The role of therapeutic alliance in mindfulness interventions: therapeutic alliance in mindfulness training for smokers.
OBJECTIVE: Mindfulness-based interventions have enjoyed a marked increase in support within biomedical and psychological research and practice in the past two decades. Despite the widespread application of these treatments for a range of psychological and medical conditions, there remains a lack of consensus regarding mechanisms through which these interventions effect change. One plausible yet underexplored mechanism is the therapeutic alliance between participants and mindfulness instructors. METHODS: In this report, data are presented on therapeutic alliance from the mindfulness arm (n = 37) of a randomized controlled trial of a mindfulness-based smoking cessation treatment. RESULTS: Results suggest that client-reported therapeutic alliance measured midtreatment did not significantly predict primary smoking outcomes. Alliance did predict improvement in posttreatment scores on several outcome variables linked to mindfulness practice, including emotion regulation (β = -.24, p = .042), mindfulness (β = .33, p = .007), negative affect (β = -.33, p = .040), as well as treatment compliance (β = .39, p = .011). CONCLUSION: Implications of these relationships and the possible role of therapeutic alliance in mindfulness treatments are explored.
Duke Scholars
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Related Subject Headings
- Treatment Outcome
- Smoking Cessation
- Smoking
- Psychotherapy, Group
- Professional-Patient Relations
- Predictive Value of Tests
- Mindfulness
- Middle Aged
- Male
- Humans
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Treatment Outcome
- Smoking Cessation
- Smoking
- Psychotherapy, Group
- Professional-Patient Relations
- Predictive Value of Tests
- Mindfulness
- Middle Aged
- Male
- Humans