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Therapeutic alliance in guided internet therapy programs for depression and anxiety disorders – A systematic review
OBJECTIVE: The role of internet therapy programs for mental disorders is growing. Those programs employing human support yield better outcomes than do those with no such support. Therapeutic alliance may be a critical element in this support. Currently, the significance of therapeutic alliance in gu...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6084872/ https://www.ncbi.nlm.nih.gov/pubmed/30135754 http://dx.doi.org/10.1016/j.invent.2017.11.005 |
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author | Pihlaja, Satu Stenberg, Jan-Henry Joutsenniemi, Kaisla Mehik, Heidi Ritola, Ville Joffe, Grigori |
author_facet | Pihlaja, Satu Stenberg, Jan-Henry Joutsenniemi, Kaisla Mehik, Heidi Ritola, Ville Joffe, Grigori |
author_sort | Pihlaja, Satu |
collection | PubMed |
description | OBJECTIVE: The role of internet therapy programs for mental disorders is growing. Those programs employing human support yield better outcomes than do those with no such support. Therapeutic alliance may be a critical element in this support. Currently, the significance of therapeutic alliance in guided, internet-delivered cognitive behavioral therapy programs (iCBT) remains unknown. This review aims to determine whether the therapeutic alliance influences outcome of iCBTs and if it does, what plausible factors underlie this association. METHOD: Towards that goal searches were made in PubMed, PsycINFO, SCOPUS, The Cochrane Library and CINAHL in May 2016 and January 2017. RESULTS: From the 1658 relevant studies, only six studied the relationship of therapeutic alliance and outcome. All six studies showed a high level of client-therapist alliance; in the three most recent studies, the alliance was directly associated with outcome. No studies reported alliance-adherence associations. CONCLUSIONS: Alliance research in iCBT for mental disorders is scarce. Therapeutic alliance seems to associate with outcomes. More studies are necessary to define the optimal support to strengthen alliance. iCBT is a feasible environment for alliance research both practically and theoretically. The impact of alliance on adherence to iCBT requires study. |
format | Online Article Text |
id | pubmed-6084872 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-60848722018-08-22 Therapeutic alliance in guided internet therapy programs for depression and anxiety disorders – A systematic review Pihlaja, Satu Stenberg, Jan-Henry Joutsenniemi, Kaisla Mehik, Heidi Ritola, Ville Joffe, Grigori Internet Interv Review Article OBJECTIVE: The role of internet therapy programs for mental disorders is growing. Those programs employing human support yield better outcomes than do those with no such support. Therapeutic alliance may be a critical element in this support. Currently, the significance of therapeutic alliance in guided, internet-delivered cognitive behavioral therapy programs (iCBT) remains unknown. This review aims to determine whether the therapeutic alliance influences outcome of iCBTs and if it does, what plausible factors underlie this association. METHOD: Towards that goal searches were made in PubMed, PsycINFO, SCOPUS, The Cochrane Library and CINAHL in May 2016 and January 2017. RESULTS: From the 1658 relevant studies, only six studied the relationship of therapeutic alliance and outcome. All six studies showed a high level of client-therapist alliance; in the three most recent studies, the alliance was directly associated with outcome. No studies reported alliance-adherence associations. CONCLUSIONS: Alliance research in iCBT for mental disorders is scarce. Therapeutic alliance seems to associate with outcomes. More studies are necessary to define the optimal support to strengthen alliance. iCBT is a feasible environment for alliance research both practically and theoretically. The impact of alliance on adherence to iCBT requires study. Elsevier 2017-11-17 /pmc/articles/PMC6084872/ /pubmed/30135754 http://dx.doi.org/10.1016/j.invent.2017.11.005 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Review Article Pihlaja, Satu Stenberg, Jan-Henry Joutsenniemi, Kaisla Mehik, Heidi Ritola, Ville Joffe, Grigori Therapeutic alliance in guided internet therapy programs for depression and anxiety disorders – A systematic review |
title | Therapeutic alliance in guided internet therapy programs for depression and anxiety disorders – A systematic review |
title_full | Therapeutic alliance in guided internet therapy programs for depression and anxiety disorders – A systematic review |
title_fullStr | Therapeutic alliance in guided internet therapy programs for depression and anxiety disorders – A systematic review |
title_full_unstemmed | Therapeutic alliance in guided internet therapy programs for depression and anxiety disorders – A systematic review |
title_short | Therapeutic alliance in guided internet therapy programs for depression and anxiety disorders – A systematic review |
title_sort | therapeutic alliance in guided internet therapy programs for depression and anxiety disorders – a systematic review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6084872/ https://www.ncbi.nlm.nih.gov/pubmed/30135754 http://dx.doi.org/10.1016/j.invent.2017.11.005 |
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