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EMPIRICAL PAPERS

The mediating role of the therapeutic alliance in understanding early discontinuance

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Pages 882-893 | Received 25 Aug 2017, Accepted 21 Jul 2018, Published online: 05 Aug 2018

References

  • Allgood, S. M., & Crane, D. R. (1991). Predicting marital therapy dropouts. Journal of Marital and Family Therapy, 17(1), 73–79. doi:10.1111/j.1752-0606.1991.tb00866.x
  • Anderson, S. R., Anderson, S. A., Palmer, K. L., Mutchler, M. S., & Baker, L. K. (2011). Defining high conflict. American Journal of Family Therapy, 39(1), 11–27. doi: 10.1080/01926187.2010.530194
  • Anderson, S. R., & Johnson, L. N. (2010). A dyadic analysis of the between- and within-system alliances on distress. Family Process, 49(2), 220–235. doi: 10.1111/j.1545-5300.2010.01319.x
  • Anderson, S. R., Tambling, R. B., Huff, S. C., Heafner, J., Johnson, L. N., & Ketring, S. A. (2014). The development of a reliable change index and cutoff for the revised dyadic adjustment scale. Journal of Marital and Family Therapy, 40(4), 525–534. doi: 10.1111/jmft.12095
  • Barber, J. P., Luborsky, L., Crits-Christoph, P., Thase, M. E., Weiss, R., Frank, A., … Gallop, R. (1999). Therapeutic alliance as a predictor of outcome in treatment of cocaine dependence. Psychotherapy Research, 9(1), 54–73. doi: 10.1080/10503309912331332591
  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.
  • Barrett, M. S., Chua, W. J., Crits-Cristoph, P., Gibbons, M. B., & Thompson, D. (2008). Early withdrawal from mental health treatment: Implications for psychotherapy practice. Psychotherapy: Theory, Research, Practice. Training, 45, 247–267. doi: 10.1037/0033-3204.45.2.247
  • Baruch, G., Vrouva, I., & Fearon, P. (2009). A follow-up study of characteristics of young people that dropout and continue psychotherapy: Service implications for a clinic in the community. Child and Adolescent Mental Health, 14(2), 69–75. doi: 10.1111/j.1475-3588.2008.00492.x
  • Bech, P., Rasmussen, N., Olsen, L. R., Noerholm, V., & Abildgaard, W. (2001). The sensitivity and specificity of the major depression inventory, using the present state examination as the index of diagnostic validity. Journal of Affective Disorders, 66(2-3), 159–164. doi: 10.1016/S0165-0327(00)00309-8
  • Bischoff, R. J., & Sprenkle, D. H. (1993). Dropping out of marriage and family therapy: A critical review of research. Family Process, 32(3), 353–375. doi:10.1111/famp.1993.32.issue-3
  • Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16(3), 252–260. doi:10.1037/h0085885
  • Busby, D. M., Crane, D. R., Larson, J. H., & Christensen, C. (1995). A revision of the dyadic adjustment scale for use with distressed and nondistressed couples: Construct hierarchy and multidimensional scales. Journal of Marital and Family Therapy, 21(3), 289–308. doi: 10.1111/j.1752-0606.1995.tb00163.x
  • Chu, B. C., Skriner, L. C., & Zandberg, L. J. (2014). Trajectory and predictors of alliance in cognitive behavioral therapy for youth anxiety. Journal of Clinical Child and Adolescent Psychology, 43(5), 721–734. doi: 10.1080/15374416.2013.785358
  • Connolly Gibbons, M., Rothbard, A., Farris, K., Wiltsey Stirman, S., Thompson, S., Scott, K., … Crits-Christoph, P. (2011). Changes in psychotherapy utilization among consumers of services for major depressive disorder in the community mental health system. Administration and Policy in Mental Health and Mental Health Services Research, 38(6), 495–503. doi: 10.1007/s10488-011-0336-1
  • Connors, G. J., DiClemente, C. C., Dermen, K. H., Kadden, R., Carroll, K. M., & Frone, M. R. (2000). Predicting the therapeutic alliance in alcoholism treatment. Journal of Studies on Alcohol, 61(1), 139–149. doi: 10.15288/jsa.2000.61.139
  • Davis, H., & Dhillon, A. M. (1989). Prediction of early attrition from couple therapy. Psychological Reports, 65(3), 899–902. doi:10.2466/pr0.1989.65.3.899
  • de Haan, A. M., Boon, A. E., de Jong, J. T. V. M., Hoeve, M., & Vermeiren, R. R. J. M. (2013). A meta-analytic review on treatment dropout in child and adolescent outpatient mental health care. Clinical Psychology Review, 33(5), 698–711. doi:10.1016/j.cpr.2013.04.005
  • Duncan, B. L., Miller, S. D., Sparks, J. A., Claud, D. A., Reynolds, L. R., Brown, J., & Johnson, L. D. (2003). The session rating scale: Preliminary psychometric properties of a “working” alliance measure. Journal of Brief Therapy, 3(1), 3–12.
  • Dunkle, J. H., & Friedlander, M. L. (1996). Contribution of therapist experience and personal characteristics to the working alliance. Journal of Counseling Psychology, 43(4), 456–460. doi: 10.1037/0022-0167.43.4.456
  • Fawcett, D., & Crane, D. R. (2013). The influence of profession and therapy type on the treatment of sexual dysfunctions. Journal of Sex & Marital Therapy, 39(5), 453–465. doi: 10.1080/0092623X.2012.665814
  • Frayn, D. H. (1992). Assessment factors associated with premature psychotherapy termination. American Journal of Psychotherapy, 46(2), 250–261. doi:10.1176/appi.psychotherapy.1992.46.2.250
  • Gill, I. J., & Fox, J. R. E. (2012). A qualitative meta-synthesis on the experience of psychotherapy for deaf and hard-of-hearing people. Mental Health, Religion & Culture, 15(6), 637–651. doi:10.1080/13674676.2011.609161
  • Hamilton, S., Moore, A. M., Crane, D. R., & Payne, S. H. (2011). Psychotherapy dropouts: Differences by modality, license, and DSM-IV diagnosis. Journal of Marital & Family Therapy, 37(3), 333–343. doi: 10.1111/j.1752-0606.2010.00204.x
  • Horvath, A. O., Del Re, A. C., Flückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48(1), 9–16. doi: 10.1037/a0022186
  • Kazdin, A. E., Holland, L., & Crowley, M. (1997). Family experience of barriers to treatment and premature termination from child therapy. Journal of Consulting and Clinical Psychology, 65(3), 453–463. doi: 10.1037/0022-006X.65.3.453
  • Klag, S., O'Callaghan, F., & Creed, P. (2005). The use of legal coercion in the treatment of substance abusers: an overview and critical analysis of thirty years of research. Substance Use & Misuse, 40(12), 1777–1795. doi:10.1080/10826080500260891
  • Knerr, M., Bartle-Haring, S., McDowell, T., Adkins, K., Delaney, R. O., Gangamma, R., … Meyer, K. (2009). The impact of initial factors of therapeutic alliance in individuals and couples therapy. Journal of Marital and Family Therapy, 37, 1–11. doi: 10.1111/j.1752-06.2009.00176.x
  • Labouliere, C. D., Reyes, J. P., Shirk, S., & Karver, M. (2017). Therapeutic alliance with depressed adolescents: Predictor or outcome? Disentangling temporal confounds to understand early improvement. Journal of Clinical Child And Adolescent Psychology, 46(4), 600–610. doi: 10.1080/15374416.2015.1041594
  • Lambert, M. J. (2007). Presidential address: What we have learned from a decade of research aimed at improving psychotherapy outcome in routine care. Psychotherapy Research, 17(1), 1–14. doi: 10.1080/10503300601032506
  • Lambert, M. J., & Ogles, B. (2004). The efficacy and effectiveness of psychotherapy. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (5th ed., pp. 139–193). New York: Wiley.
  • Larke, J. (1985). Compulsory treatment: Some practical methods of treating the mandated client. Psychotherapy: Theory, Research, Practice, Training, 22, 262–268.
  • Lavik, K. O., Frøysa, H., Brattebø, K. F., McLeod, J., & Moltu, C. (2017). The first sessions of psychotherapy: A qualitative meta-analysis of alliance formation processes. Journal of Psychotherapy Integration. Advance online publication. doi:10.1037/int0000101
  • Loneck, B., Garrett, J. A., & Banks, S. M. (2009). A comparison of the Johnson intervention with four other methods of referral to outpatient treatment. The American Journal of Drug and Alcohol Abuse, 22(2), 233–246. doi:10.3109/00952999609001656
  • Lorentzen, S., Bakali, J. V., Hersoug, A. G., Hagtvet, K. A., Ruud, T., & Høglend, P. (2012). Psychodynamic group psychotherapy: Impact of group length and therapist professional characteristics on development of therapeutic alliance. Clinical Psychology & Psychotherapy, 19(5), 420–433. doi: 10.1002/cpp.758
  • Masi, M. V., Miller, R. B., & Olson, M. M. (2003). Differences in dropout rates among individual, couple, and family therapy clients. Contemporary Family Therapy: An International Journal, 25(1), 63–75. doi: 10.1023/A:1022558021512
  • McSweeney, T., Stevens, A., Hunt, N., & Turnbull, P. J. (2007). Twisting arms or a helping hand?: Assessing the impact of 'coerced' and comparable 'voluntary' drug treatment options. British Journal of Criminology, 47(3), 470–490. doi:10.1093/bjc/azl087
  • Miller, S. D., Duncan, B. L., Brown, J., Sparks, J. A., & Claud, D. A. (2003). The outcome rating scale: A preliminary study of the reliability, validity, and feasibility of a brief visual analog measure. Journal of Brief Therapy, 2, 91–100.
  • Moore, L. E., Tambling, R. B., & Anderson, S. R. (2013). The intersection of therapy constructs: The relationship between motivation to change, distress, referral source, and pressure to attend. American Journal of Family Therapy, 41(3), 245–258. doi: 10.1080/01926187.2012.685351
  • Orlinsky, D. E., & Howard, K. I. (1986). Process and outcome in psychotherapy. In S. L. Garfield & A. E. Bergin (Eds.), Handbook of psychotherapy and behavior change (3rd ed., pp. 311–381). New York: Wiley.
  • Ormhaug, S. M., & Jensen, T. K. (2018). Investigating treatment characteristics and first-session relationship variables as predictors of dropout in the treatment of traumatized youth. Psychotherapy Research, 28(2), 235–249. doi:10.1080/10503307.2016.1189617
  • Pekarik, G. (1992). Posttreatment adjustment of clients who drop out early vs. late in treatment. Journal of Clinical Psychology, 48(3), 379–387. doi:10.1002/1097-4679(199205)48:33.0.CO;2-P
  • Pinquart, M., Oslejsek, B., & Teubert, D. (2016). Efficacy of systemic therapy on adults with mental disorders: A meta-analysis. Psychotherapy Research, 26(2), 241–257. doi: 10.1080/10503307.2014.935830
  • Raytek, H. S., McCrady, B. S., Epstein, E. E., & Hirshch, L. S. (1999). Therapeutic alliance and the retention of couples in conjoint alcoholism treatment. Addictive Behaviors, 24(3), 317–330. doi: 10.1016/S0306-4603(98)00085-9
  • Reis, B. F., & Brown, L. G. (1999). Reducing psychotherapy dropouts: Maximizing perspective convergence in the psychotherapy dyad. Psychotherapy: Theory, Research Practice, Training, 36, 123–126. doi: 10.1037/h0087822
  • Robbins, M. S., Liddle, H. A., Turner, C. W., Dakof, G. A., Alexander, J. F., & Kogan, S. M. (2006). Adolescent and parent therapeutic alliances as predictors of dropout in multidimensional family therapy. Journal of Family Psychology, 20(1), 108–116. doi: 10.1037/0893-3200.20.1.108
  • Roos, J., & Werbart, A. (2013). Therapist and relationship factors influencing dropout from individual psychotherapy: A literature review. Psychotherapy Research, 23(4), 394–418. doi: 10.1080/10503307.2013.775528
  • Russell, R., Shirk, S., & Jungbluth, N. (2008). First-session pathways to the working alliance in cognitive–behavioral therapy for adolescent depression. Psychotherapy Research, 18(1), 15–27. doi:10.1080/10503300701697513
  • Sasso, K. E., & Strunk, D. R. (2013). Thin slice ratings of client characteristics in intake assessments: Predicting symptom change and dropout in cognitive therapy for depression. Behaviour Research and Therapy, 51(8), 443–450. doi: 10.1016/j.brat.2013.04.007
  • Scharff, K. E. (2006). Therapeutic supervision with families of high-conflict divorce. In J. S. Scharff & D. E. Scharff (Eds.), New paradigms for treating relationships (pp. 133–146). Lanham, MD: Jason Aronson.
  • Shadish, W. R., & Baldwin, S. A. (2003). Meta-analysis of MFT interventions. Journal of Marital and Family Therapy, 29(4), 547–570. doi: 10.1111/j.1752-0606.2003.tb01694.x
  • Shapiro, R. J., & Budman, S. H. (1973). Defection, termination, and continuation in family and individual therapy. Family Process, 12, 55–67.
  • Sharf, J., Primavera, L. H., & Diener, M. J. (2010). Dropout and therapeutic alliance: A meta-analysis of adult individual psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 47(4), 637–645. doi: 10.1037/a0021175
  • Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7, 422–445.
  • Simon, G. E., Imel, Z. E., Ludman, E. J., & Steinfeld, B. J. (2012). Is dropout after a first psychotherapy visit always a bad outcome? Psychiatric Services, 63(7), 705–707. doi: 10.1176/appi.ps.201100309
  • Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097.
  • Stark, M. J. (1992). Dropping out of substance abuse treatment: A clinically oriented review. Clinical Psychology Review, 12(1), 93–116. doi:10.1016/0272-7358(92)90092-M
  • StataCorp. (2015). Stata statistical software: Release 14. College Station, TX: Author.
  • Swift, J. K., & Greenberg, R. P. (2012). Premature discontinuation in adult psychotherapy: A meta-analysis. Journal of Consulting and Clinical Psychology, 80(4), 547–559. doi:10.1037/a0028226
  • Tarescavage, A. M., Finn, J. A., Marek, R. J., Ben-Porath, Y. S., & van Dulmen, M. H. M. (2015). Premature termination from psychotherapy and internalizing psychopathology: The role of demoralization. Journal of Affective Disorders, 174, 549–555. doi:10.1016/j.jad.2014.12.018
  • Wierzbicki, M., & Pekarik, G. (1993). A meta-analysis of psychotherapy dropout. Professional Psychology: Research and Practice, 24(2), 190–195. doi:10.1037//0735-7028.24.2.190
  • Yoo, H., Bartle-Haring, S., & Gangamma, R. (2016). Predicting premature termination with alliance at sessions 1 and 3: An exploratory study. Journal of Family Therapy, 38(1), 5–17. doi: 10.1111/1467-6427.12031
  • Zilcha-Mano, S., Dinger, U., McCarthy, K. S., & Barber, J. P. (2014). Does alliance predict symptoms throughout treatment, or is it the other way around? Journal of Consulting and Clinical Psychology, 82(6), 931–935. doi: 10.1037/a0035141
  • Zilcha-Mano, S., & Errázuriz, P. (2017). Early development of mechanisms of change as a predictor of subsequent change and treatment outcome: The case of working alliance. Journal of Consulting and Clinical Psychology, 85(5), 508–520. doi: 10.1037/ccp0000192

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