A large-scale evaluation of therapeutic alliance and symptom trajectories of depression and anxiety in blended care therapy.

ABSTRACT: This study sought to conduct a large-scale examination (N = 14,951) into the associations between therapeutic alliance and anxiety and depression symptom trajectories within a blended care therapy (BCT) program. Clients receiving blended care services completed weekly outcome measures for anxiety and depression and therapeutic alliance ratings every other therapy session. Using a retrospective, pragmatic study design, latent change score (LCS) analysis captured individual differences in initial therapeutic alliance scores and change in alliance. The LCS variables were specified as predictors of a latent growth curve model describing changes in depression and anxiety symptoms over the course of treatment. Therapeutic alliance scores in the BCT program were generally strong (initial item ave

SUBMITTER: Wu MS 

PROVIDER: S-EPMC11548720 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature