OBJECTIVE: To examine the associations between treatment/outcome expectations, alliance before and during treatment, and the impact of alliance on symptomatic improvement. METHODS:One hundred and fifty-three depressed patients randomized todynamic supportive-expressive psychotherapy (SET), antidepressant medication (ADM) or placebo (PBO) + clinical management completed ratings of treatment expectations, therapeutic alliance (CALPAS, WAI-S), and depressive symptoms (HAM-D). RESULTS: Pretreatment expectations of the therapeutic alliance were significantly related to alliance later in therapy but did not differ across treatments and did not predict outcome. Alliance development over time differed between treatments; it increased more in SET than in PBO. After controlling for prior symptom improvement, early alliance predicted subsequent depression change. CONCLUSIONS: Expectations of alliance and of treatment outcome/improvement, measured prior to treatment onset, predicted subsequent alliance.
RCT Entities:
OBJECTIVE: To examine the associations between treatment/outcome expectations, alliance before and during treatment, and the impact of alliance on symptomatic improvement. METHODS: One hundred and fifty-three depressedpatients randomized to dynamic supportive-expressive psychotherapy (SET), antidepressant medication (ADM) or placebo (PBO) + clinical management completed ratings of treatment expectations, therapeutic alliance (CALPAS, WAI-S), and depressive symptoms (HAM-D). RESULTS: Pretreatment expectations of the therapeutic alliance were significantly related to alliance later in therapy but did not differ across treatments and did not predict outcome. Alliance development over time differed between treatments; it increased more in SET than in PBO. After controlling for prior symptom improvement, early alliance predicted subsequent depression change. CONCLUSIONS: Expectations of alliance and of treatment outcome/improvement, measured prior to treatment onset, predicted subsequent alliance.
Authors: Christian A Webb; Robert J DeRubeis; Jay D Amsterdam; Richard C Shelton; Steven D Hollon; Sona Dimidjian Journal: J Consult Clin Psychol Date: 2011-06
Authors: D R Strunk; M O Stewart; S D Hollon; R J DeRubeis; J Fawcett; J D Amsterdam; R C Shelton Journal: Psychol Med Date: 2009-11-06 Impact factor: 7.723
Authors: Daniel N Klein; Joseph E Schwartz; Neil J Santiago; Dina Vivian; Carina Vocisano; Louis G Castonguay; Bruce Arnow; Janice A Blalock; Rachel Manber; John C Markowitz; Lawrence P Riso; Barbara Rothbaum; James P McCullough; Michael E Thase; Frances E Borian; Ivan W Miller; Martin B Keller Journal: J Consult Clin Psychol Date: 2003-12
Authors: Elizabeth M Goetter; Christine M Mauro; Xin Qiu; Natalia A Skritskaya; Charles F Reynolds; Sidney Zisook; M Katherine Shear; Naomi M Simon Journal: J Consult Clin Psychol Date: 2018-04