Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Cognitive Therapy and Research 2/2018

25-04-2017 | Original Article

Expectancies, Working Alliance, and Outcome in Transdiagnostic and Single Diagnosis Treatment for Anxiety Disorders: An Investigation of Mediation

Auteurs: Shannon Sauer-Zavala, James F. Boswell, Kate H. Bentley, Johanna Thompson-Hollands, Todd J. Farchione, David H. Barlow

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2018

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Patients’ outcome expectancies and the working alliance are two psychotherapy process variables that researchers have found to be associated with treatment outcome, irrespective of treatment approach and problem area. Despite this, little is known about the mechanisms accounting for this association, and whether contextual factors (e.g., psychotherapy type) impact the strength of these relationships. The primary aim of this study was to examine whether patient-rated working alliance quality mediates the relationship between outcome expectancies and pre- to post-treatment change in anxiety symptoms using data from a recent randomized clinical trial comparing a transdiagnostic treatment (the Unified Protocol [UP]; Barlow et al., Unified protocol for transdiagnostic treatment of emotional disorders: Client workbook, Oxford University Press, New York, 2011a; Barlow et al., Unified protocol for transdiagnostic treatment of emotional disorders: Patient workbook. New York: Oxford University Press, 2017b) to single diagnosis protocols (SDPs) for patients with a principal heterogeneous anxiety disorder (n = 179). The second aim was to explore whether cognitive-behavioral treatment condition (UP vs. SDP) moderated this indirect relationship. Results from mediation and moderated mediation models indicated that, when collapsing across the two treatment conditions, the relationship between expectancies and outcome was partially mediated by the working alliance [B = 0.037, SE = 0.05, 95% CI (.005, 0.096)]. Interestingly, within-condition analyses showed that this conditional indirect effect was only present for SDP patients, whereas in the UP condition, working alliance did not account for the association between expectancies and outcome. These findings suggest that outcome expectancies and working alliance quality may interact to influence treatment outcomes, and that the nature and strength of the relationships among these constructs may differ as a function of the specific cognitive-behavioral treatment approach utilized.
Voetnoten
1
Although change scores were once considered to be unreliable, recent research has demonstrated that they can be reliable measures of intraindividual change (King et al. 2006).
 
2
Given the significant difference in number of missing values for post-treatment HARS scores as a function of age, we also ran the models reported in this section controlling for this. As values remained largely unchanged, we report only the uncontrolled models for brevity.
 
Literatuur
go back to reference Ahmed, M., Westra, H. A., & Constantino, M. J. (2012). Early therapy interpersonal process differentiating clients high and low in outcome expectations. Psychotherapy Research, 22, 731–745. CrossRefPubMed Ahmed, M., Westra, H. A., & Constantino, M. J. (2012). Early therapy interpersonal process differentiating clients high and low in outcome expectations. Psychotherapy Research, 22, 731–745. CrossRefPubMed
go back to reference Ake, C. F. (2005). Rounding after multiple imputation with non-binary categorical covariates. Paper presented at the annual meeting of the SAS Users Group International, Philadelphia, PA. Ake, C. F. (2005). Rounding after multiple imputation with non-binary categorical covariates. Paper presented at the annual meeting of the SAS Users Group International, Philadelphia, PA.
go back to reference Barlow, D. H. (2000). Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. American Psychologist, 55, 1247–1263. CrossRefPubMed Barlow, D. H. (2000). Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. American Psychologist, 55, 1247–1263. CrossRefPubMed
go back to reference Barlow, D. H., & Craske, M. G. (2007). Mastery of your anxiety and panic: Workbook (4th edn.). New York, NY: Oxford University Press. Barlow, D. H., & Craske, M. G. (2007). Mastery of your anxiety and panic: Workbook (4th edn.). New York, NY: Oxford University Press.
go back to reference Barlow, D. H., Ellard, K. K., Fairholme, C. P., Farchione, T. J., Boisseau, C. L., Allen, L. B., & Ehrenreich-May, J. (2011a). Unified protocol for transdiagnostic treatment of emotional disorders: Client workbook. New York: Oxford University Press. Barlow, D. H., Ellard, K. K., Fairholme, C. P., Farchione, T. J., Boisseau, C. L., Allen, L. B., & Ehrenreich-May, J. (2011a). Unified protocol for transdiagnostic treatment of emotional disorders: Client workbook. New York: Oxford University Press.
go back to reference Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Allen, L. B., & Ehrenreich-May, J. (2011b). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. New York: Oxford University Press. Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Allen, L. B., & Ehrenreich-May, J. (2011b). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. New York: Oxford University Press.
go back to reference Barlow, D. H., Farchione, T. J., Sauer-Zavala, S., Latin, H., Ellard, K. K., Bullis, J. R.,…, Cassiello-Robbins, C. (2017a). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. New York: Oxford University Press. CrossRef Barlow, D. H., Farchione, T. J., Sauer-Zavala, S., Latin, H., Ellard, K. K., Bullis, J. R.,…, Cassiello-Robbins, C. (2017a). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. New York: Oxford University Press. CrossRef
go back to reference Barlow, D. H., Sauer-Zavala, S., Farchione, T.J., Latin, H., Ellard, K. K., Bullis, J. R.,…, Cassiello-Robbins, C. (2017b). Unified protocol for transdiagnostic treatment of emotional disorders: Patient workbook. New York: Oxford University Press. CrossRef Barlow, D. H., Sauer-Zavala, S., Farchione, T.J., Latin, H., Ellard, K. K., Bullis, J. R.,…, Cassiello-Robbins, C. (2017b). Unified protocol for transdiagnostic treatment of emotional disorders: Patient workbook. New York: Oxford University Press. CrossRef
go back to reference Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy, Research and Practice, 16, 252–260. CrossRef Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy, Research and Practice, 16, 252–260. CrossRef
go back to reference Borkovec, T. D., Newman, M. G., Pincus, A. L., & Lytle, R. (2002). A component analysis of cognitive-behavioral therapy for generalized anxiety disorders and the role of interpersonal problems. Journal of Consulting and Clinical Psychology, 70, 288–298. doi: 10.​1037/​0022-006X.​70.​2.​288. CrossRefPubMed Borkovec, T. D., Newman, M. G., Pincus, A. L., & Lytle, R. (2002). A component analysis of cognitive-behavioral therapy for generalized anxiety disorders and the role of interpersonal problems. Journal of Consulting and Clinical Psychology, 70, 288–298. doi: 10.​1037/​0022-006X.​70.​2.​288. CrossRefPubMed
go back to reference Boswell, J. F., Bentley, K. H., & Barlow, D. H. (2015). Motivation facilitation in the unified protocol for transdiagnostic treatment of emotional disorders. In H. Arkowitz, W. Miller & S. Rollnick (Eds.), Motivational interviewing in the treatment of psychological problems (2nd edn., pp. 33–57). New York: Guilford Press. Boswell, J. F., Bentley, K. H., & Barlow, D. H. (2015). Motivation facilitation in the unified protocol for transdiagnostic treatment of emotional disorders. In H. Arkowitz, W. Miller & S. Rollnick (Eds.), Motivational interviewing in the treatment of psychological problems (2nd edn., pp. 33–57). New York: Guilford Press.
go back to reference Boswell, J. F., Constantino, M. J., & Anderson, L. M. (2016). Potential obstacles to treatment success in adults: Client characteristics. In S. Maltzman (Ed.), The Oxford handbook of treatment processes and outcomes in psychology. New York: Oxford University Press. doi: 10.​1093/​oxfordhb/​9780199739134.​013.​17. Boswell, J. F., Constantino, M. J., & Anderson, L. M. (2016). Potential obstacles to treatment success in adults: Client characteristics. In S. Maltzman (Ed.), The Oxford handbook of treatment processes and outcomes in psychology. New York: Oxford University Press. doi: 10.​1093/​oxfordhb/​9780199739134.​013.​17.
go back to reference Brown, T. A., & Barlow, D. H. (2014). Anxiety and related disorders interview schedule for DSM-5—Lifetime version. London: Oxford University Press. Brown, T. A., & Barlow, D. H. (2014). Anxiety and related disorders interview schedule for DSM-5—Lifetime version. London: Oxford University Press.
go back to reference Busseri, M. A., & Tyler, J. D. (2003). Interchangeability of the working alliance inventory and working alliance inventory, Short form. Psychological Assessment, 15, 193–197. CrossRefPubMed Busseri, M. A., & Tyler, J. D. (2003). Interchangeability of the working alliance inventory and working alliance inventory, Short form. Psychological Assessment, 15, 193–197. CrossRefPubMed
go back to reference Castonguay, L. G., & Beutler, L. E. (Eds.). (2006). Principles of therapeutic change that work. New York, NY: Oxford University Press. Castonguay, L. G., & Beutler, L. E. (Eds.). (2006). Principles of therapeutic change that work. New York, NY: Oxford University Press.
go back to reference Castonguay, L. G., Constantino, M. J., Boswell, J. F., & Kraus, D. (2010). The therapeutic alliance: Research and theory. In L. Horowitz & S. Strack (Eds.), Handbook of interpersonal psychology: Theory, research, assessment, and therapeutic interventions (pp. 509–518). New York, NY: Wiley. Castonguay, L. G., Constantino, M. J., Boswell, J. F., & Kraus, D. (2010). The therapeutic alliance: Research and theory. In L. Horowitz & S. Strack (Eds.), Handbook of interpersonal psychology: Theory, research, assessment, and therapeutic interventions (pp. 509–518). New York, NY: Wiley.
go back to reference Chiles, J. A., Lambert, M. J., & Hatch, A. L. (1999). The impact of psychological interventions on medical cost offset: A meta-analytic review. Clinical Psychology: Science and Practice, 6, 204–220. Chiles, J. A., Lambert, M. J., & Hatch, A. L. (1999). The impact of psychological interventions on medical cost offset: A meta-analytic review. Clinical Psychology: Science and Practice, 6, 204–220.
go back to reference Connolly Gibbons, M. B., Crits-Christoph, P., de la Cruz, C., Barber, J. P., Siqueland, L., & Gladis, M. (2003). Pretreatment expectations, interpersonal functioning, and symptoms in the prediction of the therapeutic alliance across supportive-expressive psychotherapy and cognitive therapy. Psychotherapy Research, 13, 59–76. CrossRefPubMed Connolly Gibbons, M. B., Crits-Christoph, P., de la Cruz, C., Barber, J. P., Siqueland, L., & Gladis, M. (2003). Pretreatment expectations, interpersonal functioning, and symptoms in the prediction of the therapeutic alliance across supportive-expressive psychotherapy and cognitive therapy. Psychotherapy Research, 13, 59–76. CrossRefPubMed
go back to reference Constantino, M. J., Ametrano, R. M., & Greenberg, R. P. (2012). Clinician interventions and participant characteristics that foster adaptive patient expectations for psychotherapy and psychotherapeutic change. Psychotherapy, 49, 557–569. doi: 10.​1037/​a0029440. CrossRefPubMed Constantino, M. J., Ametrano, R. M., & Greenberg, R. P. (2012). Clinician interventions and participant characteristics that foster adaptive patient expectations for psychotherapy and psychotherapeutic change. Psychotherapy, 49, 557–569. doi: 10.​1037/​a0029440. CrossRefPubMed
go back to reference Constantino, M. J., Arnow, B. A., Blasey, C., & Agras, W. (2005). The association between patient characteristics and the therapeutic alliance in cognitive-behavioral and interpersonal therapy for bulimia nervosa. Journal of Consulting and Clinical Psychology, 73, 203–211. doi: 10.​1037/​0022-006X.​73.​2.​203. CrossRefPubMed Constantino, M. J., Arnow, B. A., Blasey, C., & Agras, W. (2005). The association between patient characteristics and the therapeutic alliance in cognitive-behavioral and interpersonal therapy for bulimia nervosa. Journal of Consulting and Clinical Psychology, 73, 203–211. doi: 10.​1037/​0022-006X.​73.​2.​203. CrossRefPubMed
go back to reference Constantino, M. J., Boswell, J. F., Bernecker, S. L., & Castonguay, L. G. (2013). Context-responsive integration as a framework for unified psychotherapy and clinical science: Conceptual and empirical considerations. Journal of Unified Psychotherapy and Clinical Science, 2, 1–20. Constantino, M. J., Boswell, J. F., Bernecker, S. L., & Castonguay, L. G. (2013). Context-responsive integration as a framework for unified psychotherapy and clinical science: Conceptual and empirical considerations. Journal of Unified Psychotherapy and Clinical Science, 2, 1–20.
go back to reference Constantino, M. J., Coyne, A. E., Mcvicar, E. L., & Ametrano, R. M. (2016). The relative association between individual difference variables and general psychotherapy outcome expectation in socially anxious individuals. Psychotherapy Research, 11, 1–12. Constantino, M. J., Coyne, A. E., Mcvicar, E. L., & Ametrano, R. M. (2016). The relative association between individual difference variables and general psychotherapy outcome expectation in socially anxious individuals. Psychotherapy Research, 11, 1–12.
go back to reference Constantino, M. J., Glass, C. R., Arnkoff, D. B., Ametrano, R. M., & Smith, J. Z. (2011). Expectations. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Evidence based responsiveness (2nd edn., pp. 354–376). New York, NY: Oxford University Press. CrossRef Constantino, M. J., Glass, C. R., Arnkoff, D. B., Ametrano, R. M., & Smith, J. Z. (2011). Expectations. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Evidence based responsiveness (2nd edn., pp. 354–376). New York, NY: Oxford University Press. CrossRef
go back to reference Crits-Christoph, P., Connolly Gibbons, M. B., Hamilton, J., Ring-Kurtz, S., & Gallop, R. (2011). The dependability of alliance assessments: The alliance-outcome correlation is larger than you think. Journal of Consulting and Clinical Psychology, 79, 267–278. doi: 10.​1037/​a0023668. CrossRefPubMedPubMedCentral Crits-Christoph, P., Connolly Gibbons, M. B., Hamilton, J., Ring-Kurtz, S., & Gallop, R. (2011). The dependability of alliance assessments: The alliance-outcome correlation is larger than you think. Journal of Consulting and Clinical Psychology, 79, 267–278. doi: 10.​1037/​a0023668. CrossRefPubMedPubMedCentral
go back to reference Di Nardo, P. A., Brown, T. A., & Barlow, D. H. (1994). Anxiety disorders interview schedule for DSM-IV: Lifetime version (ADIS-IV-L). New York, NY: Oxford University Press. Di Nardo, P. A., Brown, T. A., & Barlow, D. H. (1994). Anxiety disorders interview schedule for DSM-IV: Lifetime version (ADIS-IV-L). New York, NY: Oxford University Press.
go back to reference Fairchild, A. J., MacKinnon, D. P., Toborga, M. P., & Taylor, A. B. (2009). R-suared effect-sie measures of mediation analysis. Behavior Research Methods, 41, 486–498. CrossRefPubMedPubMedCentral Fairchild, A. J., MacKinnon, D. P., Toborga, M. P., & Taylor, A. B. (2009). R-suared effect-sie measures of mediation analysis. Behavior Research Methods, 41, 486–498. CrossRefPubMedPubMedCentral
go back to reference Farchione, T. J., Fariholme, C. P., Ellard, K. K., Boisseau, C. L., Thompson-Hollands, J., Carl, J. R.,…, Barlow, D. H. (2012). Unified protocol for transdiagnostic treatment of emotional disorders: A randomized controlled trial. Behavior Therapy, 43, 666–678. CrossRefPubMedPubMedCentral Farchione, T. J., Fariholme, C. P., Ellard, K. K., Boisseau, C. L., Thompson-Hollands, J., Carl, J. R.,…, Barlow, D. H. (2012). Unified protocol for transdiagnostic treatment of emotional disorders: A randomized controlled trial. Behavior Therapy, 43, 666–678. CrossRefPubMedPubMedCentral
go back to reference Foa, E. B., Yadin, E., & Lichner, T. K. (2008). Obsessive-compulsive disorder: A cognitive-behavioral therapy approach. New York, NY: Oxford University Press. Foa, E. B., Yadin, E., & Lichner, T. K. (2008). Obsessive-compulsive disorder: A cognitive-behavioral therapy approach. New York, NY: Oxford University Press.
go back to reference Frank, J. D. (1961). Persuasion and healing: A comparative study of psychotherapy. Oxford: Johns Hopkins University Press. Frank, J. D. (1961). Persuasion and healing: A comparative study of psychotherapy. Oxford: Johns Hopkins University Press.
go back to reference Goldstein, A. P. (1962). Patient-therapist expectancies in psychotherapy. Oxford: Pergamon. Goldstein, A. P. (1962). Patient-therapist expectancies in psychotherapy. Oxford: Pergamon.
go back to reference Hamilton, M. (1959). The assessment of anxiety states by rating. British Journal of Medical Psychology, 32, 50–55. CrossRefPubMed Hamilton, M. (1959). The assessment of anxiety states by rating. British Journal of Medical Psychology, 32, 50–55. CrossRefPubMed
go back to reference Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: NY: The Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: NY: The Guilford Press.
go back to reference Hollon, S. D., & Beck, A. T. (2013). Cognitive and cognitive-behavioral therapies. In: M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherpay and behavior change (6th edn). Mahwah, NJ: Wiley. Hollon, S. D., & Beck, A. T. (2013). Cognitive and cognitive-behavioral therapies. In: M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherpay and behavior change (6th edn). Mahwah, NJ: Wiley.
go back to reference Hope, D. A., Heimberg, R. G., & Turk, C. L. (2006). Managing social anxiety: A cognitive-behavioral therapy approach: Therapist guide. San Antonio, TX: Oxford University Press. Hope, D. A., Heimberg, R. G., & Turk, C. L. (2006). Managing social anxiety: A cognitive-behavioral therapy approach: Therapist guide. San Antonio, TX: Oxford University Press.
go back to reference Horvath, A. O., Del Re, A., Flückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Evidence-based responsiveness (2nd edn., pp. 25–69). New York, NY: Oxford University Press. CrossRef Horvath, A. O., Del Re, A., Flückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Evidence-based responsiveness (2nd edn., pp. 25–69). New York, NY: Oxford University Press. CrossRef
go back to reference Johansson, P., Høglend, P., & Hersoug, A. (2011). Therapeutic alliance mediates the effect of patient expectancy in dynamic psychotherapy. British Journal of Clinical Psychology, 50, 283–297. PubMed Johansson, P., Høglend, P., & Hersoug, A. (2011). Therapeutic alliance mediates the effect of patient expectancy in dynamic psychotherapy. British Journal of Clinical Psychology, 50, 283–297. PubMed
go back to reference Joyce, A. S., & Piper, W. E. (1998). Expectancy, the therapeutic alliance, and treatment outcome in short-term individual psychotherapy. Journal of Psychotherapy Practice and Research, 7, 236–248. PubMedPubMedCentral Joyce, A. S., & Piper, W. E. (1998). Expectancy, the therapeutic alliance, and treatment outcome in short-term individual psychotherapy. Journal of Psychotherapy Practice and Research, 7, 236–248. PubMedPubMedCentral
go back to reference King, L. A., King, D. W., McArdle, J. J., Saxe, G. N., Doron-Lamarca, S., & Orazen, R. J. (2006). Latent difference score approach to longitudinal trauma research. Journal of Trauma & Stress, 19(6), 771–785. King, L. A., King, D. W., McArdle, J. J., Saxe, G. N., Doron-Lamarca, S., & Orazen, R. J. (2006). Latent difference score approach to longitudinal trauma research. Journal of Trauma & Stress, 19(6), 771–785.
go back to reference Lambert, M. J. (2013). The efficacy and effectiveness of psychotherapy. In M. J. Lambert (Ed.), Bergin & Garfield’s handbook of psychotherapy and behavior change (6th edn., pp. 169–218). New York, NY: John Wiley & Sons. Lambert, M. J. (2013). The efficacy and effectiveness of psychotherapy. In M. J. Lambert (Ed.), Bergin & Garfield’s handbook of psychotherapy and behavior change (6th edn., pp. 169–218). New York, NY: John Wiley & Sons.
go back to reference McHugh, R. K., Otto, M. W., Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2007). Cost-efficacy of individual and combined treatments for panic disorder. Journal of Clinical Psychiatry, 68, 1038–1044. CrossRefPubMed McHugh, R. K., Otto, M. W., Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2007). Cost-efficacy of individual and combined treatments for panic disorder. Journal of Clinical Psychiatry, 68, 1038–1044. CrossRefPubMed
go back to reference Meyer, B., Pilkonis, P. A., Krupnick, J. L., Egan, M. K., Simmens, S. J., & Sotsky, S. M. (2002). Treatment expectancies, patient alliance and outcome: Further analyses from the National Institute of Mental Health Treatment of Depression Collaborative Research Program. Journal of Consulting and Clinical Psychology, 70, 1051–1055. doi: 10.​1037/​/​0022-006X.​70.​4.​1051. CrossRefPubMed Meyer, B., Pilkonis, P. A., Krupnick, J. L., Egan, M. K., Simmens, S. J., & Sotsky, S. M. (2002). Treatment expectancies, patient alliance and outcome: Further analyses from the National Institute of Mental Health Treatment of Depression Collaborative Research Program. Journal of Consulting and Clinical Psychology, 70, 1051–1055. doi: 10.​1037/​/​0022-006X.​70.​4.​1051. CrossRefPubMed
go back to reference Nathan, P. E., & Gorman, J. M. (Eds.). (2015). A guide to treatments that work (4th edn.). New York: Oxford University Press. Nathan, P. E., & Gorman, J. M. (Eds.). (2015). A guide to treatments that work (4th edn.). New York: Oxford University Press.
go back to reference Newman, M. G., Castonguay, L. G., Borkovec, T. D., Fisher, A. J., Boswell, J. F., Szkodny, L. E., & Nordberg, S. S. (2011). A randomized controlled trial of cognitive-behavioral therapy for generalized anxiety disorder with integrated techniques from emotion-focused and interpersonal therapies. Journal of Consulting and Clinical Psychology, 79, 171–181. CrossRefPubMedPubMedCentral Newman, M. G., Castonguay, L. G., Borkovec, T. D., Fisher, A. J., Boswell, J. F., Szkodny, L. E., & Nordberg, S. S. (2011). A randomized controlled trial of cognitive-behavioral therapy for generalized anxiety disorder with integrated techniques from emotion-focused and interpersonal therapies. Journal of Consulting and Clinical Psychology, 79, 171–181. CrossRefPubMedPubMedCentral
go back to reference Patterson, C. L., Uhlin, B., & Anderson, T. (2008). Clients’ pretreatment counseling expectation as predictors of the working alliance. Journal of Counseling Psychology, 55, 528–534. CrossRefPubMed Patterson, C. L., Uhlin, B., & Anderson, T. (2008). Clients’ pretreatment counseling expectation as predictors of the working alliance. Journal of Counseling Psychology, 55, 528–534. CrossRefPubMed
go back to reference Price, M., & Anderson, P. L. (2012). Outcome expectancy as a predictor of treatment response in cognitive behavioral therapy for public speaking fears within social anxiety disorder. Psychotherapy, 49, 173–179. doi: 10.​1037/​a0024734. CrossRefPubMed Price, M., & Anderson, P. L. (2012). Outcome expectancy as a predictor of treatment response in cognitive behavioral therapy for public speaking fears within social anxiety disorder. Psychotherapy, 49, 173–179. doi: 10.​1037/​a0024734. CrossRefPubMed
go back to reference Roth, P. L., Switzer, F. S., & Switzer, D. M. (1999). Missing data in multiple item scales: A Monte Carlo analysis of missing data techniques. Organizational Research Methods, 2(3), 211–232. doi: 10.​1177/​109442819923001. CrossRef Roth, P. L., Switzer, F. S., & Switzer, D. M. (1999). Missing data in multiple item scales: A Monte Carlo analysis of missing data techniques. Organizational Research Methods, 2(3), 211–232. doi: 10.​1177/​109442819923001. CrossRef
go back to reference Rutherford, B. R., Wager, T. D., & Roose, S. P. (2010). Expectancy and the treatment of depression: A review of experimental methodology and effects on patient outcome. Current Reviews in Psychiatry, 6, 1–10. doi: 10.​2174/​1573400107905965​71. CrossRef Rutherford, B. R., Wager, T. D., & Roose, S. P. (2010). Expectancy and the treatment of depression: A review of experimental methodology and effects on patient outcome. Current Reviews in Psychiatry, 6, 1–10. doi: 10.​2174/​1573400107905965​71. CrossRef
go back to reference Shear, M. K., Vander Bilt, J., & Rucci, P. (2001). Reliability and validity of a structured interview guide for the Hamilton Anxiety Rating Scale (SIGH-A). Depression and Anxiety, 13, 166–178. CrossRefPubMed Shear, M. K., Vander Bilt, J., & Rucci, P. (2001). Reliability and validity of a structured interview guide for the Hamilton Anxiety Rating Scale (SIGH-A). Depression and Anxiety, 13, 166–178. CrossRefPubMed
go back to reference Thompson-Hollands, J., Bentley, K. H., Gallagher, M. W., Boswell, J. F., & Barlow, D. H. (2014). Credibility and outcome expectancy in the unified protocol for transdiagnostic treatment of emotional disorders. Journal of Experimental Psychopathology, 5, 72–82. doi: 10.​5127/​jep.​033712. CrossRef Thompson-Hollands, J., Bentley, K. H., Gallagher, M. W., Boswell, J. F., & Barlow, D. H. (2014). Credibility and outcome expectancy in the unified protocol for transdiagnostic treatment of emotional disorders. Journal of Experimental Psychopathology, 5, 72–82. doi: 10.​5127/​jep.​033712. CrossRef
go back to reference Tracey, T. J., & Kokotovic, A. M. (1989). Factor structure of the working alliance inventory. Psychological Assessment, 1, 207–210. CrossRef Tracey, T. J., & Kokotovic, A. M. (1989). Factor structure of the working alliance inventory. Psychological Assessment, 1, 207–210. CrossRef
go back to reference Tsai, M., Ogrodniczuk, J. S., Sochting, I., & Mirmiran, J. (2014). Forecasting success: Patients’ expectations for improvement and their relations to baseline, process and outcome variables in group cognitive-behavioural therapy for depression. Clinical Psychology and Psychotherapy, 21, 97–107. doi: 10.​1002/​cpp.​1831. CrossRefPubMed Tsai, M., Ogrodniczuk, J. S., Sochting, I., & Mirmiran, J. (2014). Forecasting success: Patients’ expectations for improvement and their relations to baseline, process and outcome variables in group cognitive-behavioural therapy for depression. Clinical Psychology and Psychotherapy, 21, 97–107. doi: 10.​1002/​cpp.​1831. CrossRefPubMed
go back to reference Weinberger, L., & Eig, A. (1999). Expectancies: The ignored common factor in psychotherapy. In I. Kirsch (Ed.), How expectancies shape experience (pp. 357–382). Washington, DC: American Psychological Association. doi: 10.​1037/​10332-015. CrossRef Weinberger, L., & Eig, A. (1999). Expectancies: The ignored common factor in psychotherapy. In I. Kirsch (Ed.), How expectancies shape experience (pp. 357–382). Washington, DC: American Psychological Association. doi: 10.​1037/​10332-015. CrossRef
go back to reference Zack, S. E., Castonguay, L. G., Boswell, J. F., McAleavey, A. A., Adelman, R., Kraus, D. R., & Pate, G. A. (2015). Attachment history as a moderator of the alliance-outcome relationship in adolescents. Psychotherapy, 52, 258–267. 10.​1037/​a0037727. CrossRefPubMed Zack, S. E., Castonguay, L. G., Boswell, J. F., McAleavey, A. A., Adelman, R., Kraus, D. R., & Pate, G. A. (2015). Attachment history as a moderator of the alliance-outcome relationship in adolescents. Psychotherapy, 52, 258–267. 10.​1037/​a0037727. CrossRefPubMed
go back to reference Zinbarg, R., Craske, M., & Barlow, D. H. (2006). Therapist’s guide for the mastery of your anxiety and worry program. New York, NY: Oxford University Press. CrossRef Zinbarg, R., Craske, M., & Barlow, D. H. (2006). Therapist’s guide for the mastery of your anxiety and worry program. New York, NY: Oxford University Press. CrossRef
Metagegevens
Titel
Expectancies, Working Alliance, and Outcome in Transdiagnostic and Single Diagnosis Treatment for Anxiety Disorders: An Investigation of Mediation
Auteurs
Shannon Sauer-Zavala
James F. Boswell
Kate H. Bentley
Johanna Thompson-Hollands
Todd J. Farchione
David H. Barlow
Publicatiedatum
25-04-2017
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 2/2018
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-017-9855-8