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Therapeutic alliance in guided internet-delivered cognitive behavioural treatment of depression, generalized anxiety disorder and social anxiety disorder
Linköpings universitet; Karolinska Institutet.ORCID iD: 0000-0003-4753-6745
Linköpings universitet.
Linköpings universitet.ORCID iD: 0009-0001-8193-7799
Psykologpartners, Linköping.
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2012 (English)In: Behaviour Research and Therapy, ISSN 0005-7967, E-ISSN 1873-622X, Vol. 50, no 9, p. 544-550Article in journal (Refereed) Published
Abstract [en]

Guided internet-delivered cognitive behaviour therapy (ICBT) has been found to be effective in several controlled trials, but the mechanisms of change are largely unknown. Therapeutic alliance is a factor that has been studied in many psychotherapy trials, but the role of therapeutic alliance in ICBT is less well known. The present study investigated early alliance ratings in three separate samples. Participants from one sample of depressed individuals (N = 49), one sample of individuals with generalized anxiety disorder (N = 35), and one sample with social anxiety disorder (N = 90) completed the Working Alliance Inventory (WAI) modified for ICBT early in the treatment (weeks 3-4) when they took part in guided ICBT for their conditions. Results showed that alliance ratings were high in all three samples and that the WAI including the subscales of Task, Goal and Bond had high internal consistencies. Overall, correlations between the WAI and residualized change scores on the primary outcome measures were small and not statistically significant. We conclude that even if alliance ratings are in line with face-to-face studies, therapeutic alliance as measured by the WAI is probably less important in ICBT than in regular face-to-face psychotherapy.

Place, publisher, year, edition, pages
Elsevier, 2012. Vol. 50, no 9, p. 544-550
Keywords [en]
Internet-delivered cognitive behaviour therapy, Therapeutic alliance, Major depression, Generalized anxiety disorder, Social anxiety disorder
National Category
Applied Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:kau:diva-94079DOI: 10.1016/j.brat.2012.05.003ISI: 000307909100003PubMedID: 22728647Scopus ID: 2-s2.0-84864304488OAI: oai:DiVA.org:kau-94079DiVA, id: diva2:1747910
Available from: 2023-03-31 Created: 2023-03-31 Last updated: 2023-03-31Bibliographically approved

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Wiwe, Maria

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Andersson, GerhardWiwe, MariaFurmark, TomasCuijpers, PimCarlbring, Per
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