Journal ArticleDOI
Therapist competence and therapeutic alliance are important in the treatment of health anxiety (hypochondriasis)
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TLDR
Both therapeutic alliance and therapist competence demonstrated to be important treatment delivery factors in psychotherapy for health anxiety and a stronger consideration of those processes during psychotherapeutic treatment might be able to improve psychotherapy outcome.Abstract:
The role of treatment delivery factors (i.e., therapist adherence, therapist competence, and therapeutic alliance) is rarely investigated in psychotherapeutic treatment for health anxiety. This study aimed to investigate the role of the assessment perspective for the evaluation of treatment delivery factors and their relevance for treatment outcome. Therapist adherence, therapist competence, and therapeutic alliance were evaluated by independent raters, therapists, patients, and supervisors in 68 treatments. Patients with severe health anxiety (hypochondriasis) were treated with cognitive therapy or exposure therapy. Treatment outcome was assessed with a standardized interview by independent diagnosticians. A multitrait-multimethod analysis revealed a large effect for the assessment perspective of therapist adherence, therapist competence, and therapeutic alliance. The rater perspective was the most important for the prediction of treatment outcome. Therapeutic alliance and therapist competence accounted for 6% of the variance of treatment outcome while therapist adherence was not associated with treatment outcome. Therapist competence was only indirectly associated with treatment outcome, mediated by therapeutic alliance. Both therapeutic alliance and therapist competence demonstrated to be important treatment delivery factors in psychotherapy for health anxiety. A stronger consideration of those processes during psychotherapy for health anxiety might be able to improve psychotherapy outcome.read more
Citations
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Journal ArticleDOI
The alliance in adult psychotherapy: A meta-analytic synthesis.
TL;DR: A meta-analysis of 295 independent studies that covered more than 30,000 patients (published between 1978 and 2017) for face-to-face and Internet-based psychotherapy confirmed the robustness of the positive relation between the alliance and outcome.
Journal ArticleDOI
Assessing the alliance–outcome association adjusted for patient characteristics and treatment processes: A meta-analytic summary of direct comparisons.
Christoph Flückiger,A.C. Del Re,Daniel Wlodasch,Adam O. Horvath,Nili Solomonov,Bruce E. Wampold +5 more
TL;DR: A meta-analysis of 125 effect sizes in 60 independent samples of studies that reported alliance-outcome correlations as well as parallel intake or process characteristics suggests that alliance is positively related to outcome above and beyond the studied patient intake characteristics and treatment processes.
Journal ArticleDOI
The therapeutic alliance in exposure therapy for anxiety-related disorders: A critical review.
TL;DR: The purpose of this review is to provide an overview and synthesis of existing research on the alliance-outcome relationship in exposure therapy, and to identify future research priorities.
Journal ArticleDOI
To manualize, or not to manualize : is that still the question? A systematic review of empirical evidence for manual superiority in psychological treatment
TL;DR: While manual-based treatment may be attractive as a research tool, it should not be promoted as being superior to nonmanualized psychotherapy for clinical practice.
Journal ArticleDOI
Competence feedback improves CBT competence in trainee therapists: A randomized controlled pilot study.
TL;DR: Competence feedback was demonstrated to be suitable for the improvement of therapeutic competencies in CBT, and may have important implications for psychotherapy training, clinical practice, and psychotherapy research.
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Journal ArticleDOI
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TL;DR: The results of the meta-analysis indicate that the overall relation of therapeutic alliance with outcome is moderate, but consistent, regardless of many of the variables that have been posited to influence this relationship.
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