دورية أكاديمية
The change of working alliance and the association to treatment outcome in an internet-based therapy after pregnancy loss
| العنوان: | The change of working alliance and the association to treatment outcome in an internet-based therapy after pregnancy loss |
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| المؤلفون: | Martin Kramuschke, Jana Reinhardt, Ruth Dölemeyer, Julia Kaiser, Anette Kersting |
| المصدر: | BMC Psychology, Vol 12, Iss 1, Pp 1-12 (2024) |
| بيانات النشر: | BMC, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Psychology |
| مصطلحات موضوعية: | Working alliance, Therapeutic relationship, Internet-based therapy, Cognitive behavioral therapy, Pregnancy loss, Perinatal loss, Psychology, BF1-990 |
| الوصف: | Abstract Background Working alliance is a prominent non-specific factor for treatment outcomes in face-to-face and internet-based interventions. The association between working alliance and therapy outcome appears to be time- and disorder-specific, but less is known about the change of working alliance during the intervention and the impact of working alliance in grief-specific interventions. The present study examines the association between the change of working alliance and treatment outcomes in an internet-based intervention for parents who experienced pregnancy loss. Methods 228 participants received a grief intervention based on cognitive behavioral therapy with asynchronous text-based therapist feedback. Prolonged grief and related symptoms of traumatic stress, depression, anxiety, and general psychopathology were assessed with validated instruments before and after the intervention. The change of working alliance was assessed using the short version of the Working Alliance Inventory at mid-treatment (session 4) and the end of the treatment (session 10). Results Data for N = 146 persons was analyzed. Working alliance in total and all subscales increased significantly from sessions 4 to 10. This change in working alliance correlated significantly with a reduction in prolonged grief. Changes in subscales of working alliance also correlated with symptoms of depression and general psychopathology. Regression analysis showed that a change in working alliance predicted a reduction in prolonged grief but did not predict improvements in other grief-related symptoms. Conclusion The results examine the change of working alliance during an internet-based intervention and the association with treatment outcome. A small impact of change in working alliance on treatment outcome of prolonged grief was confirmed, but not on related symptoms. Further research is needed to assess moderators of the alliance-outcome association to improve internet-based interventions. Trial registration Not applicable. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2050-7283 70928169 |
| العلاقة: | https://doaj.org/toc/2050-7283Test |
| DOI: | 10.1186/s40359-024-01751-4 |
| الوصول الحر: | https://doaj.org/article/e8f434c12bb74e70928169457f37f942Test |
| رقم الانضمام: | edsdoj.8f434c12bb74e70928169457f37f942 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20507283 70928169 |
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| DOI: | 10.1186/s40359-024-01751-4 |