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
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/219772
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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 Técnicas2025-09-29T10:18:29Zoai: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:34982025-09-29 10:18:29.561CONICET 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/ |
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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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1844614147768057856 |
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13.070432 |