The Therapeutic Alliance Predicts Outcomes of Cognitive Behavior Therapy but Not of Mindfulness-Based Cognitive Therapy for Depressive Symptoms
Abstract
Meta-analyses have indicated a consistent correlation between the therapeutic alliance and treatment outcomes across various psychological treatments and patient populations, including treatments for depression. However, few studies have directly compared two active treatments with respect to the alliance-outcome association. A recent randomized trial demonstrated that the alliance was more strongly related to depressive symptom improvement in the cognitive behavioral analysis system of psychotherapy (which focuses more on enhancing collaborative working relationships) than in brief supportive psychotherapy for depression. This result suggests that the extent to which aspects of the therapeutic alliance (i.e. mutual agreement on therapeutic goals, mutual agreement on tasks, and the bond between the patient and therapist) are central to a treatment might affect the predictive value of the alliance.
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Cites
The generalizability of the psychoanalytic concept of the working alliance.
Bordin, E. S. (1979) · Psychotherapy: Theory, Research & Practice · doi:10.1037/h0085885 · Cited by 5,238 · see citing works
Alliance in individual psychotherapy
Horvath, A. O., Del Re, A. C., Flückiger, C., & Symonds, D. (2011) · Psychotherapy · doi:10.1037/a0022186 · Cited by 2,072 · see citing works
Factor structure of the working alliance inventory
Tracey, T. J., & Kokotovic, A. M. (1989) · Psychological Assessment: A Journal of Consulting and Clinical Psychology · doi:10.1037/1040-3590.1.3.207 · Cited by 1,501 · see citing works
Strunk, D. R., Brotman, M. A., & DeRubeis, R. J. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.03.011 · Cited by 169 · see citing works
Arnow, B. A., Steidtmann, D. K., Blasey, C. M., Manber, R., Constantino, M. J., Klein, D. N., Markowitz, J. C., ROTHBAUM, B. O., Thase, M. E., Fisher, A. J., et al. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0031530 · Cited by 166 · see citing works
Tovote, K. A., Fleer, J., Snippe, E., Peeters, A. C. T. M., Emmelkamp, P. M. G., Sanderman, R., Links, T. P., & Schroevers, M. J. (2014) · Diabetes Care · doi:10.2337/dc13-2918 · Cited by 163 · see citing works
Self-citationTwo aspects of the therapeutic alliance: Differential relations with depressive symptom change.
Webb, C. A., DeRubeis, R. J., Amsterdam, J. D., Shelton, R. C., Hollon, S. D., & Dimidjian, S. (2011) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0023252 · Cited by 150 · see citing works
Stinckens, N., Ulburghs, A., & Claes, L. (2009) · Cited by 47 · see citing works
Mindfulness-based cognitive therapy: culture clash or creative fusion?
Fennell, M., & Segal, Z. (2011) · Contemporary Buddhism · doi:10.1080/14639947.2011.564828 · Cited by 37 · see citing works
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The alliance in adult psychotherapy: A meta-analytic synthesis
Flückiger, C., Del Re, A. C., Wampold, B. E., & Horvath, A. O. (2018) · Psychotherapy · doi:10.1037/pst0000172 · Cited by 1,763 · see citing works
Nissen, E. R., Zachariae, R., O'Connor, M., Kaldo, V., Jørgensen, C. R., Højris, I., Borre, M., & Mehlsen, M. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100365 · Cited by 32 · see citing works
“Another explanation of why therapeutic alliance did not predict outcomes in the present study could be that the mechanisms of change in MBIs, in general, are more dependent on the participants’ thought processes and their acquisition of mindfulness-skills and not to the same degree depends on the interaction with a th…”
BackgroundBisseling, E. M., Schellekens, M. P. J., Spinhoven, P., Compen, F. R., Speckens, A. E. M., & van der Lee, M. L. (2019) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2352 · Cited by 31 · see citing works
Lorenzo‐Luaces, L., Driessen, E., DeRubeis, R. J., Van, H. L., Keefe, J. R., Hendriksen, M., & Dekker, J. (2016) · Behavior Therapy · doi:10.1016/j.beth.2016.11.011 · Cited by 29 · see citing works
Sudden gains in the alliance in cognitive behavioral therapy versus brief relational therapy.
Zilcha‐Mano, S., Eubanks, C. F., & Muran, J. C. (2019) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000397 · Cited by 28 · see citing works
Lilja, J. L., Zelleroth, C., Axberg, U., & Norlander, T. (2016) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12302 · Cited by 12 · see citing works
Predictors of response to brief CBT in patients with cardiopulmonary conditions.
Hundt, N. E., Renn, B. N., Sansgiry, S., Petersen, N. J., Stanley, M. A., Kauth, M. R., Naik, A. D., Kunik, M. E., & Cully, J. A. (2018) · Health Psychology · doi:10.1037/hea0000595 · Cited by 11 · see citing works
Juicy Conceptualizations: Increasing Alliance Through Attending to Client Metaphoric Language
Mathieson, F. M., Jordan, J., Merrick, P. L., & Stubbe, M. H. (2017) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465817000339 · Cited by 11 · see citing works
Boyer, B. E., MacKay, K. J., McLeod, B. D., & der Oord, S. V. (2018) · Behavior Therapy · doi:10.1016/j.beth.2018.01.003 · Cited by 11 · see citing works
Automated Detection of Mind Wandering: A Mobile Application
Cheetham, M., Cepeda, C., & Gamboa, H. F. S. (2016) · International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC) · doi:10.5220/0005702401980205 · Cited by 5 · see citing works
Gonçalves, M. M., Sousa, I., & Rosa, C. (2019) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2374 · Cited by 5 · see citing works
Creating a Therapeutic Alliance with Caregivers: An Introduction to Motivational Interviewing
Plattner, C., & Anderson, C. (2024) · Behavior Analysis in Practice · doi:10.1007/s40617-024-00948-8 · Cited by 4 · see citing works
Do we really need a process-based approach to psychotherapy?
Emmelkamp, P. M. G. (2021) · World Psychiatry · doi:10.1002/wps.20889 · Cited by 2 · see citing works
Self-citation
- Authors
- Snippe, E., Fleer, J., Tovote, K. A., Sanderman, R., Emmelkamp, P. M. G., & Schroevers, M. J.
- Affiliations
- University Medical Center Groningen (NL)
- King Abdulaziz University (SA)
- Corresponding author
- Schroevers, Maya J.
- ORCID
- Venue
- Psychotherapy and Psychosomatics
- Publisher
- S. Karger AG
- Published
- 2015
- Volume
- 84
- Issue
- 5
- Pages
- 314-315
- ISSN
- 0033-3190 (ISSN-L)
- 1423-0348
- OpenAlex
- W1551758683
- Cited by
- 14
- References
- 9
- Citations by year
- 2024: 1 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 1 · 2016: 3
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy and Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
- University of Twente Research Information (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- University of Twente Research Information (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- therapeutic relationship, cognitive behavioral therapy, mindfulness-based cognitive therapy, depression, depressive symptoms, treatment outcome prediction
- MeSH terms
- Depression, Diabetes Mellitus, Humans, Professional-Patient Relations, Cognitive Behavioral Therapy, Outcome Assessment, Health Care, Mindfulness
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