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The impact of therapeutic alliance a...
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Bertoni, Matteo.
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The impact of therapeutic alliance and other therapy process variables as predictors of outcome in cognitive therapy with older adults.
紀錄類型:
書目-語言資料,印刷品 : Monograph/item
正題名/作者:
The impact of therapeutic alliance and other therapy process variables as predictors of outcome in cognitive therapy with older adults./
作者:
Bertoni, Matteo.
面頁冊數:
107 p.
附註:
Source: Dissertation Abstracts International, Volume: 71-03, Section: B, page: 2038.
Contained By:
Dissertation Abstracts International71-03B.
標題:
Gerontology. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3396798
ISBN:
9781109659740
The impact of therapeutic alliance and other therapy process variables as predictors of outcome in cognitive therapy with older adults.
Bertoni, Matteo.
The impact of therapeutic alliance and other therapy process variables as predictors of outcome in cognitive therapy with older adults.
- 107 p.
Source: Dissertation Abstracts International, Volume: 71-03, Section: B, page: 2038.
Thesis (Ph.D.)--Palo Alto University, 2008.
Recent studies on the role of therapeutic alliance in predicting outcome in Cognitive and Cognitive-Behavioral approaches challenged the widespread belief that this common factor is the most important factor to predict change, regardless of the session in which it was evaluated.
ISBN: 9781109659740Subjects--Topical Terms:
533633
Gerontology.
The impact of therapeutic alliance and other therapy process variables as predictors of outcome in cognitive therapy with older adults.
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Source: Dissertation Abstracts International, Volume: 71-03, Section: B, page: 2038.
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The aim of this process-to-outcome study was to investigate which ingredients of Cognitive Therapy played a role in predicting improvement in quality of life and decrease in symptoms of distress in a group of depressed older adults.
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A brief in-home cognitive psychosocial intervention was delivered to a group of rural older adults for a total of 16 sessions over 12 weeks. Audiotapes of an early and a late session were evaluated in terms of fidelity to the treatment delivered, using the Cognitive Therapy Scale (CTS), while both quality of the therapeutic alliance and psychotherapy process variable were assessed with the Therapy Process Rating Scale (TPRS).
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Outcome in terms of improved emotional well-being and quality of life was evaluated through changes in the Symptom Checklist 90 - Revised (SCL-90-R) and the Quality of Life (Qoli) scores, evaluated pre-, between- and post-intervention.
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Results obtained through Hierarchical Multiple Regression models showed that neither therapeutic alliance nor competence/adherence to the manualized treatment played a significant role in explaining outcome, while pre-existing level of distress and the therapist skills, defined as the degree of accuracy, consistency and smoothness with which the therapist intervened were the most important ingredients for change.
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Furthermore, the amount and direction of cross theoretical concepts congruent with the scope of Cognitive Therapy such as focus on behavior on decrease of emotional arousal were separately found related to the two outcome. Alliance level was predicted with the same process variables that explained outcome, suggesting that the therapeutic bond might be considered more an outcome than a predictor of change.
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Results confirmed the utility of the application of principles of change, and the role of alliance as a byproduct of efficacious interventions.
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http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3396798
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