoms by the Next Session
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- Falkenström, Fredrik (författare)
- Linköpings universitet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Institutionen för neurovetenskap,Linkoping Univ, Dept Behav Sci & Learning, Lustigkullevagen 17, S-58183 Linkoping, Sweden.,Institutionen för beteendevetenskap och lärande,Filosofiska fakulteten,Uppsala University, Sweden
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- Ekeblad, Annika (författare)
- Linköpings universitet,Institutionen för beteendevetenskap och lärande,Filosofiska fakulteten,Vasternorrland County Council, Sweden,Linkoping Univ, Dept Behav Sci & Learning, Lustigkullevagen 17, S-58183 Linkoping, Sweden.;Vasternorrland Cty Council, Psychiat Clin, Harnosand, Vasternorrland, Sweden.
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- Holmqvist, Rolf (författare)
- Linköpings universitet,Psykologi,Filosofiska fakulteten,Linkoping Univ, Dept Behav Sci & Learning, Lustigkullevagen 17, S-58183 Linkoping, Sweden.
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(creator_code:org_t)
- 2016
- 2016
- Engelska.
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Ingår i: Journal of Consulting and Clinical Psychology. - : American Psychological Association (APA). - 0022-006X .- 1939-2117. ; 84:8, s. 738-751
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Abstract
Ämnesord
Stäng
- Objective: Developments in working alliance theory posit that the therapist's attention to fluctuations in the alliance throughout treatment is crucial. Accordingly, researchers have begun studying the alliance as a time-varying mechanism of change rather than as a static moderator. However, most studies to date suffer from bias owing to the nonindependence of error term and predictors (endogeneity). Method: Patients with major depressive disorder (N = 84) from a randomized trial comparing cognitive-behavioral therapy with interpersonal psychotherapy filled out the Beck Depression Inventory-II before each session. After each session, patients and therapists filled out the Working Alliance Inventory short forms. Data were analyzed using the generalized method of moments for dynamic panel data, a method commonly applied in econometrics to eliminate endogeneity bias. Results: Improvement of the alliance predicted significant reduction of depressive symptoms by the next session (patient rating: b = -4.35, SE = 1.96, p = .026, 95% confidence interval [CI] [-8.19, -0.51]; therapist rating: b = -4.92, SE = 1.84, p = .008, 95% CI [-8.53, -1.31]). In addition, there was a significant delayed effect on the session after the next (patient rating: b = -3.25, SE = 1.20, p = .007, 95% CI [-5.61, -0.89]; therapist rating: b = -5.44, SE = 1.92, p = .005, 95% CI [-9.20, -1.68]). Conclusion: If the quality of patient-therapist alliance is improved in a given treatment session, depressive symptoms will likely decrease by the next session. The most important limitation of this study is its relatively small sample size.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Nyckelord
- working alliance
- process-outcome
- depression
- common factors
- endogeneity
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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