How does the therapeutic alliance develop throughout cognitive behavioral therapy for panic disorder? Sawtooth patterns, sudden gains, and stabilization

Michal Weiss, Yogev Kivity, Jonathan D. Huppert

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objective: 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. Method: 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. Results: 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%). Conclusions: Overall, results suggest that intensive data collection is likely to yield understanding of the relationship between therapy processes and outcomes.

Original languageEnglish (US)
Pages (from-to)407-418
Number of pages12
JournalPsychotherapy Research
Volume24
Issue number3
DOIs
StatePublished - Jan 1 2014

Fingerprint

Panic Disorder
Cognitive Therapy
Panic
Therapeutics
Cognition
Research

All Science Journal Classification (ASJC) codes

  • Clinical Psychology

Cite this

@article{b4d16bdbd98d42d39336ae8852fba00b,
title = "How does the therapeutic alliance develop throughout cognitive behavioral therapy for panic disorder? Sawtooth patterns, sudden gains, and stabilization",
abstract = "Objective: 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. Method: 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. Results: 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{\%}). Conclusions: Overall, results suggest that intensive data collection is likely to yield understanding of the relationship between therapy processes and outcomes.",
author = "Michal Weiss and Yogev Kivity and Huppert, {Jonathan D.}",
year = "2014",
month = "1",
day = "1",
doi = "10.1080/10503307.2013.868947",
language = "English (US)",
volume = "24",
pages = "407--418",
journal = "Psychotherapy Research",
issn = "1050-3307",
publisher = "Routledge",
number = "3",

}

How does the therapeutic alliance develop throughout cognitive behavioral therapy for panic disorder? Sawtooth patterns, sudden gains, and stabilization. / Weiss, Michal; Kivity, Yogev; Huppert, Jonathan D.

In: Psychotherapy Research, Vol. 24, No. 3, 01.01.2014, p. 407-418.

Research output: Contribution to journalArticle

TY - JOUR

T1 - How does the therapeutic alliance develop throughout cognitive behavioral therapy for panic disorder? Sawtooth patterns, sudden gains, and stabilization

AU - Weiss, Michal

AU - Kivity, Yogev

AU - Huppert, Jonathan D.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Objective: 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. Method: 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. Results: 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%). Conclusions: Overall, results suggest that intensive data collection is likely to yield understanding of the relationship between therapy processes and outcomes.

AB - Objective: 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. Method: 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. Results: 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%). Conclusions: Overall, results suggest that intensive data collection is likely to yield understanding of the relationship between therapy processes and outcomes.

UR - http://www.scopus.com/inward/record.url?scp=84898469289&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84898469289&partnerID=8YFLogxK

U2 - 10.1080/10503307.2013.868947

DO - 10.1080/10503307.2013.868947

M3 - Article

VL - 24

SP - 407

EP - 418

JO - Psychotherapy Research

JF - Psychotherapy Research

SN - 1050-3307

IS - 3

ER -