Therapeutic Alliance in Technology-Based Interventions for the Treatment of Depression: Systematic Review

Journal of Medical Internet Research
Eileen WehmannSarah Liebherz

Abstract

There is growing evidence that technology-based interventions (TBIs) are effective for the treatment of depression. As TBIs are gaining acceptance, a question arises whether good therapeutic alliance, considered a key aspect of psychotherapy, can be established without or with minimal face-to-face contact or rather changes if blended concepts are applied. While therapeutic alliance has been studied extensively in the context of face-to-face therapy, only few studies have reviewed evidence on alliance ratings in TBIs. The purpose of this study was to examine therapeutic alliance in technology-based psychological interventions for the treatment of depression. We searched Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, PsycINFO, PSYNDEX, CINAHL, clinical trial registers, and sources of grey literature for randomized controlled trials on TBIs in the treatment of adults with unipolar depression. All publications were selected according to prespecified criteria. Data were extracted by two independent reviewers. A total of eight out of 98 studies (9.5%) included in the review on TBIs for depression considered therapeutic alliance as part of their evaluation. The available data covered eight different treatment condi...Continue Reading

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Citations

May 25, 2021·Internet Interventions : the Application of Information Technology in Mental and Behavioural Health·Jonah MeyerhoffDavid C Mohr

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