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EMPIRICAL PAPERS

Early trajectories of symptom change and working alliance as predictors of treatment outcome

ORCID Icon, ORCID Icon, ORCID Icon &
Pages 185-197 | Received 16 Nov 2021, Accepted 17 May 2022, Published online: 04 Jun 2022

References

  • Beard, J. I. L., & Delgadillo, J. (2019). Early response to psychological therapy as a predictor of depression and anxiety treatment outcomes: A systematic review and meta-analysis. Depression and Anxiety, 36(9), 866–878. https://doi.org/10.1002/da.22931
  • Busseri, M. A., & Tyler, J. D. (2003). Interchangeability of the Working Alliance Inventory and Working Alliance Inventory, short form. Psychological Assessment, 15(2), 193–197. https://doi.org/10.1037/1040-3590.15.2.193
  • Crits-christoph, P., Beth, M., Gibbons, C., Hamilton, J., & Gallop, R. (2011). The dependability of alliance assessments: The alliance–outcome correlation is larger than you might think.. Journal of Consulting and Clinical Psychology, 79(3), 267–278. https://doi.org/10.1037/a0023668
  • Cuijpers, P., Karyotaki, E., Weitz, E., Andersson, G., Hollon, S. D., & Van Straten, A. (2014). The effects of psychotherapies for major depression in adults on remission, recovery and improvement: A meta-analysis. Journal of Affective Disorders, 159, 118–126. https://doi.org/10.1016/j.jad.2014.02.026
  • Cuijpers, P., Reijnders, M., Karyotaki, E., de Wit, L., & Ebert, D. D. (2018). Negative effects of psychotherapies for adult depression: A meta-analysis of deterioration rates. Journal of Affective Disorders, 239, 138–145. https://doi.org/10.1016/j.jad.2018.05.050
  • Del Re, A. C., Flückiger, C., Horvath, A. O., & Wampold, B. E. (2021). Examining therapist effects in the alliance–outcome relationship: A multilevel meta-analysis. Journal of Consulting and Clinical Psychology, 89(5), 371–378. https://doi.org/10.1037/ccp0000637
  • DeRubeis, R. J., Brotman, M. A., & Gibbons, C. J. (2005). A conceptual and methodological analysis of the nonspecifics argument. Clinical Psychology: Science and Practice, 12(2), 174–183. https://doi.org/10.1093/clipsy.bpi022
  • Dimidjian, S., & Hollon, S. D. (2010). How would we know If psychotherapy were harmful? American Psychologist, 65(1), 21–33. https://doi.org/10.1037/a0017299
  • Eubanks-Carter, C., Muran, J. C., & Safran, J. D. (2015). Alliance-focused training. Psychotherapy, 52(2), 169–173. https://doi.org/10.1037/a0037596
  • Flückiger, C., Del Re, A. C., Wampold, B. E., & Horvath, A. O. (2018). The alliance in adult psychotherapy: A meta-analytic synthesis. Psychotherapy, 55(4), 316–340. http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L622287473%0A http://doi.org/10.1037/pst0000172
  • Flückiger, C., Horvath, A. O., & Brandt, H. (2022). The evolution of patients’ concept of the alliance and its relation to outcome: A dynamic latent-class structural equation modeling approach. Journal of Counseling Psychology, 69(1), 51–62. https://doi.org/10.1037/cou0000555
  • Flückiger, C., Rubel, J., Del Re, A. C., Horvath, A. O., Wampold, B. E., Crits-Christoph, P., Atzil-Slonim, D., Compare, A., Falkenström, F., Ekeblad, A., Errázuriz, P., Fisher, H., Hoffart, A., Huppert, J. D., Kivity, Y., Kumar, M., Lutz, W., Muran, J. C., Strunk, D. R., … Barber, J. P. (2020). The reciprocal relationship between alliance and early treatment symptoms: A two-stage individual participant data meta-analysis. Journal of Consulting and Clinical Psychology, 88(9), 829–843. https://doi.org/10.1037/ccp0000594
  • Gloster, A. T., Rinner, M. T. B., Ioannou, M., Villanueva, J., Block, V. J., Ferrari, G., Benoy, C., Bader, K., & Karekla, M. (2020). Treating treatment non-responders: A meta-analysis of randomized controlled psychotherapy trials. Clinical Psychology Review, 75(January 2019), 101810. https://doi.org/10.1016/j.cpr.2019.101810
  • Haas, E., Hill, R. D., Lambert, M. J., & Morrell, B. (2002). Do early responders to psychotherapy maintain treatment gains? Journal of Clinical Psychology, 58(9), 1157–1172. https://doi.org/10.1002/jclp.10044
  • Hansen, N., Lambert, M., & Forman, E. (2002). The psychotherapy dose-response effect and its implications for treatment delivery services. Clinical Psychology: Science and Practice, 9(3), 329–343. https://doi.org/10.1093/clipsy.9.3.329
  • Hayes, A. M., Feldman, G., Laurenceau, J.-P., Feldman, G., Strauss, J. L., & Cardaciotto, L. (2007). Change is not always linear: The study of nonlinear and discontinuous patterns of change in psychotherapy. Clinical Psychology Review, 27(6), 715–723. https://doi.org/10.1016/j.cpr.2007.01.008
  • Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology, 36(2), 223–233.https://doi.org/10.1037/0022-0167.36.2.223
  • Jung, T., & Wickrama, K. A. S. (2008). An introduction to latent class growth analysis and growth mixture modeling. Social and Personality Psychology Compass, 2(1), 302–317. https://doi.org/10.1111/j.1751-9004.2007.00054.x
  • Kivlighan, D. M., & Shaughnessy, P. (2000). Patterns of working alliance development: A typology of client’s working alliance ratings. Journal of Counseling Psychology, 47(3), 362–371. https://doi.org/10.1037/0022-0167.47.3.362
  • Koffmann, A. (2020). Early trajectory features and the course of psychotherapy. Psychotherapy Research, 30(1), 1–12. https://doi.org/10.1080/10503307.2018.1506950
  • Lambert, M. J. (2010). Prevention of treatment failure: The use of measuring, monitoring, and feedback in clinical practice. American Psychological Association. Advance online publication. https://doi.org/10.1037/12141-000
  • Lambert, M. J. (2013). Outcome in psychotherapy: The past and important advances. American Psychologist, 50(1), 42–51. https://doi.org/10.1037/0003-066X.34.1.91.a
  • Lambert, M. J., Burlingame, G. M., Umphress, V., Hansen, N. B., Vermeersch, D. A., Clouse, G. C., & Yanchar, S. C. (1996). The reliability and validity of the outcome questionnaire. Clinical Psychology and Psychotherapy, 3(4), 249–258. https://doi.org/10.1002/(SICI)1099-0879(199612)3:4<249::AID-CPP106>3.0.CO;2-S
  • Lewis, C. C., Simons, A. D., & Kim, H. K. (2012). The role of early symptom trajectories and pretreatment variables in predicting treatment response to cognitive behavioral therapy. Journal of Consulting and Clinical Psychology, 80(4), 525–534. https://doi.org/10.1037/a0029131
  • Lin, T., & Farber, B. A. (2021). Trajectories of depression in psychotherapy: How client characteristics predict clinical improvement. Journal of Clinical Psychology, 77(6), 1354–1370. https://doi.org/10.1002/jclp.23119
  • Lorenzo-Luaces, L., DeRubeis, R. J., & Webb, C. A. (2014). Client characteristics as moderators of the relation between the therapeutic alliance and outcome in cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 82(2), 368–373. https://doi.org/10.1037/a0035994
  • Lukaschek, K., Hiller, T. S., Schumacher, U., Teismann, T., Breitbart, J., Brettschneider, C., König, H. H., Margraf, J., & Gensichen, J. (2019). Symptom trajectories in patients with panic disorder in a primary care intervention: Results from a randomized controlled trial (PARADISE). Scientific Reports, 9(1), 1–6. https://doi.org/10.1038/s41598-019-43487-x
  • Lutz, W., Hofmann, S. G., Rubel, J., Boswell, J. F., Shear, M. K., Gorman, J. M., Woods, S. W., & Barlow, D. H. (2014). Patterns of early change and their relationship to outcome and early treatment termination in patients with panic disorder. Journal of Consulting and Clinical Psychology, 82(2), 287–297. https://doi.org/10.1037/a0035535
  • Lutz, W., Prinz, J. N., Schwartz, B., Paulick, J., Schoenherr, D., Deisenhofer, A. K., Terhürne, P., Boyle, K., Altmann, U., Strauß, B., Rafaeli, E., Atzil-Slonim, D., Bar-Kalifa, E., & Rubel, J. (2020). Patterns of early change in interpersonal problems and their relationship to nonverbal synchrony and multidimensional outcome. Journal of Counseling Psychology, 67(4), 449–461. https://doi.org/10.1037/cou0000376
  • Lutz, W., Stulz, N., & Köck, K. (2009). Patterns of early change and their relationship to outcome and follow-up among patients with major depressive disorders. Journal of Affective Disorders, 118(1–3), 60–68. https://doi.org/10.1016/j.jad.2009.01.019
  • Maas, C. J. M., & Hox, J. J. (2005). Sufficient sample sizes for multilevel modeling. Methodology, 1(3), 86–92. https://doi.org/10.1027/1614-2241.1.3.86
  • McLaughlina, A. A., Kellera, S. M., Feenya, N. C., Youngstromb, E. A., & Zoellner, L. A. (2014). Patterns of therapeutic alliance: Rupture-repair episodes in prolonged exposure for PTSD. Journal of Consulting and Clinical Psychology, 82(1), 112–121. https://doi.org/10.1037/a0034696
  • Muran, J. C., Safran, J. D., Eubanks, C. F., & Gorman, B. S. (2018). The effect of alliance-focused training on a cognitive-behavioral therapy for personality disorders. Journal of Consulting and Clinical Psychology, 86(4), 384–397. https://doi.org/10.1037/ccp0000284
  • Muthén, B. O., & Muthén, L. K. (2000). Integrating person-centered and variable-centered analyses: Growth mixture modeling with latent trajectory classes. Alcoholism: Clinical and Experimental Research, 24(6), 882–891. https://doi.org/10.1111/j.1530-0277.2000.tb02070.x
  • Nagin, D. S., & Odgers, C. L. (2010). Group-based trajectory modeling in clinical research. Annual Review of Clinical Psychology, 6(1), 109–138. https://doi.org/10.1146/annurev.clinpsy.121208.131413
  • Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling: A Multidisciplinary Journal, 14(4), 535–569. https://doi.org/10.1080/10705510701575396
  • Owen, J., Adelson, J., Budge, S., Wampold, B., Kopta, M., Minami, T., & Miller, S. (2015). Trajectories of change in psychotherapy. Journal of Clinical Psychology, 71(9), 817–827. https://doi.org/10.1002/jclp.22191
  • Rozental, A., Castonguay, L., Dimidjian, S., Lambert, M., Shafran, R., Andersson, G., & Carlbring, P. (2018). Negative effects in psychotherapy: Commentary and recommendations for future research and clinical practice. BJPsych Open, 4(4), 307–312. https://doi.org/10.1192/bjo.2018.42
  • Rubel, J., Lutz, W., Kopta, S. M., Köck, K., Minami, T., Zimmermann, D., & Saunders, S. M. (2015). Defining early positive response to psychotherapy: An empirical comparison between clinically significant change criteria and growth mixture modeling. Psychological Assessment, 27(2), 478–488. https://doi.org/10.1037/pas0000060
  • Sasso, K. E., Strunk, D. R., Braun, J. D., DeRubeis, R. J., & Brotman, M. A. (2016). A re-examination of process–outcome relations in cognitive therapy for depression: Disaggregating within-patient and between-patient effects. Psychotherapy Research, 26(4), 387–398. https://doi.org/10.1080/10503307.2015.1026423
  • Schiefele, A. K., Lutz, W., Barkham, M., Rubel, J., Böhnke, J., Delgadillo, J., Kopta, M., Schulte, D., Saxon, D., Nielsen, S. L., & Lambert, M. J. (2017). Reliability of therapist effects in practice-based psychotherapy research: A guide for the planning of future studies. Administration and Policy in Mental Health and Mental Health Services Research, 44(5), 598–613. https://doi.org/10.1007/s10488-016-0736-3
  • Senger, K., Rubel, J. A., Kleinstäuber, M., Schröder, A., Köck, k., Lambert, M. J., Lutz, W., & Heider, J. (2021). Symptom change trajectories in patients with persistent somatic symptoms and their association to long-term treatment outcome. Psychotherapy Research, 32(5), 624–639. https://doi.org/10.1080/10503307.2021.1993376
  • Shimokawa, K., Lambert, M. J., & Smart, D. W. (2010). Enhancing treatment outcome of patients at risk of treatment failure: Meta-analytic and mega-analytic review of a psychotherapy quality assurance system. Journal of Consulting and Clinical Psychology, 78(3), 298–311. https://doi.org/10.1037/a0019247
  • Stiles, W. B., Glick, M. J., Osatuke, K., Hardy, G. E., Shapiro, D. A., Agnew-Davies, R., Rees, A., & Barkham, M. (2004). Patterns of alliance development and the rupture-repair hypothesis: Are productive relationships U-shaped or V-shaped? Journal of Counseling Psychology, 51(1), 81–92. https://doi.org/10.1037/0022-0167.51.1.81
  • Stiles, W. B., & Goldsmith, J. Z.. (2010). The alliance over time. In J. Muran & J. Barber (Eds.), The therapeutic alliance: An evidence-based guide to practice (pp. 44–62). Guilford Press.
  • Stulz, N., Lutz, W., Leach, C., Lucock, M., & Barkham, M. (2007). Shapes of early change in psychotherapy under routine outpatient conditions. Journal of Consulting and Clinical Psychology, 75(6), 864–874. https://doi.org/10.1037/0022-006X.75.6.864
  • Tadić, A., Helmreich, I., Mergl, R., Hautzinger, M., Kohnen, R., Henkel, V., & Hegerl, U. (2010). Early improvement is a predictor of treatment outcome in patients with mild major, minor or subsyndromal depression. Journal of Affective Disorders, 120(1–3), 86–93. https://doi.org/10.1016/j.jad.2009.04.014
  • Taylor, S., Abramowitz, J. S., & McKay, D. (2012). Non-adherence and non-response in the treatment of anxiety disorders. Journal of Anxiety Disorders, 26(5), 583–589. https://doi.org/10.1016/j.janxdis.2012.02.010
  • Timman, R., Jong, K. D., & Neve-enthoven, N. D. (2017). Cut-off scores and clinical change indices for the Dutch outcome questionnaire (OQ-45) in a large sample of normal and several psychotherapeutic populations. Clinical Psychology and Psychotherapy, 24(1), 72–81. https://doi.org/10.1002/cpp.1979
  • Tracey, T. J., & Kokotovic, A. M. (1989). Factor structure of the working alliance inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1(3), 207–210. https://doi.org/10.1037/1040-3590.1.3.207
  • Van, H. L., Schoevers, R. A., Kool, S., Hendriksen, M., Peen, J., & Dekker, J. (2008). Does early response predict outcome in psychotherapy and combined therapy for major depression? Journal of Affective Disorders, 105(1–3), 261–265. https://doi.org/10.1016/j.jad.2007.04.016
  • Wampold, B. E., & Imel, Z. E. (2015). The great psychotherapy debate: The evidence for what makes psychotherapy work (2nd ed.). Routledge. https://doi.org/10.4324/9780203582015.
  • Zilcha-Mano, S. (2017). Is the alliance really therapeutic? Revisiting this question in light of recent methodological advances. American Psychologist, 72(4), 311–325. https://doi.org/10.1037/a0040435
  • 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. https://doi.org/10.1037/ccp0000192

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