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Interpersonal factors in internet-based cognitive behavioral therapy for depression: Attachment style and alliance with the program and with the therapist.
Zalaznik, Dina; Zlotnick, Elad; Barzilay, Snir; Ganor, Tal; Sorka, Hila; Ebert, David Daniel; Andersson, Gerhard; Huppert, Jonathan D.
Afiliação
  • Zalaznik D; Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel.
  • Zlotnick E; Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel.
  • Barzilay S; Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel.
  • Ganor T; Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel.
  • Sorka H; Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel.
  • Ebert DD; Faculty of Behavioural and Movement Sciences, Clinical, Neuro- & Developmental Psychology, Vrije Universiteit, Amsterdam, Netherlands.
  • Andersson G; Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
  • Huppert JD; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Psychother Res ; : 1-16, 2024 Apr 06.
Article em En | MEDLINE | ID: mdl-38581409
ABSTRACT
Objective This open-trial study examined effects of a culturally-adapted Hebrew version of guided internet-based cognitive behavioural therapy (ICBT) for depression. We examined therapeutic alliance with the therapist and with the programme (content) as potential predictors of outcomes. Furthermore, we examined whether anxious and avoidant attachment styles improved, although relationships were not the focus of treatment.

Method:

We examined alliance with therapist and alliance with programme and their time-lagged (1 week), longitudinal relationship with depression outcomes, and change in anxious and avoidant attachment during treatment.

Results:

Depression and insomnia improved significantly (Cohen's d depression = 1.34, insomnia = 0.86), though dropout was relatively high (49%). Alliance with programme and with the therapist predicted adherence and dropout, whereas only alliance with therapist predicted symptom improvement. Avoidant attachment decreased over treatment whereas anxious attachment did not.

Conclusion:

A culturally-adapted version of ICBT for depression showed that alliance with therapist and alliance with programme both can play an important role in its effectiveness alliance with programme and the therapist drive adherence and dropout and alliance with therapist is related to symptom improvement. Although the focus of treatment is not interpersonal, avoidant attachment style can improve following ICBT.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Revista: Psychother Res Assunto da revista: PSICOLOGIA / PSIQUIATRIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Israel

Texto completo: 1 Base de dados: MEDLINE Idioma: En Revista: Psychother Res Assunto da revista: PSICOLOGIA / PSIQUIATRIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Israel