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

Koenig, HG; Pearce, M; Nelson, B; Shaw, S; Robins, C; Daher, N; Cohen, HJ; (2016) Effects of religious vs. standard cognitive behavioral therapy on therapeutic alliance: A randomized clinical trial. Psychotherapy Research , 26 (3) pp. 365-376. 10.1080/10503307.2015.1006156. Green open access

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Abstract

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.

Type: Article
Title: Effects of religious vs. standard cognitive behavioral therapy on therapeutic alliance: A randomized clinical trial
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/10503307.2015.1006156
Publisher version: http://dx.doi.org/10.1080/10503307.2015.1006156
Language: English
Additional information: This is an Accepted Manuscript of an article published by Taylor & Francis in Psychotherapy Research on 11 February 2015, available online: http://www.tandfonline.com/10.1080/10503307.2015.1006156.
Keywords: religious, spiritual, psychotherapy, CBT, major depression, chronic illness, therapeutic alliance
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/1481114
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