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Influence of patient and therapist agreement and disagreement about their alliance on symptom severity over the course of treatment: A response surface analysis
- Source :
- Journal of Counseling Psychology. 67:326-336
- Publication Year :
- 2020
- Publisher :
- American Psychological Association (APA), 2020.
-
Abstract
- The alliance is dyadic in its nature with both the patient and the therapist contributing. Relatively little is known about the effects of congruence between patient and therapist perception of alliance on treatment outcome. The current study investigated how patient and therapist agreement and disagreement about the alliance predict symptom severity over the course of long-term psychotherapy. We investigated N = 361 patients nested within N = 102 therapists longitudinally every 5th session across long-term treatment. Multilevel polynomial regression with response surface analysis was used to predict symptom severity five sessions later from congruence of the alliance ratings. Throughout treatment, patient and therapist agreement about stronger alliances significantly predicted lower subsequent patient-reported symptom distress. Patient and therapist disagreement was a marginally significant predictor of subsequent symptom distress. There was no significant difference in the effects of alliance agreement and disagreement on symptoms across time in long-term treatment. Findings support the importance of alliance agreement and disagreement as predictors of subsequent patient symptom severity. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
- Subjects :
- Adult
Male
Social Psychology
Treatment outcome
PsycINFO
Severity of Illness Index
Young Adult
Humans
Psychology
Longitudinal Studies
Therapist attitudes
Psychiatry
Mental Disorders
Significant difference
Symptom severity
Professional-Patient Relations
General Medicine
Middle Aged
Psychotherapy
Psychiatry and Mental health
Clinical Psychology
Distress
Treatment Outcome
Alliance
Patient Compliance
Female
Clinical psychology
Symptom distress
Subjects
Details
- ISSN :
- 19392168 and 00220167
- Volume :
- 67
- Database :
- OpenAIRE
- Journal :
- Journal of Counseling Psychology
- Accession number :
- edsair.doi.dedup.....41948b7c10f1b170df9ab71cbfb3f2ce