Abstract
Objective: This study explored whether treatment outcomes in a trial on the Cognitive Behavioral Analysis System of Psychotherapy (CBASP) vs. Supportive Psychotherapy (SP) for patients with early-onset chronic depression differ between alliance patterns. Method: Session-to-session ratings of the therapeutic alliance (Helping Alliance Questionnaire (HAQ)) from 254 outpatients with chronic depression (CBASP: 134; SP: 120) who took part in a multicenter randomized controlled trial of CBASP vs. SP were used to categorize patients into three alliance pattern categories for the patients’ and therapists’ rating separately. Based on the reliable change in the HAQ from one session to the next categories were: no rupture, unrepaired rupture, rupture-repair. Depression severity (24-item Hamilton Rating Scale for Depression) at post-treatment, at 12- and 24- months follow-up was the outcome. Results: The alliance pattern categories for therapists and patients did not differ between CBASP and SP. Only the alliance patterns calculated for patients were associated with outcome: in the unrepaired rupture category, patients had higher HRSD-ratings across time points (p = 0.047). Conclusions: CBASP was not associated with more or fewer ruptures or repairs as compared to SP in the treatment of chronic depression. The study highlights the need to resolve ruptures to avoid poor outcomes. Trial registration:ClinicalTrials.gov identifier: NCT00970437.
| Originalsprache | Englisch |
|---|---|
| Zeitschrift | Psychotherapy Research |
| Jahrgang | 31 |
| Ausgabenummer | 8 |
| Seiten (von - bis) | 977-987 |
| Seitenumfang | 11 |
| ISSN | 1050-3307 |
| DOIs | |
| Publikationsstatus | Veröffentlicht - 2021 |
Fördermittel
This study was funded by grants from the German Research Foundation (SCHR443/11-2, SCHN1204/3-1, and WA1539/4-1). The sponsor (German Research Foundation) has reviewed and approved the study protocol in the context of the grant application process. It had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. The full study team consists of Levente Kriston, Ramona Meister; Hamburg-Eppendorf. Moritz Elsaesser, Thomas Fangmeier, Paul Bausch, Katharina Domschke, Mathias Berger; Freiburg. Ingo Zobel; Berlin. Josef Bailer; Mannheim; Katrin Wambach; Marburg. Matthias Backenstrass; Heidelberg, Stuttgart. Dieter Schoepf; Bonn, Weilmnünster. Knut Schnell; Göttingen. Antje Gumz, Bernd Löwe; Hamburg-Eppendorf. Henrik Walter; Berlin. Markus Wolf; Zürich.
Strategische Forschungsbereiche und Zentren
- Forschungsschwerpunkt: Gehirn, Hormone, Verhalten - Center for Brain, Behavior and Metabolism (CBBM)
UN SDGs
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