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Effects of religious vs. standard cognitive behavioral therapy on therapeutic alliance: A randomized clinical trial.

Publication ,  Journal Article
Koenig, HG; Pearce, M; Nelson, B; Shaw, S; Robins, C; Daher, N; Cohen, HJ; King, MB
Published in: Psychother Res
2016

BACKGROUND: Treatments that integrate religious clients' beliefs into therapy may enhance the therapeutic alliance (TA) in religious clients. OBJECTIVE: Compare the effects of religiously integrated cognitive behavioral therapy (RCBT) and standard CBT (SCBT) on TA in adults with major depression and chronic medical illness. METHOD: Multi-site randomized controlled trial in 132 participants, of whom 108 (SCBT = 53, RCBT = 55) completed the Revised Helping Alliance Questionnaire (HAQ-II) at 4, 8, and 12 weeks. Trajectory of change in scores over time was compared between groups. RESULTS: HAQ-II score at 4 weeks predicted a decline in depressive symptoms over time independent of treatment group (B = -0.06, SE = 0.02, p = 0.002, n = 108). There was a marginally significant difference in HAQ-II scores at 4 weeks that favored RCBT (p = 0.076); however, the mixed effects model indicated a significant group by time interaction that favored the SCBT group (B = 1.84, SE = 0.90, degrees of freedom = 181, t = 2.04, p = 0.043, d = 0.30). CONCLUSIONS: While RCBT produces a marginally greater improvement in TA initially compared with SCBT, SCBT soon catches up.

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Published In

Psychother Res

DOI

EISSN

1468-4381

Publication Date

2016

Volume

26

Issue

3

Start / End Page

365 / 376

Location

England

Related Subject Headings

  • Religion and Psychology
  • Professional-Patient Relations
  • Outcome and Process Assessment, Health Care
  • Middle Aged
  • Male
  • Humans
  • Female
  • Depressive Disorder, Major
  • Cognitive Behavioral Therapy
  • Clinical Psychology
 

Citation

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Koenig, H. G., Pearce, M., Nelson, B., Shaw, S., Robins, C., Daher, N., … King, M. B. (2016). Effects of religious vs. standard cognitive behavioral therapy on therapeutic alliance: A randomized clinical trial. Psychother Res, 26(3), 365–376. https://doi.org/10.1080/10503307.2015.1006156
Koenig, Harold G., Michelle Pearce, Bruce Nelson, Sally Shaw, Clive Robins, Noha Daher, Harvey Jay Cohen, and Michael B. King. “Effects of religious vs. standard cognitive behavioral therapy on therapeutic alliance: A randomized clinical trial.Psychother Res 26, no. 3 (2016): 365–76. https://doi.org/10.1080/10503307.2015.1006156.
Koenig HG, Pearce M, Nelson B, Shaw S, Robins C, Daher N, et al. Effects of religious vs. standard cognitive behavioral therapy on therapeutic alliance: A randomized clinical trial. Psychother Res. 2016;26(3):365–76.
Koenig, Harold G., et al. “Effects of religious vs. standard cognitive behavioral therapy on therapeutic alliance: A randomized clinical trial.Psychother Res, vol. 26, no. 3, 2016, pp. 365–76. Pubmed, doi:10.1080/10503307.2015.1006156.
Koenig HG, Pearce M, Nelson B, Shaw S, Robins C, Daher N, Cohen HJ, King MB. Effects of religious vs. standard cognitive behavioral therapy on therapeutic alliance: A randomized clinical trial. Psychother Res. 2016;26(3):365–376.

Published In

Psychother Res

DOI

EISSN

1468-4381

Publication Date

2016

Volume

26

Issue

3

Start / End Page

365 / 376

Location

England

Related Subject Headings

  • Religion and Psychology
  • Professional-Patient Relations
  • Outcome and Process Assessment, Health Care
  • Middle Aged
  • Male
  • Humans
  • Female
  • Depressive Disorder, Major
  • Cognitive Behavioral Therapy
  • Clinical Psychology