The Roles of Early Symptom Change and Early Working Alliance in Predicting Treatment Outcome

The Roles of Early Symptom Change and Early Working Alliance in Predicting Treatment Outcome

Bibliographic Details
Main Author: Lin, Tao
Language:English
Published: Ohio University / OhioLINK 2021
Subjects:
Clinical Psychology
Psychology
Psychotherapy
Mental Health
Early change
working alliance
growth mixture modeling
treatment outcome
Online Access:http://rave.ohiolink.edu/etdc/view?acc_num=ohiou161962950044996
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spelling ndltd-OhioLink-oai-etd.ohiolink.edu-ohiou1619629500449962021-09-11T05:17:14Z The Roles of Early Symptom Change and Early Working Alliance in Predicting Treatment Outcome Lin, Tao Clinical Psychology Psychology Psychotherapy Mental Health Early change working alliance growth mixture modeling treatment outcome Objectives: Identifying patients who may benefit from therapy or not in early psychotherapy is important to improve treatment outcome. This study aimed to investigate the trajectories of symptom change and working alliance in early psychotherapy and examine their predictions of treatment outcome. Methods: Growth mixture model (GMM) was performed to examine trajectories of symptom change and working alliance in the first five sessions. The association of early symptom trajectories and alliance trajectories with treatment outcome were examined. Results: The present study identified two symptom trajectories, high symptom/steady change (63.2%) and early improving (36.8%), and four alliance development patterns: undeveloped alliance (40.1%), strengthening moderate alliance (31.6%), optimal alliance (17.3%), repaired alliance (11%) in early psychotherapy. The early symptom change trajectories and alliance development patterns both independently and interactively predicted treatment outcome. Optimal alliance generally led to the best outcome. The effect of repaired alliance on treatment outcome was moderated by symptom change trajectories: For high symptom/steady change subgroup, repaired alliance produced better treatment outcome, whereas for medium symptom/slow change subgroup, repaired alliance resulted in worse outcome.Conclusion: Patients showed heterogeneous responses regarding symptom reduction and alliance development in early psychotherapy. Combining early symptom trajectories and alliance trajectories simultaneously can facilitate routine outcome monitoring and contribute to the prediction of treatment outcome. 2021-09-10 English text Ohio University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=ohiou161962950044996 http://rave.ohiolink.edu/etdc/view?acc_num=ohiou161962950044996 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 Clinical Psychology
Psychology
Psychotherapy
Mental Health
Early change
working alliance
growth mixture modeling
treatment outcome
spellingShingle Clinical Psychology
Psychology
Psychotherapy
Mental Health
Early change
working alliance
growth mixture modeling
treatment outcome
Lin, Tao
The Roles of Early Symptom Change and Early Working Alliance in Predicting Treatment Outcome
author Lin, Tao
author_facet Lin, Tao
author_sort Lin, Tao
title The Roles of Early Symptom Change and Early Working Alliance in Predicting Treatment Outcome
title_short The Roles of Early Symptom Change and Early Working Alliance in Predicting Treatment Outcome
title_full The Roles of Early Symptom Change and Early Working Alliance in Predicting Treatment Outcome
title_fullStr The Roles of Early Symptom Change and Early Working Alliance in Predicting Treatment Outcome
title_full_unstemmed The Roles of Early Symptom Change and Early Working Alliance in Predicting Treatment Outcome
title_sort roles of early symptom change and early working alliance in predicting treatment outcome
publisher Ohio University / OhioLINK
publishDate 2021
url http://rave.ohiolink.edu/etdc/view?acc_num=ohiou161962950044996
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