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Therapeutic Alliance in Internet-Delivered Cognitive Behaviour Therapy for Depression or Generalized Anxiety
University of Regina, Canada.
University of Regina, Canada; 715 East 12th Ave, Canada.
Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.ORCID-id: 0000-0002-9736-8228
Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Institute, Department Clin Neurosci, Stockholm, Sweden.ORCID-id: 0000-0003-4753-6745
2017 (engelsk)Inngår i: Clinical Psychology and Psychotherapy, ISSN 1063-3995, E-ISSN 1099-0879, Vol. 24, nr 2, s. 451-461Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

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. Copyright (c) 2016 John Wiley amp; Sons, Ltd.

sted, utgiver, år, opplag, sider
WILEY , 2017. Vol. 24, nr 2, s. 451-461
Emneord [en]
Depression; Generalized Anxiety; Internet delivered; Cognitive Behaviour Therapy; Therapeutic Alliance
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-137100DOI: 10.1002/cpp.2014ISI: 000399352800015PubMedID: 27060617OAI: oai:DiVA.org:liu-137100DiVA, id: diva2:1093232
Merknad

Funding Agencies|Canadian Institutes of Health Research [101526]; Saskatchewan Health Research Foundation

Tilgjengelig fra: 2017-05-05 Laget: 2017-05-05 Sist oppdatert: 2018-12-12

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