Therapeutic alliance mediates the relationship between interpersonal problems and depression outcome in a cohort of multiple sclerosis patients.

Full Abstract

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.(c) 2006 Wiley Periodicals, Inc.

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Author information

Author/s: Howard, Isa (I); Turner, Rebecca (R); Olkin, Rhoda (R); Mohr, David C (DC);

Affiliation: San Francisco Veteran's Affairs Medical Center, San Francisco, CA 94131, USA. Isa.Howard(-atsign-)va.gov

Grants: RG2719 A1/2 (Agency:CSR NIH HHS)

Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural

Journal: Journal of clinical psychology (J Clin Psychol), published in United States. (Language: eng)

Reference: 2006-Sep; vol 62 (issue 9) : pp 1197-204

Dates: Created 2006/08/28; Completed 2006/12/14; Revised 2007/12/03;

PMID: 16810663, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Aged
Cognitive Therapy
Depressive Disorder - therapy
Female
Humans
Interpersonal Relations
Male

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