The therapeutic alliance and CBASP-specific skill acquisition in the treatment of chronic depression

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; Martin B. Keller

doi:10.1007/s10608-005-9638-5

The therapeutic alliance and CBASP-specific skill acquisition in the treatment of chronic depression

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, Martin B. Keller

Behavioral Science

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

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.

Original language	English (US)
Pages (from-to)	803-817
Number of pages	15
Journal	Cognitive Therapy and Research
Volume	29
Issue number	6
DOIs	https://doi.org/10.1007/s10608-005-9638-5
State	Published - Dec 2005

Keywords

Chronic depression
Cognitive therapy
Psychotherapeutic processes
Therapeutic alliance

ASJC Scopus subject areas

Experimental and Cognitive Psychology
Clinical Psychology

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10.1007/s10608-005-9638-5

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Santiago, N. J., Klein, D. N., Vivian, D., Arnow, B. A., Blalock, J. A., Kocsis, J. H., Markowitz, J. C., Manber, R., Riso, L. P., Rothbaum, B. O., Rush, A. J., Thase, M. E., McCullough, J. P., & Keller, M. B. (2005). The therapeutic alliance and CBASP-specific skill acquisition in the treatment of chronic depression. Cognitive Therapy and Research, 29(6), 803-817. https://doi.org/10.1007/s10608-005-9638-5

Santiago, NJ, Klein, DN, Vivian, D, Arnow, BA, Blalock, JA, Kocsis, JH, Markowitz, JC, Manber, R, Riso, LP, Rothbaum, BO, Rush, AJ, Thase, ME, McCullough, JP & Keller, MB 2005, 'The therapeutic alliance and CBASP-specific skill acquisition in the treatment of chronic depression', Cognitive Therapy and Research, vol. 29, no. 6, pp. 803-817. https://doi.org/10.1007/s10608-005-9638-5

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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 = "Chronic depression, Cognitive therapy, Psychotherapeutic processes, Therapeutic alliance",

author = "Santiago, {Neil J.} and Klein, {Daniel N.} and Dina Vivian and Arnow, {Bruce A.} and Blalock, {Janice A.} and Kocsis, {James H.} and Markowitz, {John C.} and Rachel Manber and Riso, {Lawrence P.} and Rothbaum, {Barbara O.} and Rush, {A. John} and Thase, {Michael E.} and McCullough, {James P.} and Keller, {Martin B.}",

note = "Funding Information: This research was supported by Bristol-Myers Squibb.",

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AU - Blalock, Janice A.

AU - Kocsis, James H.

AU - Markowitz, John C.

AU - Manber, Rachel

AU - Riso, Lawrence P.

AU - Rothbaum, Barbara O.

AU - Rush, A. John

AU - Thase, Michael E.

AU - McCullough, James P.

AU - Keller, Martin B.

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N2 - 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.

AB - 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.

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The therapeutic alliance and CBASP-specific skill acquisition in the treatment of chronic depression

Abstract

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