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Therapeutic alliance mediates the relationship between interpersonal problems and depression outcome in a cohort of multiple sclerosis patients
Author(s) -
Howard Isa,
Turner Rebecca,
Olkin Rhoda,
Mohr David C.
Publication year - 2006
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.20274
Subject(s) - beck depression inventory , psychology , alliance , interpersonal communication , depression (economics) , clinical psychology , interpersonal relationship , psychotherapist , interpersonal psychotherapy , therapeutic relationship , psychiatry , medicine , randomized controlled trial , social psychology , anxiety , political science , law , economics , macroeconomics
The relationship among therapeutic alliance, psychotherapy outcomes, and interpersonal problems was examined. The present study hypothesized therapeutic alliance would mediate the relationship between interpersonal functioning and outcome among patients with multiple sclerosis entering psychotherapy for depression. Nineteen clients received 16 weeks of individual cognitive–behavioral therapy (CBT) for depression as described by D. C. Mohr, A. C. Boudewyn, D. E. Goodkin, A. Bostrom, and L. Epstein (2001). Participants completed the Beck Depression Inventory (BDI; Beck, Ward, Mendelson, Mock, & Erbaugh, 1961), the Inventory of Interpersonal Problems‐Circumplex (IIP‐C; Alden, Wiggins, & Pincus, 1990), and the Working Alliance Inventory‐Client Form (WAI‐C; Horvath & Greenberg, 1989). The IIP‐C significantly predicted Week 16 BDI and the WAI‐C at 4 weeks. When controlling for the WAI‐C, the relationship between the IIP‐C and BDI was no longer significant, supporting the mediational hypothesis. © 2006 Wiley Periodicals, Inc. J Clin Psychol 62: 1197–1204, 2006.