Between- and within-person effects of affective experiences on coping in CBT: Direct effects and interplay with therapeutic alliance and resource activation

The role of affective experiences (AE) in cognitive-behavioral therapy (CBT) has rarely been investigated. We examined between- and within-person effects of AE on coping in CBT for family caregivers and interactions with therapeutic alliance and resource activation. 67 family caregivers rated AE, th...

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Bibliographic Details
Published in:Psychotherapy research 2024-11, Vol.34 (8), p.1147-1161
Main Authors: Wrede, Nicolas, Töpfer, Nils F., Wilz, Gabriele
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adult
Affect
Affective experiences
Aged
alliance
Caregivers
Caregivers - psychology
cognitive behavior therapy
Cognitive behavioral therapy
Cognitive Behavioral Therapy - methods
Cognitive-behavioral factors
Collaboration
Coping
Emotion recognition
emotional processing
facilitative conditions
Female
Humans
Male
Middle Aged
psychotherapy process
resource-activation
Telephone service
Therapeutic Alliance
Therapeutic alliances
within-patient effects
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Summary:The role of affective experiences (AE) in cognitive-behavioral therapy (CBT) has rarely been investigated. We examined between- and within-person effects of AE on coping in CBT for family caregivers and interactions with therapeutic alliance and resource activation. 67 family caregivers rated AE, therapeutic alliance, resource activation, and coping after each of 12 sessions of telephone-based CBT. We examined direct session-to-session effects of AE on coping in structural equation modeling and interactions of AE with therapeutic alliance and resource activation in multilevel models. AE did not directly predict coping. Instead, within-person effects of AE interacted with simultaneous within-person emotional bond. Given strong emotional bond, AE positively predicted coping, whereas given weak emotional bond, AE negatively predicted coping. Further, cross-level interactions of between-person AE and within-person agreement on collaboration and resource activation indicated that these positively predicted coping only in dyads with high between-person AE. AE may enhance coping when complemented with strong emotional bond. Further, within-person effects of agreement on collaboration and resource activation seem to rely on a certain degree of between-person AE. Results are discussed in relation to current findings on emotional processing in CBT.
ISSN:1050-3307
1468-4381
1468-4381
DOI:10.1080/10503307.2023.2277290