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Results: There was no significant increase or decrease in the severity of depression on the baseline (χ2 = 3.54, P=0.14) and during evaluation sessions (χ2 = 0.85, P=0.65), but participants showed a significant improvement in quality of life once the sessions had started (χ2 = 8.95, P=0.01). The mean scores on all three working alliance components showed a slight increase over three sessions and the scores on the bond subscale showed a significant increase (χ2 = 11.56, P=0.003).

archives of psychiatry and psychotherapy

Therapeutic alliance and early change in depression: benefits of enhancing working alliance at the initial sessions of short-term supportive–expressive psychodynamic psychotherapy