Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance

Bibliographic Details
Main Author:	David, Kevin C.
Language:	English
Published:	Ohio University / OhioLINK 2020
Subjects:	Psychotherapy Psychology psychotherapy outcome OQ-45 WAI AAS IIP Outcome Questionnaire-45 Working Alliance Inventory Adult Attachment Scale Inventory of Interpersonal Problems
Online Access:	http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1607017198018317

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spelling	ndltd-OhioLink-oai-etd.ohiolink.edu-ohiou16070171980183172021-08-03T07:16:31Z Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance David, Kevin C. Psychotherapy Psychology psychotherapy outcome OQ-45 WAI AAS IIP Outcome Questionnaire-45 Working Alliance Inventory Adult Attachment Scale Inventory of Interpersonal Problems The current study examined whether attachment style, interpersonal problems, and treatment expectations predict outcome in psychotherapy and whether the working alliance may act as mediator for this prediction. Participants were 226 clients at an outpatient psychotherapy training clinic housed within a medium-sized Midwestern university. Clients completed measures of attachment, interpersonal problems, and treatment expectations prior to beginning therapy. Clients were administered the Outcome Questionnaire-45 at intake and session 3 and Working Alliance Inventory (Short, Revised) at session 2. Using structural equation modeling, it was found that both more secure adult attachment and higher treatment expectations were predictive of a stronger working alliance, though neither were predictive of outcome. Results were consistent across models whether measuring outcome at session 3 or termination (median treatment length = 8 sessions). However, interpersonal problems were not found to be predictive of either working alliance or outcome in therapy. These findings indicate that both the client’s attachment security and attitudes regarding treatment both play a role in predicting the working alliance. Implications and ways of utilizing these findings to better affect the course of psychotherapy are discussed. 2020 English text Ohio University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1607017198018317 http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1607017198018317 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection	NDLTD
language	English
sources	NDLTD
topic	Psychotherapy Psychology psychotherapy outcome OQ-45 WAI AAS IIP Outcome Questionnaire-45 Working Alliance Inventory Adult Attachment Scale Inventory of Interpersonal Problems
spellingShingle	Psychotherapy Psychology psychotherapy outcome OQ-45 WAI AAS IIP Outcome Questionnaire-45 Working Alliance Inventory Adult Attachment Scale Inventory of Interpersonal Problems David, Kevin C. Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance
author	David, Kevin C.
author_facet	David, Kevin C.
author_sort	David, Kevin C.
title	Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance
title_short	Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance
title_full	Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance
title_fullStr	Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance
title_full_unstemmed	Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance
title_sort	client pretreatment characteristics as predictors of outcome in psychotherapy as mediated by the working alliance
publisher	Ohio University / OhioLINK
publishDate	2020
url	http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1607017198018317
work_keys_str_mv	AT davidkevinc clientpretreatmentcharacteristicsaspredictorsofoutcomeinpsychotherapyasmediatedbytheworkingalliance
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Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance

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