Working alliance as a predictor of change in depression during blended cognitive behaviour therapy

Kristofer Vernmark, Hugo Hesser, On behalf of the E-COMPARED consortium, Naira Topooco, Thomas Berger, Heleen Riper, Liisa Luuk, Lisa Backlund, Per Carlbring, Gerhard Andersson

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Blended Cognitive Behaviour Therapy (bCBT) is a new form of treatment, mixing internet-based modules and face-to-face therapist sessions. How participants rate the therapeutic alliance in bCBT has not yet been thoroughly explored, and neither is it clear whether therapist- and patient-rated alliances are predictors of change in depression during treatment. Depression and alliance ratings from 73 participants in a treatment study on bCBT (part of the E-COMPARED project) were analysed using growth curve models. Alliance, as rated by both patients and therapists, was high. The therapist-rated working alliance was predictive of subsequent changes in depression scores during treatment, whereas the patient-rated alliance was not. A therapeutic alliance can be established in bCBT. The role of the therapist-rated alliance seems to be of particular importance and should be carefully considered when collecting data in future studies on bCBT.
Original languageEnglish
Pages (from-to)285-299
JournalCognitive Behaviour Therapy
Volume48
Issue number4
DOIs
Publication statusPublished - 4 Jul 2019

Cite this

Vernmark, K., Hesser, H., On behalf of the E-COMPARED consortium, Topooco, N., Berger, T., Riper, H., ... Andersson, G. (2019). Working alliance as a predictor of change in depression during blended cognitive behaviour therapy. Cognitive Behaviour Therapy, 48(4), 285-299. https://doi.org/10.1080/16506073.2018.1533577