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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
Johannes Gutenberg-University Mainz, Germany.
Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences. Linköping University, The Swedish Institute for Disability Research. Philipps-University Marburg, Germany. (Linnaeus Centre HEAD)
Johannes Gutenberg-University Mainz, Germany.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Linköping University, The Swedish Institute for Disability Research. (Linnaeus Centre HEAD)ORCID iD: 0000-0003-4753-6745
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2014 (English)In: Internet Interventions, ISSN 2214-7829, Vol. 1, no 2, 49-57 p.Article in journal (Refereed) Published
Abstract [en]

Objective

This 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.

Methods

The 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.

Results

High 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).

Conclusion

More 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.

Place, publisher, year, edition, pages
Elsevier, 2014. Vol. 1, no 2, 49-57 p.
Keyword [en]
Internet-based cognitive behavior therapy, Cognitive behavior group therapy, Therapeutic alliance, Working alliance, Tinnitus
National Category
Other Social Sciences
Identifiers
URN: urn:nbn:se:liu:diva-111860DOI: 10.1016/j.invent.2014.04.002OAI: oai:DiVA.org:liu-111860DiVA: diva2:761132
Available from: 2014-11-05 Created: 2014-11-05 Last updated: 2017-12-05Bibliographically approved

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Weise, CorneliaAndersson, Gerhard

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