Alliance and Outcome in Late-Life Depression

Marmar, Charles R.; Gaston, Louise; Gallagher, Dolores; Thompson, Larry W.

doi:10.1097/00005053-198908000-00003

Cited by 132 publications

(106 citation statements)

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“…21,22 Other significant information is that, most of the times, the relationship between TA and outcome is already evident in the measures performed in the first sessions of the treatment, especially in the third session. [30][31][32] The TA increases lineally along the first sessions, suggesting that the patients' involvement in psychotherapy is not only due to their own features, but also emerges in collaboration with some of the psychotherapist's contributions. 33,34 The used methodology has included the assessment of the TA by patients, psychotherapists or by trained observers.…”

Section: Empirical Bases Of the Therapeutical Alliancementioning

confidence: 95%

“…One study performed by Marmar, 31 although using a previous version of the CALPAS-P, found that the PWC punctuation was related to the outcomes presented by the group submitted to brief dynamic psychotherapy. According to these authors, the higher impact of the PWC could be justified as the psychodynamic approach would demand a greater contribution of patients to settle their problems.…”

Section: Impact Of the Therapeutic Alliance On Psychotherapy Outcomesmentioning

confidence: 99%

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The early impact of therapeutic alliance in brief psychodynamic psychotherapy

Marcolino

Iacoponi

2003

Rev. Bras. Psiquiatr.

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Introduction: Therapeutic alliance is a key component of the psychotherapeutic process. This study estimated the impact of the therapeutic alliance as measured by CALPAS-P in an individual brief psychodynamic psychotherapy program. Methods: To study the impact of the therapeutic alliance patients in psychotherapy answered to the CALPAS-P at the first and third session and to the Self-report Questionnaire , to the Beck Depression Inventory (BDI) and to the Hamilton Anxiety Scale at the beginning and at the end of psychotherapy. Results: The study of the impact of the therapeutic alliance in brief psychodynamic psychotherapy showed that higher TUI scores in the first session were significantly associated to the improvement on the BDI. Patients with best scores in the working alliance, measured at the third PWC session had also significant symptomatic changes. Discussion: The study of the impact of the therapeutic alliance in brief psychotherapy indicated that patients who perceived that their therapists had the best capability to understand and to be involved in their issues had best results in reducing depressive symptoms and patients with higher capability to form the working alliance reached the best psychotherapy outcomes.Psychotherapy. Psychotherapy brief. Scales. Outcome and process assessment (health care). Introdução:A aliança terapêutica é um conceito central do processo psicoterápico. Este estudo avaliou o impacto da aliança terapêutica em um programa de psicoterapia individual psicodinâmica breve. Método: Para o estudo do impacto da aliança, pacientes em psicoterapia responderam, ao início e ao final de cada psicoterapia, ao Questionário de auto-avaliação (SRQ-20), ao Inventário de Depressão de Beck (BDI) e à Escala de Ansiedade de Hamilton. Responderam também a CALPAS-P ao término da primeira e da terceira sessão. Resultados: Os resultados mostraram que os pacientes com uma pontuação mais alta da TUI na primeira sessão tiveram um impacto significativo sobre a mudança da sintomatologia medida pela BDI. Foi encontrado ainda que os pacientes com maiores índices de aliança de trabalho, medidos pela PWC na terceira sessão, tiveram um impacto significativo na mudança da sintomatologia medida por todas as escalas. Discussão: O estudo do impacto da aliança terapêutica em psicoterapia psicodinâmica breve mostrou que, os pacientes que demonstraram ter percebido seus psicoterapeutas com uma maior capacidade de compreensão e envolvimento em suas questões, tiveram uma maior redução da sintomatologia da depressão e os pacientes com maior capacidade para a aliança de trabalho atingiram os melhores resultados da psicoterapia.Psicoterapia. Psicoterapia breve. Escalas. Avaliação de processos e resultados (cuidados de saúde). Abstract

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Section: Empirical Bases Of the Therapeutical Alliancementioning

confidence: 95%

Section: Impact Of the Therapeutic Alliance On Psychotherapy Outcomesmentioning

confidence: 99%

The early impact of therapeutic alliance in brief psychodynamic psychotherapy

Marcolino

Iacoponi

2003

Rev. Bras. Psiquiatr.

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“…[44][45][46][47][48][49] Indeed, this may be especially true in supportive therapy with poorly functioning patients, who may enter the therapeutic relationship with little trust, unrealistic expectations, and poor frustration tolerance. For some such patients, real and perceived mistakes, miscommunications, or disrespect on the part of the therapist do not merit a second chance, and such patients may terminate the therapy immediately thereafter.…”

Section: Strategy #3: Foster and Protect The Therapeutic Alliancementioning

confidence: 99%

Basic Strategies of Dynamic Supportive Therapy

Misch

2006

FOC

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“…Patienten mit positiven Therapieerwartungen beteiligen sich konstruktiver am Therapieprozess und erreichen bessere Therapieergebnisse [Meyer et al, 2002]. Empirische Untersuchungen haben gezeigt, dass aktives Engagement im psychotherapeutischen Prozess eine zentrale Rolle bei der Symptomreduktion spielt [Krupnik, 1996;Marmar et al, 1989;Weinberger, 1999]. Internale Attributionen in Bezug auf positive Veränderungen hängen zudem mit der Stabilität der Beschwerdefreiheit nach einer Psychotherapie zusammen [Weinberger, 1999] [Steel et al, 2000].…”

Section: Assessment Of Specific Control Expectancies: the Questionnaiunclassified

Erfassung spezifischer Kontrollerwartungen: Der Fragebogen zu therapiebezogenen Kontrollerwartungen (TBK)

Delsignore¹,

Schnyder²,

Znoj³

2006

Verhaltenstherapie

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Hintergrund: Kognitive Patientenvariablen wie internale Kontrollerwartungen und die Überzeugung, die Psychotherapie aktiv mitgestalten zu können, können das Therapieergebnis positiv beeinflussen. Dies scheint bei bewältigungsorientierten Behandlungen, bei denen eine aktive Teilnahme des Patienten unerlässlich ist, besonders wichtig. In der Literatur gibt es Hinweise dafür, dass Kontrollerwartungen sehr bereichsspezifisch sind und oft nur im untersuchten Kontext gelten. Trotzdem gibt es bislang kein Instrument zur Messung von internalen und externalen (sozial bedingten oder fatalistischen) Kontrollerwartungen in Bezug auf die Psychotherapiesituation. In der vorliegenden Studie wird die Entwicklung eines solchen Instrumentes vorgestellt. Patienten und Methoden: Wir entwickelten einen Fragebogen zu therapiebezogenen Kontrollerwartungen (TBK) und nahmen erste psychometrische Prüfungen an einer Stichprobe von 221 ambulanten Patienten vor, die sich an einer psychiatrischen Poliklinik in der Abklärungsphase befanden. Ergebnisse: Die faktorielle Validitätsprüfung bestätigte die drei a priori postulierten Dimensionen. Die konkurrente Validität ergab mittelstarke korrelative Zusammenhänge mit Levensons IPC und mit der Skala zu Selbstwirksamkeitserwartung von Schwarzer. Die interne Konsistenz der einzelnen Skalen lag zwischen 0,77 und 0,81. Schlussfolgerung: Mit dem TBK wird ein ökonomisches Selbstbeurteilungsverfahren vorgestellt, das gute psychometrische Werte aufweist. Der TBK kann zur Unterstützung in der Planungsphase von Psychotherapien eingesetzt werden.

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Alliance and Outcome in Late-Life Depression

Cited by 132 publications

References 0 publications

The early impact of therapeutic alliance in brief psychodynamic psychotherapy

The early impact of therapeutic alliance in brief psychodynamic psychotherapy

Basic Strategies of Dynamic Supportive Therapy

Erfassung spezifischer Kontrollerwartungen: Der Fragebogen zu therapiebezogenen Kontrollerwartungen (TBK)

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