The relationship between the therapeutic alliance and clinical outcomes in cognitive behaviour therapy for adults with depression: A meta-analytic review

Clinical Psychology & Psychotherapy
Sarah Kate CameronDave Dagnan

Abstract

Research consistently provides evidence for the relationship between the therapeutic alliance (TA) and outcome across various therapies and presenting problems. Depression is considered the leading cause of disability worldwide, and there is substantial evidence for the efficacy for Cognitive Behaviour Therapy (CBT) in its treatment. At present, there is lack of clarity specifically about the relationship between the TA and outcome in CBT for depression. The present review is the first meta-analytic review to explore this relationship and also considering moderators. Within a random-effects model, an overall mean effect size of r = 0.26 (95% CI [.19-.32]) was found, indicating that the TA was moderately related to outcome in CBT for depression. The mean TA-outcome correlation is consistent with existing meta-analysis that looked across a broad range of presenting problems and psychological therapies. A secondary exploratory analysis of moderators suggested the TA-outcome relationship varied according to the TA rater, where the relationship was weaker for therapist raters compared with clients and observer raters. Additionally, the results indicated that the TA-outcome relationship marginally increased over the course of CBT tre...Continue Reading

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Citations

Apr 4, 2019·Frontiers in Psychology·Janina Isabel SchweigerUlrich Schweiger
Jan 9, 2021·Clinical Psychology & Psychotherapy·Kristin Niemeyer VaughnKatherine M Weber
Jun 15, 2021·Work : a Journal of Prevention, Assessment, and Rehabilitation·Shaofei Wu, Krzysztof Adamsk
Jul 7, 2021·JMIR Serious Games·Triton OngBrian E Bunnell
Aug 18, 2021·Internet Interventions : the Application of Information Technology in Mental and Behavioural Health·Samuel Askjer, Kim Mathiasen
Sep 17, 2021·PloS One·Friederike KobelEva Morawa
Jul 3, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Tara ImpalaNikolaos Kazantzis
Jan 19, 2022·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Samuel T MurphyDaniel R Strunk

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