Publication:
Alliance negotiation as a predictor of early treatment outcome.

cris.virtualsource.author-orcid59b8bd81-9434-4574-bc27-3df7b64bdc29
dc.contributor.authorManubens, Rocío Tamara
dc.contributor.authorBabl, Anna Margarete
dc.contributor.authorDoran, Jennifer
dc.contributor.authorRoussos, Andrés
dc.contributor.authorAlalu, Nicolás
dc.contributor.authorGómez Penedo, Juan Martín
dc.date.accessioned2024-10-25T15:39:34Z
dc.date.available2024-10-25T15:39:34Z
dc.date.issued2023-08
dc.description.abstractAIM The therapeutic alliance is a robust predictor of treatment outcome. However, little is known about the way alliance negotiation contributes to psychotherapy outcome. The aim of the present study was to analyze the effects of alliance negotiation on treatment outcome in the first four sessions of psychotherapy. METHODS Ninety-six patients diagnosed with emotional disorders received weekly Solution-Focused Brief Therapy. Each patient completed both the Alliance Negotiation Scale (ANS) and the Outcome Questionnaire 45 (OQ.45) after each of the first four sessions. Both between- and within-patients effects of alliance negotiation on symptom severity were analyzed using Hierarchical Linear Models. RESULTS Results showed significant between and within patient effects of alliance negotiation on symptom severity. Patients with higher levels of alliance negotiation across treatment showed lower levels of symptom severity (between-patient effect). Also, in a session with higher alliance negotiation compared to the average session of this patient, symptom severity was lower than in the average session (within-patient effect). DISCUSSION The results indicate that therapies characterized by higher alliance negotiation and sessions with higher alliance negotiation are beneficial for early outcome. CONCLUSION From a clinical point of view, the results suggest that alliance negotiation is a meaningful factor for therapy outcome and that therapists may benefit from training and monitoring alliance negotiation during the early stages of treatment.
dc.description.numberOfPages12
dc.description.sponsorshipInstitut für Psychologie - Abteilung Klinische Psychologie & Psychotherapie
dc.identifier.doi10.48350/179058
dc.identifier.pmid36806207
dc.identifier.publisherDOI10.1002/jclp.23498
dc.identifier.urihttps://boris-portal.unibe.ch/handle/20.500.12422/164346
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofJournal of clinical psychology
dc.relation.issn1097-4679
dc.relation.organizationDCD5A442BA84E17DE0405C82790C4DE2
dc.subjectalliance negotiation between-patient effects symptom severity within-patient effects
dc.subject.ddc600 - Technology::610 - Medicine & health
dc.titleAlliance negotiation as a predictor of early treatment outcome.
dc.typearticle
dspace.entity.typePublication
dspace.file.typetext
oaire.citation.endPage1751
oaire.citation.issue8
oaire.citation.startPage1740
oaire.citation.volume79
oairecerif.author.affiliationInstitut für Psychologie - Abteilung Klinische Psychologie & Psychotherapie
unibe.contributor.rolecreator
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unibe.date.licenseChanged2023-02-23 11:42:12
unibe.description.ispublishedpub
unibe.eprints.legacyId179058
unibe.refereedTRUE
unibe.subtype.articlejournal

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