Explaining Variability in Therapist Adherence and Patient Depressive Symptom Improvement: The Role of Therapist Interpersonal Skills and Patient Engagement.

Explaining Variability in Therapist Adherence and Patient Depressive Symptom Improvement: The Role of Therapist Interpersonal Skills and Patient Engagement. Clin Psychol Psychother. 2018 Sep 10;: Authors: Snippe E, Schroevers MJ, Tovote A, Sanderman R, Emmelkamp PMG, Fleer J Abstract Understanding why therapists deviate from a treatment manual is crucial to interpret the mixed findings on the adherence-outcome association. The current study aims to examine whether therapists' interpersonal behaviors and patients' active engagement predict treatment outcome and therapist adherence in Cognitive Behavior Therapy (CBT) and Mindfulness-Based Cognitive Therapy (MBCT) for depressive symptoms. In addition, the study explores rater's explanations for therapist non-adherence at sessions in which therapist adherence was low. Study participants were 61 patients with diabetes and depressive symptoms who were randomized to either CBT or MBCT. Depressive symptoms were assessed by the BDI-II. Therapist adherence, therapist interpersonal skills (i.e., empathy, warmth, and involvement), patients' active engagement, and reasons for non-adherence were assessed by two independent raters (based on digital video recordings). Therapist adherence, therapists' interpersonal skills, and patients' active engagement did not predict post-treatment depressive symptom reduction. Patients' active engagement was positively associated with therapist adherence in CBT a...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research