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EMPIRICAL PAPERS

Agreement in patient-therapist alliance ratings and its relation to dropout and outcome in a large sample of cognitive behavioral therapy for panic disorder

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Pages 28-40 | Received 30 Dec 2021, Accepted 23 Aug 2022, Published online: 28 Sep 2022

References

  • Aaronson, C. J., Shear, M. K., Goetz, R. R., Allen, L. B., Barlow, D. H., White, K. S., Ray, S., Money, R., Saksa, J. R., Woods, S. W., & Gorman, J. M. (2008). Predictors and time course of response among panic disorder patients treated with cognitive-behavioral therapy. The Journal of Clinical Psychiatry, 69(3), 418–424. https://doi.org/10.4088/jcp.v69n0312
  • Bachelor, A. (2013). Clients’ and therapists’ views of the therapeutic alliance: Similarities, differences and relationship to therapy outcome. Clinical Psychology & Psychotherapy, 20(2), 118–135. https://doi.org/10.1002/cpp.792
  • Barber, J.P. (2009). Toward a working through of some core conflicts in psychotherapy research. Psychotherapy Research, 19(1), 1–12. http://doi.org/10.1080/10503300802609680
  • Barlow, D. H., & Craske, M. G. (2007). Mastery of your anxiety and panic (4th ed.). Oxford University Press.
  • Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16(3), 252–260. https://doi.org/10.1037/h0085885
  • Carroll, K. M., Nich, C., & Rounsaville, B. J. (1997). Contribution of the therapeutic alliance to outcome in active versus control psychotherapies. Journal of Consulting and Clinical Psychology, 65(3), 510–514. https://doi.org/10.1037/0022-006X.65.3.510
  • Castonguay, L. G., Constantino, M. J., McAleavey, A. A., & Goldfried, M. R. (2010). The therapeutic alliance in cognitive-behavioral therapy. In J. C. Muran, & J. P. Barber (Eds.), The therapeutic alliance: An evidence-based guide to practice (pp. 150–171). The Guilford Press.
  • Collins, L. M., Schafer, J. L., & Kam, C. M. (2001). A comparison of inclusive and restrictive strategies in modern missing data procedures. Psychological Methods, 6(4), 330–351. https://doi.org/10.1037/1082-989X.6.4.330
  • Coyne, A. E., Constantino, M. J., Laws, H. B., Westra, H. A., & Antony, M. M. (2018). Patient-therapist convergence in alliance ratings as a predictor of outcome in psychotherapy for generalized anxiety disorder. Psychotherapy Research: Journal of the Society for Psychotherapy Research, 28(6), 969–984. https://doi.org/10.1080/10503307.2017.1303209
  • Edwards, J. R. (2001). Ten difference score myths. Organizational Research Methods, 4(3), 265–287. https://doi.org/10.1177/109442810143005
  • Edwards, J. R., & Parry, M. E. (1993). On the use of polynomial regression equations as an alternative to difference scores in organizational research. Academy of Management Journal, 36(6), 1577–1613. https://doi.org/10.5465/256822
  • Fernandez, E., Salem, D., Swift, J. K., & Ramtahal, N. (2015). Meta-analysis of dropout from cognitive behavioral therapy: Magnitude, timing, and moderators. Journal of Consulting and Clinical Psychology, 83(6), 1108–1122. https://doi.org/10.1037/ccp0000044
  • Fitzpatrick, M. R., Iwakabe, S., & Stalikas, A. (2005). Perspective divergence in the working alliance. Psychotherapy Research, 15(1–2), 69–80. https://doi.org/10.1080/10503300512331327056
  • 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. https://doi.org/10.1037/pst0000172
  • American Psychiatric Association, Frances, A., Pincus, H. A., & First, M. B. (1994). Diagnostic and Statistical Manual of Mental Disorders: DMS-IV. American Psychiatric Association.
  • Houck, P. R., Spiegel, D. A., Shear, M. K., & Rucci, P. (2002). Reliability of the self-report version of the panic disorder severity scale. Depression and Anxiety, 15(4), 183–185. https://doi.org/10.1002/da.10049
  • Hox, J. J., & McNeish, D. (2020). Small samples in multilevel modeling. In R. Van de Schoot, & M. Miočević (Eds.), Small sample size solutions: A guide for applied researchers and practitioners (pp. 215–225). Routledge.
  • Humberg, S., Nestler, S., & Back, M. D. (2019). Response surface analysis in personality and social psychology: Checklist and clarifications for the case of congruence hypotheses. Social Psychological and Personality Science, 10(3), 409–419. https://doi.org/10.1177/1948550618757600
  • Huppert, J. D., Fabbro, A., & Barlow, D. H. (2006). Evidence-based practice and psychological treatments. In C. D. Goodheart, A. E. Kazdin, & R. J. Sternberg (Eds.), Evidence-based psychotherapy: Where practice and research meet (pp. 131–152). American Psychological Association. https://doi.org/10.1037/11423-006
  • Huppert, J. D., Kivity, Y., Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2014). Therapist effects and the outcome-alliance correlation in cognitive behavioral therapy for panic disorder with agoraphobia. Behaviour Research and Therapy, 52(1), 26–34. https://doi.org/10.1016/j.brat.2013.11.001.
  • Impala, T., Dobson, K. S., & Kazantzis, N. (2022). Does the working alliance mediate the therapist competence-outcome relationship in cognitive behavior therapy for depression? Psychotherapy Research: Journal of the Society for Psychotherapy Research, 32(1), 16–28. https://doi.org/10.1080/10503307.2021.1946195
  • Jennissen, S., Nikendei, C., Ehrenthal, J. C., Schauenburg, H., & Dinger, U. (2020). Influence of patient and therapist agreement and disagreement about their alliance on symptom severity over the course of treatment: A response surface analysis. Journal of Counseling Psychology, 67(3), 326–336. https://doi.org/10.1037/cou0000398
  • Kivity, Y., Levy, K. N., Kolly, S., & Kramer, U. (2020). The therapeutic alliance over 10 sessions of therapy for borderline personality disorder: Agreement and congruence analysis and relation to outcome. Journal of Personality Disorders, 34(1), 1–21. https://doi.org/10.1521/pedi_2019_33_376
  • Kivlighan, D. M., Jr., Gelso, C. J., Ain, S., Hummel, A. M., & Markin, R. D. (2015). The therapist, the client, and the real relationship: An actor–partner interdependence analysis of treatment outcome. Journal of Counseling Psychology, 62(2), 314–320. https://doi.org/10.1037/cou0000012
  • Lai, L., Ren, Z., Zhang, L., & Tao, R. (2021). Congruence about working alliance in Chinese context: The moderating effect of therapists’ self-efficacy and the relationship between congruence and psychotherapy outcome. Journal of Counseling Psychology, 68(2), 232–246. https://doi.org/10.1037/cou0000463
  • 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
  • Marmarosh, C. L., & Kivlighan, D. M., Jr. (2012). Relationships among client and counselor agreement about the working alliance, session evaluations, and change in client symptoms using response surface analysis. Journal of Counseling Psychology, 59(3), 352–367. https://doi.org/10.1037/a0028907
  • McHugh, R. K., Smits, J. A. J., & Otto, M. W. (2009). Empirically supported treatments for panic disorder. Psychiatric Clinics of North America, 32(3), 593–610. https://doi.org/10.1016/j.psc.2009.05.005
  • Meier, P. S., & Donmall, M. C. (2006). Differences in client and therapist views of the working alliance in drug treatment. Journal of Substance Use, 11(1), 73–80. https://doi.org/10.1080/14659890500137004
  • Peterson, R. A., & Reiss, S. (1987). Test manual for the anxiety sensitivity index. International Diagnostic Systems.
  • R Core Team. (2016). R: A language and environment for statistical computing [computer software]. R Foundation for Statistical Computing. http://www.R-project.org.
  • Rubel, J. A., Bar-Kalifa, E., Atzil-Slonim, D., Schmidt, S., & Lutz, W. (2018). Congruence of therapeutic bond perceptions and its relation to treatment outcome: Within- and between-dyad effects. Journal of Consulting and Clinical Psychology, 86(4), 341–353. https://doi.org/10.1037/ccp0000280
  • Schafer, J.L., & Graham, J.W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7(2), 147–177. http://doi.org/10.1037/1082-989X.7.2.147
  • Schönbrodt, F., & Humberg, S. (2018). RSA: An R package for response surface analysis (version 0.10.1). https://cran.r-project.org/package=RSA.
  • Shanock, L. R., Baran, B. E., Gentry, W. A., Pattison, S. C., & Heggestad, E. D. (2010). Polynomial regression with response surface analysis: A powerful approach for examining moderation and overcoming limitations of difference scores. Journal of Business and Psychology, 25(4), 543–554. https://doi.org/10.1007/s10869-010-9183-4
  • Shear, M. K., Brown, T. A., Barlow, D. H., Money, R., Sholomskas, D. E., Woods, S. W., Gorman, J. M., & Papp, L. A. (1997). Multicenter collaborative panic disorder severity scale. The American Journal of Psychiatry, 154(11), 1571–1575. https://doi.org/10.1176/ajp.154.11.1571
  • Shear, M. K., Rucci, P., Williams, J., Frank, E., Grochocinski, V., Vander Bilt, J., Houck, P., & Wang, T. (2001). Reliability and validity of the Panic Disorder Severity Scale: Replication and extension. Journal of Psychiatric Research, 35(5), 293–296. https://doi.org/10.1016/s0022-3956(01)00028-0
  • Svensson, M., Nilsson, T., Johansson, H., Viborg, G., Perrin, S., & Sandell, R. (2019). Psychometric analysis of the Swedish panic disorder severity scale and its self-report version. Nordic Journal of Psychiatry, 73(1), 58–63. https://doi.org/10.1080/08039488.2018.1554699
  • Tee, J., & Kazantzis, N. (2011). Collaborative empiricism in cognitive therapy: A definition and theory for the relationship construct. Clinical Psychology: Science and Practice, 18(1), 47–61. https://doi.org/10.1111/j.1468-2850.2010.01234.x
  • 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
  • Tryon, G. S., Blackwell, S. C., & Hammel, E. F. (2007). A meta-analytic examination of client-therapist perspectives of the working alliance. Psychotherapy Research, 17(6), 629–642. https://doi.org/10.1080/10503300701320611
  • van Buuren, S., & Groothuis-Oudshoorn, K. (2011). Mice: Multivariate imputation by chained equations in R. Journal of Statistical Software, 45(3), 1–67. https://doi.org/10.18637/jss.v045.i03
  • Webb, C. A., DeRubeis, R. J., Amsterdam, J. D., Shelton, R. C., Hollon, S. D., & Dimidjian, S. (2011). Two aspects of the therapeutic alliance: Differential relations with depressive symptom change. Journal of Consulting and Clinical Psychology, 79(3), 279–283. https://doi.org/10.1037/a0023252
  • White, K. S., Allen, L. B., Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2010). Attrition in a multicenter clinical trial for panic disorder. Journal of Nervous and Mental Disease, 198(9), 665–671. https://doi.org/10.1097/NMD.0b013e3181ef3627
  • Wolfe, B. E., & Goldfried, M. R. (1988). Research on psychotherapy integration: Recommendations and conclusions from an NIMH workshop. Journal of Consulting and Clinical Psychology, 56(3), 448–451. https://doi.org/10.1037/0022-006X.56.3.448
  • Wuyek, L. A., Antony, M. M., & McCabe, R. E. (2011). Psychometric properties of the panic disorder severity scale: Clinician-administered and self-report versions. Clinical Psychology & Psychotherapy, 18(3), 234–243. https://doi.org/10.1002/cpp.703
  • Zalaznik, D., Strauss, A.Y, Halaj, A., Barzilay, S., Fradkin, I., Katz, B. A., Ganor, T., Ebert, D. D., Andersson, G., & Huppert, J.D. (2021). Patient alliance with the program predicts treatment outcomes whereas alliance with the therapist predicts adherence in internet-based therapy for panic disorder. Psychotherapy Research, 31(8), 1022–1035. http://doi.org/10.1080/10503307.2021.1882712
  • Zilcha-Mano, S., Muran, J. C., Hungr, C., Eubanks, C. F., Safran, J. D., & Winston, A. (2016). The relationship between alliance and outcome: Analysis of a two-person perspective on alliance and session outcome. Journal of Consulting and Clinical Psychology, 84(6), 484–496. https://doi.org/10.1037/ccp0000058
  • Zilcha-Mano, S., Snyder, J., & Silberschatz, G. (2017). The effect of congruence in patient and therapist alliance on patient's symptomatic levels. Psychotherapy Research, 27(3), 371–380. https://doi.org/10.1080/10503307.2015.1126682

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