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Working alliance predicts psychotherapy outcome even while controlling for prior symptom improvement
Centre for Clinical Research Sörmland, Uppsala University, Sweden.
Centre for Clinical Research Sörmland, Uppsala University, Sweden.
Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
2014 (Engelska)Ingår i: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 24, nr 2, s. 146-159Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: Although the working alliance as been found to be a robust predictor of psychotherapy outcome, critics have questioned the causal status of this effect. Specifically, the effect of the alliance may be confounded with the effect of prior symptom improvement. The objective of the present study was to test this possibility. Method: A large dataset from primary care psychotherapy was used to study relationships between alliance and outcome using piecewise multilevel path analysis. Results: Initial symptom level and symptom change up to session three predicted the alliance at session three. Working alliance significantly predicted symptom change rate from session three to termination, even while controlling for several possible confounds. Conclusions: The alliance predicts outcome over and above the effect of prior symptom improvement, supporting a reciprocal influence model of the relationship between alliance and symptom change.

Ort, förlag, år, upplaga, sidor
Routledge, 2014. Vol. 24, nr 2, s. 146-159
Nyckelord [en]
working alliance; psychotherapy outcome; therapy process; multilevel modeling; path analysis
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Identifikatorer
URN: urn:nbn:se:liu:diva-105033DOI: 10.1080/10503307.2013.847985ISI: 000330690800003PubMedID: 24188079Scopus ID: 2-s2.0-84893724810OAI: oai:DiVA.org:liu-105033DiVA, id: diva2:703384
Tillgänglig från: 2014-03-06 Skapad: 2014-03-06 Senast uppdaterad: 2017-12-05Bibliografiskt granskad

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Holmqvist, Rolf

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