Working alliance as a predictor of change in depression during blended cognitive behaviour therapy

On behalf of the E-COMPARED consortium

doi:10.1080/16506073.2018.1533577

Working alliance as a predictor of change in depression during blended cognitive behaviour therapy

On behalf of the E-COMPARED consortium

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Blended Cognitive Behaviour Therapy (bCBT) is a new form of treatment, mixing internet-based modules and face-to-face therapist sessions. How participants rate the therapeutic alliance in bCBT has not yet been thoroughly explored, and neither is it clear whether therapist- and patient-rated alliances are predictors of change in depression during treatment. Depression and alliance ratings from 73 participants in a treatment study on bCBT (part of the E-COMPARED project) were analysed using growth curve models. Alliance, as rated by both patients and therapists, was high. The therapist-rated working alliance was predictive of subsequent changes in depression scores during treatment, whereas the patient-rated alliance was not. A therapeutic alliance can be established in bCBT. The role of the therapist-rated alliance seems to be of particular importance and should be carefully considered when collecting data in future studies on bCBT.

Original language	English
Pages (from-to)	285-299
Number of pages	15
Journal	Cognitive Behaviour Therapy
Volume	48
Issue number	4
DOIs	https://doi.org/10.1080/16506073.2018.1533577
Publication status	Published - 4 Jul 2019

Funding

This project is funded by the European Commission FP7-Health-2013-Innovation-1 program, grant agreement number: 603098. We thank the E-COMPARED consortium for financial support.

Funders	Funder number
European Commission FP7-Health-2013-Innovation-1 program
European Commission
Seventh Framework Programme	603098

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

blended treatment
depression
growth models
internet-based treatment
Therapeutic alliance

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10.1080/16506073.2018.1533577

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title = "Working alliance as a predictor of change in depression during blended cognitive behaviour therapy",

abstract = "Blended Cognitive Behaviour Therapy (bCBT) is a new form of treatment, mixing internet-based modules and face-to-face therapist sessions. How participants rate the therapeutic alliance in bCBT has not yet been thoroughly explored, and neither is it clear whether therapist- and patient-rated alliances are predictors of change in depression during treatment. Depression and alliance ratings from 73 participants in a treatment study on bCBT (part of the E-COMPARED project) were analysed using growth curve models. Alliance, as rated by both patients and therapists, was high. The therapist-rated working alliance was predictive of subsequent changes in depression scores during treatment, whereas the patient-rated alliance was not. A therapeutic alliance can be established in bCBT. The role of the therapist-rated alliance seems to be of particular importance and should be carefully considered when collecting data in future studies on bCBT.",

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author = "Kristofer Vernmark and Hugo Hesser and Naira Topooco and Thomas Berger and Heleen Riper and Liisa Luuk and Lisa Backlund and Per Carlbring and Gerhard Andersson and \{On behalf of the E-COMPARED consortium\}",

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AU - Topooco, Naira

AU - Berger, Thomas

AU - Riper, Heleen

AU - Luuk, Liisa

AU - Backlund, Lisa

AU - Carlbring, Per

AU - Andersson, Gerhard

AU - On behalf of the E-COMPARED consortium

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N2 - Blended Cognitive Behaviour Therapy (bCBT) is a new form of treatment, mixing internet-based modules and face-to-face therapist sessions. How participants rate the therapeutic alliance in bCBT has not yet been thoroughly explored, and neither is it clear whether therapist- and patient-rated alliances are predictors of change in depression during treatment. Depression and alliance ratings from 73 participants in a treatment study on bCBT (part of the E-COMPARED project) were analysed using growth curve models. Alliance, as rated by both patients and therapists, was high. The therapist-rated working alliance was predictive of subsequent changes in depression scores during treatment, whereas the patient-rated alliance was not. A therapeutic alliance can be established in bCBT. The role of the therapist-rated alliance seems to be of particular importance and should be carefully considered when collecting data in future studies on bCBT.

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Working alliance as a predictor of change in depression during blended cognitive behaviour therapy

Abstract

Funding

UN SDGs

Keywords

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