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The Therapeutic Alliance and CBASP-Specific Skill Acquisition in the Treatment of Chronic Depression |
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| Authors: | Neil J. Santiago Daniel N. Klein Dina Vivian Bruce A. Arnow Janice A. Blalock James H. Kocsis John C. Markowitz Rachel Manber Lawrence P. Riso Barbara O. Rothbaum A. John Rush Michael E. Thase James P. McCullough Jr. Martin B. Keller |
| Affiliation: | (1) Department of Psychology, Stony Brook University, Stony Brook, NY, 11794-2500;(2) Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford;(3) Department of Psychiatry, University of Texas Medical Branch, Galveston;(4) Department of Psychiatry, Cornell University Medical College, USA;(5) Department of Psychiatry, University of Arizona School of Medicine, USA;(6) Department of Psychology, Georgia State University, USA;(7) Department of Psychiatry, Emory University School of Medicine, USA;(8) Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas;(9) Department of Psychiatry, University of Pittsburgh School of Medicine, USA;(10) Department of Psychology, Virginia Commonwealth University, USA;(11) Department of Psychiatry and Human Behavior, Brown University School of Medicine, Providence;(12) Present address: M. D. Anderson Cancer Center, USA;(13) Present address: Department of Psychiatry and Behavioral Sciences, Stanford University, USA |
| Abstract: | This study examined the influences of proposed specific and common psychotherapeutic factors in a sample of chronically depressed adult outpatients. Participants (N = 324) were drawn from a multi-site clinical trial that compared the efficacies of the cognitive behavioral analysis system of psychotherapy (CBASP), nefazodone, and their combination. This report is limited to patients receiving CBASP alone or combination treatment. A series of regression analyses were performed to test whether: (1) the ability to utilize the skills taught in CBASP mediated the relationship between the early therapeutic alliance and endpoint depression, and (2) the therapeutic alliance moderated the relationship between skill utilization and endpoint depression. Neither model was supported. Instead, each of these factors contributed independently and additively to alleviation of depressive symptoms. |
| Keywords: | psychotherapeutic processes therapeutic alliance chronic depression cognitive therapy |
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