Therapeutic Alliance: Improving Treatment Outcome

2006 ◽  
Keyword(s):  
Treatment Outcome ◽  
Therapeutic Alliance

Early Therapeutic Alliance as a Predictor of Treatment Outcome for Adolescent Cannabis Users in Outpatient Treatment

2006 ◽  
Vol 15 (s1) ◽  
pp. 26-33 ◽  
Author(s):  
Guy S. Diamond ◽  
Howard A. Liddle ◽  
Matthew B. Wintersteen ◽  
Michael L. Dennis ◽  
Susan H. Godley ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Therapeutic Alliance ◽  
Outpatient Treatment

Therapeutic alliance mediates the association between personality and treatment outcome in patients with major depressive disorder

2016 ◽  
Vol 201 ◽  
pp. 137-144 ◽  
Author(s):  
Shauna C. Kushner ◽  
Lena C. Quilty ◽  
Amanda A. Uliaszek ◽  
Carolina McBride ◽  
R. Michael Bagby
Keyword(s):  
Major Depressive Disorder ◽  
Treatment Outcome ◽  
Depressive Disorder ◽  
Therapeutic Alliance ◽  
Major Depressive

scholarly journals Development of the therapeutic alliance and its association with treatment outcome in internet-based Mindfulness-Based Cognitive Therapy (eMBCT) compared to group-based MBCT (MBCT) for distressed cancer patients (Preprint)

2019 ◽  
Author(s):  
Else Bisseling ◽  
Linda Cillessen ◽  
Philip Spinhoven ◽  
Melanie Schellekens ◽  
Félix Compen ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Psychological Distress ◽  
Therapeutic Alliance ◽  
Cognitive Therapy ◽  
Cancer Patients ◽  
Psychological Treatment ◽  
Well Being ◽  
Post Treatment ◽  
Treatment Dropout ◽  
Mental Well Being

BACKGROUND Mindfulness-Based Cognitive Therapy (MBCT) is an evidence-based group-based psychological treatment in oncology, resulting in reduction of depressive and anxiety symptoms. Internet-based Mindfulness-based Cognitive Therapy (eMBCT) has been found to be an effective alternative for MBCT. The therapeutic alliance, i.e. the bond between therapist and patient, is known to have a significant impact on psychological treatment outcomes, including MBCT. A primary concern in the practice of eMBCT is whether a good therapeutic alliance can develop. Although evidence for the beneficial effect of therapist-assistance on treatment outcome in internet-based interventions (IBIs) is accumulating, it is still unclear whether the therapeutic alliance is related to outcome in IBIs. OBJECTIVE The objectives of the present study were: (1) to explore whether early therapeutic alliance predicts treatment dropout in (e)MBCT; (2) to compare the development of the therapeutic alliance during eMBCT and MBCT; and (3) to examine whether early therapeutic alliance is a predictor of the reduction of psychological distress and the increase of mental well-being at post-treatment in both conditions. METHODS The present study was part of a multicentre randomized controlled trial (RCT; n=245) on the effectiveness of (e)MBCT for distressed cancer patients. The therapeutic alliance was measured at the start of week 2 (i.e. early therapeutic alliance), week 5 and week 9. Outcome measures were psychological distress, measured with the Hospital Anxiety and Depression Scale (HADS) and mental-wellbeing, measured with the Mental Health Coninuum-short form (MHC-SF). RESULTS The strength of early therapeutic alliance did not predict treatment dropout in (e)MBCT (B=-0.39, p=.21). Therapeutic alliance increased over time in both conditions (F=16.46,Wilks’ λ=.732, p<.001). This increase did not differ between eMBCT and MBCT (F=0.114, p=.74). Therapeutic alliance at week 2 predicted a reduction of psychological distress (B=-.126, t=-2.656, p=.01) and an increase of in mental well-being (B=.234, t=2.651, p=.01) at post-treatment. The relationship with reduction of psychological distress differed between treatments: a weaker early therapeutic alliance predicted higher psychological distress at post-treatment in MBCT but not in eMBCT(B=.217, t=2.261, p=.03). CONCLUSIONS A therapeutic alliance can develop in both eMBCT and MBCT. Findings revealed that the strength of early alliance did not predict treatment dropout. Furthermore, the level of therapeutic alliance predicted reduced psychological distress and increased mental well-being at post-treatment in both conditions. Interestingly, the strength of therapeutic alliance is appeared to be more related to treatment outcome in group-based MBCT than in eMBCT. CLINICALTRIAL NCT02138513 https://clinicaltrials.gov/ct2/show/NCT02138513

Therapeutic alliance and long-term hospital treatment outcome

1985 ◽  
Vol 26 (2) ◽  
pp. 187-194 ◽  
Author(s):  
Jon G. Allen ◽  
Gerald Tarnoff ◽  
Lolafaye Coyne
Keyword(s):  
Treatment Outcome ◽  
Therapeutic Alliance ◽  
Hospital Treatment

scholarly journals A meta-analysis of the relation between therapeutic alliance and treatment outcome in eating disorders

2017 ◽  
Vol 50 (4) ◽  
pp. 323-340 ◽  
Author(s):  
Tiffany A. Graves ◽  
Nassim Tabri ◽  
Heather Thompson-Brenner ◽  
Debra L. Franko ◽  
Kamryn T. Eddy ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Treatment Outcome ◽  
Therapeutic Alliance ◽  
Meta Analysis

Working alliance and its relationship with treatment outcome

2016 ◽  
Vol 33 (S1) ◽  
pp. s277-s277
Author(s):  
A. Cardoso ◽  
P. Aguiar ◽  
M. Byrne ◽  
M. Xavier
Keyword(s):  
Mental Health ◽  
Treatment Outcome ◽  
Therapeutic Alliance ◽  
Treatment Adherence ◽  
Mental Health Professionals ◽  
Clinical Skills ◽  
Skills Training ◽  
Future Research ◽  
Convenience Sample ◽  
The Impact

IntroductionThe therapeutic alliance might be the most important part of beginning clinical relationship and may have an important impact in treatment adherence. In fact, many studies indicate that the therapeutic alliance is the best predictor of treatment outcome.ObjectivesTo assess clinical skills and attitudes in mental health professionals(MHP).AimsThis study explore the impact of clinical skills and socio-demographic factors related MHP may have on treatment adherence of patients with mental health disorders (MHD).MethodsIn this cross sectional study, we use a convenience sample of MHP working in the mental health departments of three general hospitals in Lisbon great area. Data is being collected through individual interviews. We used a optimism scale (ETOS), Medication Alliance Beliefs Questionnaire (MABQ), and socio-demographic and clinical questionnaire.ResultsA convenience sample composed of sixty-five mental health clinician working in a variety of settings is being collected. We don’t found statistically significant differences between the therapeutic optimism and the socio-demographic and clinical characteristics of MHP. The average values of optimism found in MHP with additional training in skills training it was higher (t test = 1,64). The results demonstrate that the most of clinicians (n = 42; agree 64,6%; strongly agree, n = 19; 29,2%) believe that have the capacity to positively influence outcomes for people with mental disorders.ConclusionThis topic, along with a detailed examination of the relationship between therapeutic alliance and treatment adherence, will be the subject of future research projects.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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