Therapeutic alliance in guided internet therapy programs for depression and anxiety disorders – A systematic review
| العنوان: | Therapeutic alliance in guided internet therapy programs for depression and anxiety disorders – A systematic review |
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| المؤلفون: | Grigori Joffe, Ville Ritola, Heidi Mehik, Jan-Henry Stenberg, Kaisla Joutsenniemi, Satu Pihlaja |
| المصدر: | Internet Interventions Internet Interventions, Vol 11, Iss C, Pp 1-10 (2018) |
| بيانات النشر: | Elsevier, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | 050103 clinical psychology, Psychotherapist, medicine.medical_treatment, lcsh:BF1-990, Scopus, CBT, Health Informatics, CINAHL, PsycINFO, Review Article, Cochrane Library, Therapeutic relationship, 03 medical and health sciences, 0302 clinical medicine, iCBT, Medicine, 0501 psychology and cognitive sciences, Alliance, Internet-based therapy, lcsh:T58.5-58.64, business.industry, lcsh:Information technology, 05 social sciences, 030227 psychiatry, 3. Good health, Cognitive behavioral therapy, lcsh:Psychology, Anxiety, medicine.symptom, business, Clinical psychology |
| الوصف: | 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. Highlights • Therapeutic alliance in iCBT is high and may be even stronger than in face to face therapy. • Alliance appears to directly associate with clinical outcomes but the research is scarce. • Data on effects of alliance on adherence are missing. • iCBT is a plentiful environment for both practical and theoretical research of therapeutic alliance. |
| اللغة: | English |
| تدمد: | 2214-7829 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::357f2f37f848707c03e1da48fac0336d http://europepmc.org/articles/PMC6084872 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....357f2f37f848707c03e1da48fac0336d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22147829 |
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