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Cognitive Therapy and Research

, Volume 29, Issue 6, pp 803–817 | Cite as

The Therapeutic Alliance and CBASP-Specific Skill Acquisition in the Treatment of Chronic Depression

  • Neil J. Santiago
  • Daniel N. KleinEmail author
  • 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. McCulloughJr.
  • Martin B. Keller
Article

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.

Key Words

psychotherapeutic processes therapeutic alliance chronic depression cognitive therapy 

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Copyright information

© Springer Science + Business Media, Inc. 2006

Authors and Affiliations

  • Neil J. Santiago
    • 1
  • Daniel N. Klein
    • 1
    Email author
  • Dina Vivian
    • 1
  • Bruce A. Arnow
    • 2
  • Janice A. Blalock
    • 3
    • 12
  • James H. Kocsis
    • 4
  • John C. Markowitz
    • 4
  • Rachel Manber
    • 5
    • 13
  • Lawrence P. Riso
    • 6
  • Barbara O. Rothbaum
    • 7
  • A. John Rush
    • 8
  • Michael E. Thase
    • 9
  • James P. McCulloughJr.
    • 10
  • Martin B. Keller
    • 11
  1. 1.Department of PsychologyStony Brook UniversityStony Brook
  2. 2.Department of Psychiatry and Behavioral SciencesStanford University School of MedicineStanford
  3. 3.Department of PsychiatryUniversity of Texas Medical BranchGalveston
  4. 4.Department of PsychiatryCornell University Medical CollegeUSA
  5. 5.Department of PsychiatryUniversity of Arizona School of MedicineUSA
  6. 6.Department of PsychologyGeorgia State UniversityUSA
  7. 7.Department of PsychiatryEmory University School of MedicineUSA
  8. 8.Department of PsychiatryUniversity of Texas Southwestern Medical CenterDallas
  9. 9.Department of PsychiatryUniversity of Pittsburgh School of MedicineUSA
  10. 10.Department of PsychologyVirginia Commonwealth UniversityUSA
  11. 11.Department of Psychiatry and Human BehaviorBrown University School of MedicineProvidence
  12. 12.M. D. Anderson Cancer CenterUSA
  13. 13.Department of Psychiatry and Behavioral SciencesStanford UniversityUSA

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