Katherine E Sasso1, Daniel R Strunk1, Justin D Braun1, Robert J DeRubeis2, Melissa A Brotman3. 1. a Department of Psychology , The Ohio State University , Columbus , OH , USA. 2. b Department of Psychology , University of Pennsylvania , Philadelphia , PA , USA. 3. c Mood and Anxiety Disorders Program, National Institute of Mental Health , Bethesda , MD , USA.
Abstract
OBJECTIVE: We previously examined alliance and therapist adherence as predictors of symptom change. Applying a new analytic strategy, we can ensure that any relations identified were not attributable to stable patient characteristics. METHOD:Participants were 57 depressed cognitive therapy patients. We disaggregated within- and between-patient variation in process measures. RESULTS: Between-patients, variability in adherence to Cognitive Methods and Negotiating/Structuring predicted patients' symptom change. Within-patients, only variability in ratings of adherence to Cognitive Methods predicted next-session symptom change. CONCLUSIONS: Relations involving between-patient process variables are potentially attributable to stable patient characteristics. However, the relation of within-patient Cognitive Methods and session-to-session symptom change cannot be attributed to stable characteristics and is consistent with a causal relationship.
RCT Entities:
OBJECTIVE: We previously examined alliance and therapist adherence as predictors of symptom change. Applying a new analytic strategy, we can ensure that any relations identified were not attributable to stable patient characteristics. METHOD:Participants were 57 depressed cognitive therapy patients. We disaggregated within- and between-patient variation in process measures. RESULTS: Between-patients, variability in adherence to Cognitive Methods and Negotiating/Structuring predicted patients' symptom change. Within-patients, only variability in ratings of adherence to Cognitive Methods predicted next-session symptom change. CONCLUSIONS: Relations involving between-patient process variables are potentially attributable to stable patient characteristics. However, the relation of within-patient Cognitive Methods and session-to-session symptom change cannot be attributed to stable characteristics and is consistent with a causal relationship.
Entities:
Keywords:
alliance; cognitive behavior therapy; depression; process research; statistical methods
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