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The working alliance in a randomized controlled trial comparing Internet-based self-help and face-to-face cognitive behavior therapy for chronic tinnitus

Jasper, Kristine (författare)
Johannes Gutenberg-University Mainz, Germany
Weise, Cornelia (författare)
Linköpings universitet,Handikappvetenskap,Filosofiska fakulteten,Institutet för handikappvetenskap (IHV),Philipps-University Marburg, Germany,Linnaeus Centre HEAD
Conrad, Isabell (författare)
Johannes Gutenberg-University Mainz, Germany
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Andersson, Gerhard (författare)
Linköpings universitet,Psykologi,Filosofiska fakulteten,Institutet för handikappvetenskap (IHV),Linnaeus Centre HEAD
Hiller, Wolfgang (författare)
Johannes Gutenberg-University Mainz, Germany
Kleinstäuber, Maria (författare)
Philipps-University Marburg, Germany
visa färre...
 (creator_code:org_t)
Elsevier, 2014
2014
Engelska.
Ingår i: Internet Interventions. - : Elsevier. - 2214-7829. ; 1:2, s. 49-57
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • ObjectiveThis study (ID: NCT01205906) compared the impact of the working alliance between the therapist and the client on treatment outcome in a group and an Internet-based cognitive behavior therapy (GCBT vs. ICBT) for chronic tinnitus.MethodsThe Working Alliance Inventory — Short Revised (WAI-SR, scale range: 1–5) was administered to 26 GCBT and 38 ICBT participants after treatment weeks 2, 5, and 9, and the Tinnitus Handicap Inventory (THI) before and after the treatment.ResultsHigh alliance ratings were found in both ICBT (WAI-SR total scores at week 9: M = 3.59, SD = 0.72) and GCBT (WAI-SR total scores at week 9: M = 4.20, SD = 0.49), but significantly higher ratings occurred in GCBT on most WAI-SR scales (ps < .01). Significant time × group interactions for most WAI-SR scales indicated differences in alliance growth patterns between the treatments (ps < .001). Residual gain scores for the therapy outcome measure ‘tinnitus distress’ were significantly correlated with the agreement on treatment tasks between therapist and client in ICBT (r = .40, p = .014) and with the affective therapeutic bond in GCBT (r = .40, p = .043) at mid-treatment (week 5).ConclusionMore time was needed to build a strong alliance in ICBT although GCBT yielded generally higher alliance ratings. Moreover, different aspects of the therapeutic alliance might be important for treatment success in ICBT versus GCBT.

Ämnesord

SAMHÄLLSVETENSKAP  -- Annan samhällsvetenskap (hsv//swe)
SOCIAL SCIENCES  -- Other Social Sciences (hsv//eng)

Nyckelord

Internet-based cognitive behavior therapy
Cognitive behavior group therapy
Therapeutic alliance
Working alliance
Tinnitus

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