Treatment Expectancies, Patient Alliance, and Outcome: Further Analyses From the National Institute of Mental Health Treatment of Depression Collaborative Research Program

Prior analyses from the National Institute of Mental Health Treatment of Depression Collaborative Research Program indicated that patients' expectancies of treatment effectiveness ( S. M. Sotsky et al., 1991 ) and the quality of the therapeutic alliance ( J. L. Krupnick et al., 1996 ) predicted...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 2002-08, Vol.70 (4), p.1051-1055
Main Authors: Meyer, Björn, Pilkonis, Paul A, Krupnick, Janice L, Egan, Matthew K, Simmens, Samuel J, Sotsky, Stuart M
Format: Article
Language:English
Subjects:
Adult
Attitude to Health
Biological and medical sciences
Client Attitudes
Clinical outcomes
Depression
Depressive Disorder, Major - therapy
Expectations
Female
Human
Humans
Major Depression
Male
Medical sciences
Mental Health Services
Middle Aged
Miscellaneous
Patient Compliance - statistics & numerical data
Patients
Perceptions
Professional-Patient Relations
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapeutic Processes
Psychotherapies. Psychological and clinical counseling
Substance abuse treatment
Therapeutic Alliance
Therapeutic alliances
Therapist Attitudes
Treatment
Treatment Effectiveness Evaluation
Treatment Outcome
Treatment Outcomes
Treatments
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Summary:Prior analyses from the National Institute of Mental Health Treatment of Depression Collaborative Research Program indicated that patients' expectancies of treatment effectiveness ( S. M. Sotsky et al., 1991 ) and the quality of the therapeutic alliance ( J. L. Krupnick et al., 1996 ) predicted clinical improvement. These data were reanalyzed to examine the hypothesis that the link between treatment expectancies and outcome would be mediated by patients' contribution to the alliance. Among 151 patients who completed treatment, this hypothesis was supported, suggesting that patients who expect treatment to be effective tend to engage more constructively in session, which helps bring about symptom reduction. Therapists' expectancies for patient improvement also predicted outcome, although this association was not mediated by the alliance. None of the expectancy scales interacted with alliance ratings in the prediction of clinical improvement.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.70.4.1051