Early symptom change in adult outpatients: Relationship with patient characteristics and therapeutic alliance

Smits, Dave; Stinckens, Nele; Luyckx, Koen; Claes, Laurence

doi:10.1111/papt.12086

Cited by 3 publications

(2 citation statements)

References 50 publications

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“…An average of the items for bond and an average of the items for goals and tasks combined to form a subscale called “work” were created in both studies. This combination has been supported in previous literature (i.e., Glebova et al, 2011; Smits et al, 2016). The internal consistency reliability for the first data collection was .84 for the work subscale and .80 for the bond subscale.…”

Section: Methodssupporting

confidence: 89%

Change trajectories classes in couple therapy: How much does relationship satisfaction change?

Bartle‐Haring¹

2024

Couple and Family Psychology: Research and Practice

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This study combined two samples of couples seeking services at an on-campus training clinic (n = 317 couples). The purpose of the study was to assess trajectories of change in relationship satisfaction across the first six sessions of treatment using latent basis growth mixture models (LBGMM) to determine whether there were distinct trajectory classes, and whether those classes were associated with alliance, and termination status. The results of the LBGMM showed two trajectory classes, one in which relationship satisfaction was initially higher and remained relatively flat, and one in which relationship satisfaction was initially lower and showed increases and decreases. These classes were associated with male partner alliance and termination status, with those in the first class more likely to end with agreement, and those in the second class more likely to end without agreement. These results are discussed in context of literature and clinical implications. Public Significance StatementThis study provides evidence that not all couples change in the same way during couple therapy. There appear to be different change classes of couples in treatment, some who come to therapy with fairly high relationship satisfaction, whose satisfaction does not change much, and another set of couples who come with fairly low relationship satisfaction, whose satisfaction changes but not in a linear way. Although there is change in relationship satisfaction, it is unclear from these results, what couples attended treatment pay attention to that enables them to decide that treatment has been successful.

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Section: Methodssupporting

confidence: 89%

Change trajectories classes in couple therapy: How much does relationship satisfaction change?

Bartle‐Haring¹

2024

Couple and Family Psychology: Research and Practice

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show abstract

“…The temporal relationship between alliance and symptom change is a relevant question in current process research (Smits, Stinckens, Luyckx, & Claes, 2016;Zilcha-Mano, Dinger, McCarthy, & Barber, 2014). As initial symptom change in SCL was assessed in a subgroup of N = 226 patients of our sample, we were able to accommodate this question in the present study.…”

Section: Goal and Taskmentioning

confidence: 99%

The therapeutic alliance in different mental disorders: A comparison of patients with depression, somatoform, and eating disorders

et al. 2017

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We found no differences in the strengths of alliance ratings and alliance-outcome associations in depressive, somatoform, and eating disorder patients. This indicates that the working alliance is of general clinical importance irrespective of the disorder group and should be a central target in all therapies. We found perspective incongruence in alliance ratings between patient and therapist in all three disorder groups. Perspective incongruence feedback of working alliance experiences could help to strengthen coordination between patient and therapist and thereby improve the therapeutic process.

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Relationship between personality traits and sexual function in symptomatic postmenopausal women

et al. 2022

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Early symptom change in adult outpatients: Relationship with patient characteristics and therapeutic alliance

Cited by 3 publications

References 50 publications

Change trajectories classes in couple therapy: How much does relationship satisfaction change?

Change trajectories classes in couple therapy: How much does relationship satisfaction change?

The therapeutic alliance in different mental disorders: A comparison of patients with depression, somatoform, and eating disorders

Relationship between personality traits and sexual function in symptomatic postmenopausal women

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