Alliance negotiation as a predictor of early treatment outcome

Autores
Manubens, Rocío Tamara; Babl, Anna; Doran, Jennifer; Roussos, Andres Jorge; Alaluf, Nicolás; Gómez Penedo, Juan Martín
Año de publicación
2023
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Aim: The therapeutic alliance is a robust predictor of treatment outcome. However, little is known about the way alliance negotiation contributes to psychotherapy outcome. The aim of the present study was to analyze the effects of alliance negotiation on treatment outcome in the first four sessions of psychotherapy. Methods: Ninety-six patients diagnosed with emotional disorders received weekly Solution-Focused Brief Therapy. Each patient completed both the Alliance Negotiation Scale (ANS) and the Outcome Questionnaire 45 (OQ.45) after each of the first four sessions. Both between- and within-patients effects of alliance negotiation on symptom severity were analyzed using Hierarchical Linear Models. Results: Results showed significant between and within patient effects of alliance negotiation on symptom severity. Patients with higher levels of alliance negotiation across treatment showed lower levels of symptom severity (between-patient effect). Also, in a session with higher alliance negotiation compared to the average session of this patient, symptom severity was lower than in the average session (within-patient effect). Discussion: The results indicate that therapies characterized by higher alliance negotiation and sessions with higher alliance negotiation are beneficial for early outcome. Conclusion: From a clinical point of view, the results suggest that alliance negotiation is a meaningful factor for therapy outcome and that therapists may benefit from training and monitoring alliance negotiation during the early stages of treatment.
Fil: Manubens, Rocío Tamara. Universidad de Buenos Aires; Argentina
Fil: Babl, Anna. University of Bern; Suiza
Fil: Doran, Jennifer. University of Yale. School of Medicine; Estados Unidos
Fil: Roussos, Andres Jorge. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Alaluf, Nicolás. Universidad de Buenos Aires; Argentina
Fil: Gómez Penedo, Juan Martín. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires; Argentina
Materia
ALLIANCE NEGOTIATION
BETWEEN-PATIENT EFFECTS
SYMPTOM SEVERITY
WITHIN-PATIENT EFFECTS
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/219772
Acceder
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network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Alliance negotiation as a predictor of early treatment outcomeManubens, Rocío TamaraBabl, AnnaDoran, JenniferRoussos, Andres JorgeAlaluf, NicolásGómez Penedo, Juan MartínALLIANCE NEGOTIATIONBETWEEN-PATIENT EFFECTSSYMPTOM SEVERITYWITHIN-PATIENT EFFECTShttps://purl.org/becyt/ford/5.1https://purl.org/becyt/ford/5Aim: The therapeutic alliance is a robust predictor of treatment outcome. However, little is known about the way alliance negotiation contributes to psychotherapy outcome. The aim of the present study was to analyze the effects of alliance negotiation on treatment outcome in the first four sessions of psychotherapy. Methods: Ninety-six patients diagnosed with emotional disorders received weekly Solution-Focused Brief Therapy. Each patient completed both the Alliance Negotiation Scale (ANS) and the Outcome Questionnaire 45 (OQ.45) after each of the first four sessions. Both between- and within-patients effects of alliance negotiation on symptom severity were analyzed using Hierarchical Linear Models. Results: Results showed significant between and within patient effects of alliance negotiation on symptom severity. Patients with higher levels of alliance negotiation across treatment showed lower levels of symptom severity (between-patient effect). Also, in a session with higher alliance negotiation compared to the average session of this patient, symptom severity was lower than in the average session (within-patient effect). Discussion: The results indicate that therapies characterized by higher alliance negotiation and sessions with higher alliance negotiation are beneficial for early outcome. Conclusion: From a clinical point of view, the results suggest that alliance negotiation is a meaningful factor for therapy outcome and that therapists may benefit from training and monitoring alliance negotiation during the early stages of treatment.Fil: Manubens, Rocío Tamara. Universidad de Buenos Aires; ArgentinaFil: Babl, Anna. University of Bern; SuizaFil: Doran, Jennifer. University of Yale. School of Medicine; Estados UnidosFil: Roussos, Andres Jorge. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Alaluf, Nicolás. Universidad de Buenos Aires; ArgentinaFil: Gómez Penedo, Juan Martín. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires; ArgentinaWiley2023-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/219772Manubens, Rocío Tamara; Babl, Anna; Doran, Jennifer; Roussos, Andres Jorge; Alaluf, Nicolás; et al.; Alliance negotiation as a predictor of early treatment outcome; Wiley; Journal Of Clinical Psychology; 79; 8; 2-2023; 1740-17510021-9762CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1002/jclp.23498info:eu-repo/semantics/altIdentifier/doi/10.1002/jclp.23498info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-22T11:51:14Zoai:ri.conicet.gov.ar:11336/219772instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-22 11:51:15.001CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Alliance negotiation as a predictor of early treatment outcome
title Alliance negotiation as a predictor of early treatment outcome
spellingShingle Alliance negotiation as a predictor of early treatment outcome
Manubens, Rocío Tamara
ALLIANCE NEGOTIATION
BETWEEN-PATIENT EFFECTS
SYMPTOM SEVERITY
WITHIN-PATIENT EFFECTS
title_short Alliance negotiation as a predictor of early treatment outcome
title_full Alliance negotiation as a predictor of early treatment outcome
title_fullStr Alliance negotiation as a predictor of early treatment outcome
title_full_unstemmed Alliance negotiation as a predictor of early treatment outcome
title_sort Alliance negotiation as a predictor of early treatment outcome
dc.creator.none.fl_str_mv Manubens, Rocío Tamara
Babl, Anna
Doran, Jennifer
Roussos, Andres Jorge
Alaluf, Nicolás
Gómez Penedo, Juan Martín
author Manubens, Rocío Tamara
author_facet Manubens, Rocío Tamara
Babl, Anna
Doran, Jennifer
Roussos, Andres Jorge
Alaluf, Nicolás
Gómez Penedo, Juan Martín
author_role author
author2 Babl, Anna
Doran, Jennifer
Roussos, Andres Jorge
Alaluf, Nicolás
Gómez Penedo, Juan Martín
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv ALLIANCE NEGOTIATION
BETWEEN-PATIENT EFFECTS
SYMPTOM SEVERITY
WITHIN-PATIENT EFFECTS
topic ALLIANCE NEGOTIATION
BETWEEN-PATIENT EFFECTS
SYMPTOM SEVERITY
WITHIN-PATIENT EFFECTS
purl_subject.fl_str_mv https://purl.org/becyt/ford/5.1
https://purl.org/becyt/ford/5
dc.description.none.fl_txt_mv Aim: The therapeutic alliance is a robust predictor of treatment outcome. However, little is known about the way alliance negotiation contributes to psychotherapy outcome. The aim of the present study was to analyze the effects of alliance negotiation on treatment outcome in the first four sessions of psychotherapy. Methods: Ninety-six patients diagnosed with emotional disorders received weekly Solution-Focused Brief Therapy. Each patient completed both the Alliance Negotiation Scale (ANS) and the Outcome Questionnaire 45 (OQ.45) after each of the first four sessions. Both between- and within-patients effects of alliance negotiation on symptom severity were analyzed using Hierarchical Linear Models. Results: Results showed significant between and within patient effects of alliance negotiation on symptom severity. Patients with higher levels of alliance negotiation across treatment showed lower levels of symptom severity (between-patient effect). Also, in a session with higher alliance negotiation compared to the average session of this patient, symptom severity was lower than in the average session (within-patient effect). Discussion: The results indicate that therapies characterized by higher alliance negotiation and sessions with higher alliance negotiation are beneficial for early outcome. Conclusion: From a clinical point of view, the results suggest that alliance negotiation is a meaningful factor for therapy outcome and that therapists may benefit from training and monitoring alliance negotiation during the early stages of treatment.
Fil: Manubens, Rocío Tamara. Universidad de Buenos Aires; Argentina
Fil: Babl, Anna. University of Bern; Suiza
Fil: Doran, Jennifer. University of Yale. School of Medicine; Estados Unidos
Fil: Roussos, Andres Jorge. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Alaluf, Nicolás. Universidad de Buenos Aires; Argentina
Fil: Gómez Penedo, Juan Martín. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires; Argentina
description Aim: The therapeutic alliance is a robust predictor of treatment outcome. However, little is known about the way alliance negotiation contributes to psychotherapy outcome. The aim of the present study was to analyze the effects of alliance negotiation on treatment outcome in the first four sessions of psychotherapy. Methods: Ninety-six patients diagnosed with emotional disorders received weekly Solution-Focused Brief Therapy. Each patient completed both the Alliance Negotiation Scale (ANS) and the Outcome Questionnaire 45 (OQ.45) after each of the first four sessions. Both between- and within-patients effects of alliance negotiation on symptom severity were analyzed using Hierarchical Linear Models. Results: Results showed significant between and within patient effects of alliance negotiation on symptom severity. Patients with higher levels of alliance negotiation across treatment showed lower levels of symptom severity (between-patient effect). Also, in a session with higher alliance negotiation compared to the average session of this patient, symptom severity was lower than in the average session (within-patient effect). Discussion: The results indicate that therapies characterized by higher alliance negotiation and sessions with higher alliance negotiation are beneficial for early outcome. Conclusion: From a clinical point of view, the results suggest that alliance negotiation is a meaningful factor for therapy outcome and that therapists may benefit from training and monitoring alliance negotiation during the early stages of treatment.
publishDate 2023
dc.date.none.fl_str_mv 2023-02
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/219772
Manubens, Rocío Tamara; Babl, Anna; Doran, Jennifer; Roussos, Andres Jorge; Alaluf, Nicolás; et al.; Alliance negotiation as a predictor of early treatment outcome; Wiley; Journal Of Clinical Psychology; 79; 8; 2-2023; 1740-1751
0021-9762
CONICET Digital
CONICET
url http://hdl.handle.net/11336/219772
identifier_str_mv Manubens, Rocío Tamara; Babl, Anna; Doran, Jennifer; Roussos, Andres Jorge; Alaluf, Nicolás; et al.; Alliance negotiation as a predictor of early treatment outcome; Wiley; Journal Of Clinical Psychology; 79; 8; 2-2023; 1740-1751
0021-9762
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1002/jclp.23498
info:eu-repo/semantics/altIdentifier/doi/10.1002/jclp.23498
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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