The Therapeutic Alliance Predicts Outcomes of Cognitive Behavior Therapy but Not of Mindfulness-Based Cognitive Therapy for Depressive Symptoms

2015 ◽  
Vol 84 (5) ◽  
pp. 314-315 ◽  
Author(s):  
Evelien Snippe ◽  
Joke Fleer ◽  
K. Annika Tovote ◽  
Robbert Sanderman ◽  
Paul M.G. Emmelkamp ◽  
...  
PLoS ONE ◽  
2017 ◽  
Vol 12 (6) ◽  
pp. e0179941 ◽  
Author(s):  
K. Annika Tovote ◽  
Maya J. Schroevers ◽  
Evelien Snippe ◽  
Paul M. G. Emmelkamp ◽  
Thera P. Links ◽  
...  

SLEEP ◽  
2021 ◽  
Author(s):  
Jennifer N Felder ◽  
Elissa S Epel ◽  
John Neuhaus ◽  
Andrew D Krystal ◽  
Aric A Prather

Abstract Study objectives To evaluate the effects of digital cognitive behavior therapy for insomnia (dCBT-I) delivered during pregnancy on subjective sleep outcomes, depressive symptoms, and anxiety symptoms through six months postpartum. Methods People up to 28 weeks gestation (N=208) with insomnia were randomized to six weekly sessions of dCBT-I or standard care. We report follow-up data at three and six months postpartum. The primary outcome was insomnia symptom severity. Secondary sleep outcomes included global sleep quality and insomnia caseness. Mental health outcomes included depressive and anxiety symptom severity. We evaluated between-condition differences in change from baseline for each postpartum timepoint and categorical outcomes. Results dCBT-I participants did not experience significantly greater improvements in insomnia symptom severity relative to standard care participants, but they did experience higher rates of insomnia remission and lower rates of insomnia caseness at six months postpartum. dCBT-I participants experienced greater improvements in depressive symptom severity from baseline to both postpartum timepoints, and in anxiety symptom severity from baseline to three months postpartum. The proportion of participants with probable major depression at three months postpartum was significantly higher among standard care (18%) than dCBT-I (4%, p=.006) participants; this between-condition difference was pronounced among the subset (n=143) with minimal depressive symptoms at baseline (18% vs 0%). Conclusion dCBT-I use during pregnancy leads to enduring benefits for postpartum insomnia remission. Findings provide strong preliminary evidence that dCBT-I use during pregnancy may prevent postpartum depression and anxiety, which is notable when considering the high frequency and importance of these problems.


2008 ◽  
Vol 22 (1) ◽  
pp. 68-79 ◽  
Author(s):  
Christin Langhoff ◽  
Thomas Baer ◽  
Doris Zubraegel ◽  
Michael Linden

The therapeutic alliance is seen as an important dimension in any type of psychotherapy. But patient, therapist, or observers can have different views on the therapeutic alliance. The question is which perspective best represents the therapeutic alliance, and what are the differences between these alternative views. In the present study, the therapist–patient alliance (TPA, the view of the therapist), patient–therapist alliance (PTA, the view of the patient), and mutual therapeutic alliance (MTA, the view of an observer) were measured simultaneously in cognitive behavior therapy of patients suffering from generalized anxiety disorder. Additionally, the concordance between patient and therapist ratings (TPC) was calculated. Cognitive behavior therapists attained high positive scores in all perspectives for all dimensions of the therapeutic alliance, such as empathy, cooperation, transparency, focusing, and assurance of progress. Correlations were consistently higher for ratings between therapist and patient than between observer and patient. A relation with outcome (Hamilton Anxiety Scale) was only found for observer ratings. It was concluded that cognitive behavior therapists can achieve good alliances with their patients. Different perspectives on the therapeutic alliance should be distinguished and taken into account separately in studies on the therapeutic process and outcome.


1997 ◽  
Vol 11 (3) ◽  
pp. 165-179 ◽  
Author(s):  
Arthur Freeman ◽  
June Urschel

Adler’s Individual Psychology (IP) and Cognitive Behavior Therapy (BT) have many common precepts and suppositions. This paper delineates many of these commonalities and suggests areas in which the therapists may learn from each other.


1995 ◽  
Vol 9 (2) ◽  
pp. 85-92 ◽  
Author(s):  
Scott Stuart ◽  
Wayne A. Bowers

Cognitive therapy has shown promise as a treatment for depressed outpatients. Despite recent increases in its use with inpatients, the treatment itself has not been well substantiated empirically. This article reviews the literature on cognitive-behavior therapy (CBT) with inpatients, and uses meta-analysis to assess the efficacy of this approach to treatment. The results suggest that CBT can be beneficial with inpatients both as a primary treatment and as an adjunct to antide-pressant medication. More controlled research needs to be completed to fully confirm CBT’s role in an inpatient setting.


2013 ◽  
Vol 14 ◽  
pp. e39
Author(s):  
L. Bélanger ◽  
A. Harvey ◽  
É. Fortier-Brochu ◽  
S. Beaulieu-Bonneau ◽  
P. Eidelman ◽  
...  

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