a Psychology , The Hebrew University of Jerusalem , Jerusalem , Israel.
Psychother Res. 2014;24(3):407-18. doi: 10.1080/10503307.2013.868947. Epub 2013 Dec 10.
There has been little research on the development of the therapeutic alliance in cognitive behavioral therapy (CBT). This study aims to examine the development of therapeutic alliance in CBT for panic disorder.
Nineteen patients were treated with CBT for panic disorder. Pre- and post-session data of the therapeutic alliance and panic symptoms and cognitions were collected.
Several patterns were observed, including a sawtooth pattern (within-session improvements followed by decline between sessions; 63% of the patients), sudden gains in the alliance (58%), and late stabilization (89%). The sawtooth pattern was related to less symptom reduction between sessions (explained variance = 20-48%). Though not statistically significant, there were moderate effect sizes for the relationships between outcomes and early alliance and sudden gains (explained variance = 13-17%).
Overall, results suggest that intensive data collection is likely to yield understanding of the relationship between therapy processes and outcomes.
针对认知行为疗法（CBT）中治疗联盟的发展，相关研究甚少。本研究旨在考察惊恐障碍的 CBT 中治疗联盟的发展情况。
19 名惊恐障碍患者接受 CBT 治疗。在治疗前和治疗后收集治疗联盟和惊恐症状及认知的相关数据。
观察到几种模式，包括锯齿形模式（治疗过程中有所改善，随后治疗间隙出现下降；占患者的 63%）、突然增益模式（58%）和晚期稳定模式（89%）。锯齿形模式与治疗间隙症状减轻程度相关（解释方差为 20%-48%）。尽管没有统计学意义，但早期联盟和突然增益与结果之间存在中等效应大小的关系（解释方差为 13%-17%）。
总体而言，研究结果表明，密集的数据收集可能有助于理解治疗过程与结果之间的关系。
