lnu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Therapeutic Alliance Is Calming and Curing - The Interplay Between Alliance and Emotion Regulation as Predictors of Outcome in Internet-Based Treatments for Adolescent Depression
Stockholm University, Sweden.
Stockholm University, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.ORCID iD: 0000-0002-2486-6859
Stockholm University, Sweden.
Show others and affiliations
2023 (English)In: Journal of Consulting and Clinical Psychology, ISSN 0022-006X, E-ISSN 1939-2117, Vol. 91, no 7, p. 426-437Article in journal (Refereed) Published
Abstract [en]

Objective: Therapeutic alliance is one of the most stable predictors of outcome in psychotherapy, regardless of theoretical orientation. The alliance-outcome relationship in internet-based treatments has been investigated with mixed results. There is preliminary evidence that emotion regulation can work as a mediator for the alliance-outcome relationship. The present study aimed to investigate whether alliance predicted outcome session by session in two internet-based treatments for adolescent depression, and whether this relationship was mediated by emotion regulation. Method: Two hundred and seventy-two participants aged 15-19 years and diagnosed with depression were randomized to 10 weeks of internet-based psychodynamic or cognitive behavioral treatment. Both therapists and patients rated the alliance weekly. Patients also rated depressive symptoms and emotion regulation weekly. Analyses were made using cross-lagged panel modeling. Results: Alliance, as rated by both therapist and patient, predicted depression scores the following week. Emotion regulation rated by the patient also predicted depression scores the following week. Furthermore, alliance scores predicted emotion regulation scores the following week, which in turn predicted depression scores the week after, supporting the hypothesis that alliance influences outcome partly through emotion regulation. There were no group differences in any of these relationships. Conclusion: Alliance seems to play an important role in internet-based treatments, partly through emotion regulation. Clinicians working with text-based treatments should pay attention to the working alliance.

Place, publisher, year, edition, pages
American Psychological Association (APA), 2023. Vol. 91, no 7, p. 426-437
Keywords [en]
alliance, adolescents, internet-based PDT, internet-based CBT, psychotherapy process
National Category
Applied Psychology
Research subject
Social Sciences, Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-121488DOI: 10.1037/ccp0000815ISI: 000985641300001PubMedID: 37166833Scopus ID: 2-s2.0-85163922992OAI: oai:DiVA.org:lnu-121488DiVA, id: diva2:1764353
Available from: 2023-06-08 Created: 2023-06-08 Last updated: 2023-08-25Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Falkenström, Fredrik

Search in DiVA

By author/editor
Falkenström, Fredrik
By organisation
Department of Psychology
In the same journal
Journal of Consulting and Clinical Psychology
Applied Psychology

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 58 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf