Convergence in patient-therapist therapeutic alliance ratings and its relation to outcome in chronic depression treatment.

ABSTRACT:

Objective

This study tested whether discrepancy between patients' and therapists' ratings of the therapeutic alliance, as well as convergence in their alliance ratings over time, predicted outcome in chronic depression treatment.

Method

Data derived from a controlled trial of partial or non-responders to open-label pharmacotherapy subsequently randomized to 12 weeks of algorithm-driven pharmacotherapy alone or pharmacotherapy plus psychotherapy. The current study focused on the psychotherapy conditions (N = 357). Dyadic multilevel modeling was used to assess alliance discrepancy and alliance convergence over time as predictors of two depression measures: one pharmacotherapist-rated (Quick Inventory of Depressive Symptoms-Clinician; QIDS-C), the other blind interviewer-rated

SUBMITTER: Laws HB 

PROVIDER: S-EPMC4969229 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature