Authors
Christoph Flückiger, Julian Rubel, AC Del Re, Adam O Horvath, Bruce E Wampold, Paul Crits-Christoph, Dana Atzil-Slonim, Angelo Compare, Fredrik Falkenström, Annika Ekeblad, Paula Errázuriz, Hadar Fisher, Asle Hoffart, Jonathan D Huppert, Yogev Kivity, Manasi Kumar, Wolfgang Lutz, John Christopher Muran, Daniel R Strunk, Giorgio A Tasca, Andreea Vîslă, Ulrich Voderholzer, Christian A Webb, Hui Xu, Sigal Zilcha-Mano, Jacques P Barber
Publication date
2020/9
Journal
Journal of Consulting and Clinical Psychology
Volume
88
Issue
9
Pages
829
Publisher
American Psychological Association
Description
Objective
Even though the early alliance has been shown to robustly predict posttreatment outcomes, the question whether alliance leads to symptom reduction or symptom reduction leads to a better alliance remains unresolved. To better understand the relation between alliance and symptoms early in therapy, we meta-analyzed the lagged session-by-session within-patient effects of alliance and symptoms from Sessions 1 to 7. Method
We applied a 2-stage individual participant data meta-analytic approach. Based on the data sets of 17 primary studies from 9 countries that comprised 5,350 participants, we first calculated standardized session-by-session within-patient coefficients. Second, we meta-analyzed these coefficients by using random-effects models to calculate omnibus effects across the studies. Results
In line with previous meta-analyses, we found that early alliance predicted posttreatment outcome …Scholar articles
C Flückiger, J Rubel, AC Del Re, AO Horvath… - Journal of Consulting and Clinical Psychology, 2020