Does the quality of the working alliance predict treatment outcome in online psychotherapy for traumatized patients?

Journal of Medical Internet Research

Volumn 8, Issue 4, 2006, Pages

  Knaevelsrud, Christine ^a   Maercker, Andreas ^b  

^a Behandlungszentrum fur Folteropfer Berlin eV   (Germany)

^b UNIVERSITY OF ZURICH   (Switzerland)

Author keywords

Internet; Online therapy; Professional patient relations; Psychotherapeutic processes; Psychotherapy; Therapeutic relationship; Treatment outcome; Working alliance

Indexed keywords

ADULT; ANXIETY; ARTICLE; BRIEF SYMPTOM INVENTORY; CLINICAL ARTICLE; CLINICAL ASSESSMENT; CLINICAL TRIAL; COGNITIVE THERAPY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORRELATION ANALYSIS; DEPRESSION; DISSOCIATIVE DISORDER; DOCTOR PATIENT RELATION; FEMALE; HUMAN; IMPACT OF EVENTS SCALE; INTERNET; MALE; ONLINE SYSTEM; POSTTRAUMATIC STRESS DISORDER; PREDICTION; PSYCHOSIS; QUALITY CONTROL; RANDOMIZED CONTROLLED TRIAL; RISK ASSESSMENT; SCORING SYSTEM; SCREENING TEST; SUICIDAL BEHAVIOR; TREATMENT DURATION; TREATMENT OUTCOME; COUNSELING; HEALTH CARE QUALITY; HUMAN RELATION; METHODOLOGY; OUTCOME ASSESSMENT; PATIENT SATISFACTION; STATISTICS; TELECONSULTATION;

COGNITIVE THERAPY; COUNSELING; FEMALE; HUMANS; INTERNET; MALE; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT SATISFACTION; PROFESSIONAL-PATIENT RELATIONS; QUALITY ASSURANCE, HEALTH CARE; REMOTE CONSULTATION; RESEARCH DESIGN; STRESS DISORDERS, POST-TRAUMATIC; TREATMENT OUTCOME;

EID: 33846935018     PISSN: None     EISSN: 14388871     Source Type: Journal    
DOI: 10.2196/jmir.8.4.e31     Document Type: Article

References (39)

1. Mallen MJ, Day SX, Green MA. Online versus face-to-face conversations: an examination of relational and discourse variables. Psychother-Theor Res 2003;40:155-163.
2. Norcross JC, Hedges M, Prochaska JO. The face of 2010: a Delphi poll on the future of psychotherapy. Prof Psychol-Res Pr 2002;33(3):316-322.
3. Knaevelsrud C, Jager J, Maercker A. Internet-Psychotherapie: Wirksamkeit und Besonderheiten der therapeutischen Beziehung [Internet psychotherapy: efficacy and particularities of the therapeutic relationship]. Verhaltenstherapie 2004;14(3):174-183.
4. Rochlen AB, Zack JS, Speyer C. Online therapy: review of relevant definitions, debates, and current empirical support. J Clin Psychol 2004 Mar;60(3):269-283.
5. Horvath AO, Luborsky L. The role of the therapeutic alliance in psychotherapy. J Consult Clin Psychol 1993 Aug;61(4):561-573.
6. Gaston L. The concept of the alliance and its role in psychotherapy: theoretical and empirical considerations. Psychother 2004;27:143-153.
7. Horvath AO, Greenberg LS. The working alliance: theory, research, practice. New York: Wiley; 1994.
8. Horvath AO, Symonds BD. Relation between working alliance and outcome in psychotherapy: a meta-analysis. J Couns Psychol 1991;38(2):139-149.
9. Krupnick JL, Sotsky SM, Simmens S, Moyer J, Elkin I, Watkins J, et al. The role of the therapeutic alliance in psychotherapy and pharmacotherapy outcome: findings in the National Institute of Mental Health Treatment of Depression Collaborative Research Program. J Consult Clin Psychol 1996 Jun;64(3):532-539.
10. Martin DJ, Garske JP, Davis MK. Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. J Consult Clin Psychol 2000 Jun;68(3):438-450.
11. Stiles WB, Agnew-Davies R, Hardy GE, Barkham M, Shapiro DA. Relations of the alliance with psychotherapy outcome: findings in the Second Sheffield Psychotherapy Project. J Consult Clin Psychol 1998 Oct;66(5):791-802.
12. Skarderud F. Sh@me in cyberspace: relationships without races: the emedia and eating disorders. Eur Eat Disord Rev 2003;11(3):155-169.
13. Slouka M. War of the worlds: cyberspace and the high-tech assault on reality. New York: Basic Books; 1995.
14. Kraut R, Patterson M, Lundmark V, Kiesler S, Mukopadhyay T, Scherlis W. Internet paradox. A social technology that reduces social involvement and psychological well-being? Am Psychol 1998 Sep;53(9):1017-1031.
15. Walter JB. Computer-mediated communication: impersonal, interpersonal, and hyperpersonal interaction. Commun Res 1996;23(1):3-43.
16. Whitty M, Gavin J. Age/sex/location: uncovering the social cues in the development of online relationships. Cyberpsychol Behav 2001 Oct;4(5):623-630.
17. Suler J. The online disinhibition effect. Cyberpsychol Behav 2004 Jun;7(3):321-326.
18. Utz S. Social information processing in MUDs: the development of friendships in virtual worlds. Journal of Online Behavior. 2000. (1) URL: http://www.behavior.net/JOB/v1n1/utz.html [accessed 2006 Dec 2]
19. Cook JE, Doyle C. Working alliance in online therapy as compared to face-to-face therapy: preliminary results. Cyberpsychol Behav 2002 Apr;5(2):95-105.
20. Horvath AO, Greenberg LS. Development and validation of the Working Alliance Inventory. J Couns Psychol 1989;36(2):223-233.
21. Lange A, van de Ven JP, Schrieken B, Smit M. Interapy burn-out; preventie en behandeling van burn-out via Internet [Interapy burnout; prevention and treatment of burnout through the Internet]. Directieve Therapie 2003;23:121-145.
22. Cohen E, Kerr BA. Computer-mediated counseling: an empirical study on a new mental health treatment. Comput Hum Serv 1998;15:77-81.
23. Lange A, Schoutrop M, Schrieken B, van de Ven JP. Interapy: a model for therapeutic writing through the Internet. In: Lepore SJ, Smyth JM, editors. The writing cure: how expressive writing promotes health and emotional well-being. Washington, DC: APA Books; 2002:215-238.
24. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorder DSM IV. Washington, DC: American Psychiatric Association; 1994.
25. Nijenhuis ER, Spinhoven P, van Dyck R, van der Hart O, Vanderlinden J. The development of the somatoform dissociation questionnaire (SDQ-5) as a screening instrument for dissociative disorders. Acta Psychiatr Scand 1997 Nov;96(5):311-318.
26. Lange A, Schrieken B, Blankers M, van de Ven JP, Slot M. Constructie en validatie van de Gewaarwordingenlijst: een hulpmiddelbij het signaleren van een verhoogde kans op psychosen [Construction and validation of the Screening Device for Psychotic Disorder]. Directieve Therapie 2000;20:162-173.
27. Arnoldi J, van de Ven JP, Schrieken B, Lange A. De Risico Taxatielijst- eigenschappen van een kort screeningsintrument [Suicide Risk Assessment - a short screening tool]. Unpublished manuscript University of Amsterdam; 2000.
28. Busseri MA, Tyler JD. Interchangeability of the Working Alliance Inventory and Working Alliance Inventory, Short Form. Psychol Assess 2003 Jun;15(2):193-197.
29. Tracey TJ, Kokotovic AM. Factor structure of the Working Alliance Inventory. Psychol Assess 1989;1(3):207-210.
30. Weiss DS, Marmar CR. The impact of event scale-revised. In: Wilson JP, Keane TM, editors. Assessing psychological trauma and PTSD. New York: Guilford Press; 1997:399-411.
31. Neal LA, Busuttil W, Rollins J, Herepath R, Strike P, Turnbull G. Convergent validity of measures of post-traumatic stress disorder in a mixed military and civilian population. J Trauma Stress 1994 Jul;7(3):447-455.
32. Derogatis LR. BSI: administration, scoring, and procedures manual-II. 2nd edition. Baltimore, MD: Clinical Psychometric Research, Inc; 1992.
33. Kleber RJ, Brom D. Traumatische ervaringen, gevolgen enverwerking [Traumatic events, consequences and processing]. Lisse, The Netherlands: Swets & Zeitlinger; 1986.
34. Taft CT, Murphy CM, Musser PH, Remington NA. Personality, interpersonal, and motivational predictors of the working alliance in group cognitive-behavioral therapy for partner violent men. J Consult Clin Psychol 2004 Apr;72(2):349-354.
35. Hersoug AG, Høglend P, Monsen JT, Havik OE. Quality of working alliance in psychotherapy: therapist variables and patient/therapist similarity as predictors. J Psychother Pract Res 2001 Dec;10(4):205-216
36. Maercker A. Therapie der posttraumatischen Belastungsstörung [Therapy of posttraumatic stress disorder].9th edition. Berlin, Germany: Springer; 2003.
37. Scott MJ, Stradling SG. Client compliance with exposure treatments for posttraumatic stress disorder. J Trauma Stress 1997 Jul;10(3):523-526.
38. Foa EB, Rothbaum BO, Riggs DS, Murdock TB. Treatment of posttraumatic stress disorder in rape victims: a comparison between cognitive-behavioral procedures and counseling. J Consult Clin Psychol 1991 Oct;59(5):715-723.
39. Turner SW, McFarlane AC, van der Kolk BA. The therapeutic environment and new explorations in the treatment of posttraumatic stress disorder. In: van der Kolk BA, McFarlane AC, Weisaeth L, editors.Traumatic stress: the effects of overwhelming experience on mind, body, and society. New York: Guilford Press; 1996:538.