The Role of Therapeutic Alliance in Mindfulness Interventions: Therapeutic alliance in Mindfulness Training for Smokers
Open accessAbstract
Objective: Mindfulness‐based interventions have enjoyed a marked increase in support within biomedical and psychological research and practice in the past two decades. Despite the widespread application of these treatments for a range of psychological and medical conditions, there remains a lack of consensus regarding mechanisms through which these interventions effect change. One plausible yet underexplored mechanism is the therapeutic alliance between participants and mindfulness instructors. Methods: In this report, data are presented on therapeutic alliance from the mindfulness arm (n = 37) of a randomized controlled trial of a mindfulness‐based smoking cessation treatment. Results: Results suggest that client‐reported therapeutic alliance measured midtreatment did not significantly predict primary smoking outcomes. Alliance did predict improvement in posttreatment scores on several outcome variables linked to mindfulness practice, including emotion regulation (β = −.24, p = .042), mindfulness (β = .33, p = .007), negative affect (β = −.33, p = .040), as well as treatment compliance (β = .39, p = .011). Conclusion: Implications of these relationships and the possible role of therapeutic alliance in mindfulness treatments are explored.
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There is evidence for group effects in MBSR, but not for therapist or instructor effects.
“Finally, there is evidence for group effects in mindfulness-based stress reduction106, but not for therapist (or instructor) effects.”
From A common factors perspective on mindfulness-based interventions (2022) · cites this paper as [106]
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- Davis JM Goldberg SB Anderson MC Manley AR Smith SS Baker TB Randomized trial to evaluate the addition of mindfulness training to a usual-care smoking cessation intervention Substance Use and Misuse (In Press)
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“This relational bond between mindfulness instructors and clients has been positively associated with mindfulness, negative affect, and emotion regulation post-training outcomes, among other variables (Goldberg et al., 2013; Jazaieri et al., 2018).”
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- Authors
- Goldberg, S. B., Davis, J. M., & Hoyt, W. T.
- Affiliations
- University of Wisconsin–Madison (US)
- Corresponding author
- Goldberg, Simon B.
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2013-06-17
- Volume
- 69
- Issue
- 9
- Pages
- 936-950
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- PMC
- PMC3869569
- OpenAlex
- W2120478693
- Cited by
- 42
- References
- 69
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 6 · 2021: 3 · 2020: 2 · 2019: 5 · 2018: 5 · 2017: 3 · 2016: 3 · 2015: 2 · 2014: 5
- FWCI
- 3.68
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- DukeSpace (Duke University) (submittedVersion, cc-by-nc-nd)
- Funders
- National Institute on Drug Abuse (K23DA022471)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30HD003352)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Keywords
- therapeutic relationship, mindfulness-based interventions, smoking cessation, mindfulness training, emotion regulation, negative affect, medication adherence, mechanisms of change
- MeSH terms
- Adult, Female, Humans, Male, Middle Aged, Predictive Value of Tests, Professional-Patient Relations, Psychotherapy, Group, Smoking, Smoking Cessation, Treatment Outcome, Mindfulness
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