Expectancies, working alliance, and outcome in transdiagnostic and single diagnosis treatment for anxiety disorders: An investigation of mediation

Cognitive Therapy and Research
Shannon Sauer-ZavalaDavid H Barlow

Abstract

Patients' outcome expectancies and the working alliance are two psychotherapy process variables that researchers have found to be associated with treatment outcome, irrespective of treatment approach and problem area. Despite this, little is known about the mechanisms accounting for this association, and whether contextual factors (e.g., psychotherapy type) impact the strength of these relationships. The primary aim of this study was to examine whether patient-rated working alliance quality mediates the relationship between outcome expectancies and pre- to post-treatment change in anxiety symptoms using data from a recent randomized clinical trial comparing a transdiagnostic treatment (the Unified Protocol [UP]; Barlow et al., 2011a; Barlow, Sauer-Zavala, et al., in press) to single diagnosis protocols (SDPs) for patients with a principal heterogeneous anxiety disorder (n = 179). The second aim was to explore whether cognitive-behavioral treatment condition (UP versus SDP) moderated this indirect relationship. Results from mediation and moderated mediation models indicated that, when collapsing across the two treatment conditions, the relationship between expectancies and outcome was partially mediated by the working alliance (...Continue Reading

References

Dec 29, 2000·Journal of Behavior Therapy and Experimental Psychiatry·G J Devilly, T D Borkovec
Jul 10, 2003·Psychological Assessment·Michael A Busseri, John D Tyler
Aug 20, 2003·Journal of Consulting and Clinical Psychology·Anthony S JoyceMary McCallum
Jan 1, 1959·The British Journal of Medical Psychology·M HAMILTON
Jul 22, 2004·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Guy H Montgomery, Dana H Bovbjerg
May 24, 2005·Clinical Psychology Review·Roger P GreenbergNoah Bruce
Nov 16, 2005·Research in Nursing & Health·Susan M Fox-Wasylyshyn, Maher M El-Masri
Feb 8, 2006·Journal of Behavior Therapy and Experimental Psychiatry·Patrick A VogelK Gunnar Götestam
Aug 3, 2006·Journal of Consulting and Clinical Psychology·Brandon A Gaudiano, Ivan W Miller
Jan 2, 2007·Journal of Traumatic Stress·Lynda A KingRobert J Orazem
Aug 10, 2007·The Journal of Clinical Psychiatry·R Kathryn McHughScott W Woods
Apr 14, 2009·Behavior Research Methods·Amanda J FairchildAaron B Taylor
May 31, 2011·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Henny A WestraAdi Aviram
Jun 7, 2011·Journal of Consulting and Clinical Psychology·Paul Crits-ChristophRobert Gallop
Oct 1, 2008·Journal of Counseling Psychology·Candace L PattersonTimothy Anderson
Apr 4, 2012·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Michael J Constantino
Sep 14, 2012·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Mariyam AhmedMichael J Constantino
Jan 1, 2011·Perspectives on Psychological Science : a Journal of the Association for Psychological Science·Alan E Kazdin, Stacey L Blase

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Citations

Nov 25, 2020·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Michael J ConstantinoAveri N Gaines
Aug 8, 2021·International Journal of Environmental Research and Public Health·Malene Friis AndersenJeppe Zielinski Nguyen Ajslev

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