The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.
Treatment expectancies, patient alliance, and outcome: further analyses from the national institute of mental health treatment of depression collaborative research program
Abstract
Prior analyses from the National Institute of Mental Health Treatment of Depression Collaborative Research Program indicated that patients' expectancies of treatment effectiveness (S. M. Sotsky et al., 1991) and the quality of the therapeutic alliance (J. L. Krupnick et al., 1996) predicted clinical improvement. These data were reanalyzed to examine the hypothesis that the link between treatment expectancies and outcome would be mediated by patients' contribution to the alliance. Among 151 patients who completed treatment, this hypothesis was supported, suggesting that patients who expect treatment to be effective tend to engage more constructively in session, which helps bring about symptom reduction. Therapists' expectancies for patient improvement also predicted outcome, although this association was not mediated by the alliance. None of the expectancy scales interacted with alliance ratings in the prediction of clinical improvement.
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“For example clinical studies with in- or outpatient populations may vary substantially from nonhelp-seeking patients in the community. [34-37]”
From The more it is needed, the less it is wanted: Attitudes toward face-to-face intervention among depressed patients undergoing online treatment (2013) · cites this paper as [34]
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“Moreover, it is safe to suggest that patients’ motivation for treatment is related to their understanding of the treatment (Calkins et al. 1997; Meyer et al. 2002; Makaryus & Friedman, 2005).”
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“…between outcome expectancy and symptom improvement is surprising because it inconsistent with the handful of empirical studies examining this question (Abouguendia et al., 2004; Johansson et al., 2011; Joyce et al., 2003; Meyer et al., 2002; Sauer-Zavala et al., 2018; V ̯ ıslă et al., 2018).”
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“Specifically, similar to previous analyses (Meyer et al., 2002), we computed residualized change scores, reflecting each participant’s deviation from the expected change in symptom intensity between the two time-points.”
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Metadata
- Authors
- Meyer, B., Pilkonis, P. A., Krupnick, J. L., Egan, M. K., Simmens, S. J., & Sotsky, S. M.
- Affiliations
- Georgetown University (US)
- George Washington University (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2002
- Volume
- 70
- Issue
- 4
- Pages
- 1051-1055
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W1977873119
- Cited by
- 322
- References
- 0
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 3 · 2023: 12 · 2022: 5 · 2021: 13 · 2020: 18 · 2019: 14 · 2018: 12 · 2017: 11 · 2016: 21 · 2015: 20 · 2014: 19 · 2013: 20 · 2012: 22
- FWCI
- 12.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- treatment expectancy, therapeutic relationship, depression, treatment outcomes, mediation, patient engagement, psychotherapy
- MeSH terms
- Adult, Attitude to Health, Major Depressive Disorder, Female, Humans, Male, Mental Health Services, Middle Aged, Patient Compliance, Professional-Patient Relations, Treatment Outcome
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