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Current Psychology

, Volume 35, Issue 1, pp 169–177 | Cite as

Spanish Adaptation of the Working Alliance Inventory-Short (WAI-S)

  • Nelson Andrade-González
  • Alberto Fernández-Liria
Article

Abstract

The goal of our research was to adapt the short forms of the Working Alliance Inventory into the Spanish language for patients and therapists (WAI-S-P and WAI-S-T). The psychometric properties of scores from these measurement instruments were evaluated in Spanish outpatients with depressive disorders and their therapists. The scores of both measures exhibited excellent reliability in terms of internal consistency and excellent convergent validity. Their discriminant validity exhibited some limitations, particularly when the scores of both short measures correlated with those of two empathy measures. Regarding predictive validity, the scores of the overall WAI-S-P and WAI-S-T significantly correlated with residual gain scores of patients in the Beck Depression Inventory (BDI) after the tenth psychotherapy session. Additionally, the overall WAI-S-T scores explained a moderate percentage of the variance in patient BDI score changes. These results are satisfactory and similar to those found in the studies that have utilized the respective original versions of WAI-S in English.

Keywords

Spanish adaptation Working Alliance Inventory WAI-Short 

Notes

Acknowledgments

We thank the patients and therapists from several Spanish public health centers for participating in this study. We thank Professor Adam O. Horvath of Simon Fraser University (Canada) for providing the short versions of the WAI. We also thank the linguists from the University of Alcalá’s School of Writing (Spain) and the mathematicians from the Statistical Consultancy Unit at the University of Oviedo (Spain) for their assistance. Finally, we thank biologist Lourdes Fernández-Casas for her help carrying out this research.

Supplementary material

12144_2015_9365_MOESM1_ESM.pdf (33 kb)
ESM 1 (PDF 32 kb)

References

  1. American Psychiatric Association. (2002). Manual diagnóstico y estadístico de los trastornos mentales [Diagnostic and statistical manual of mental disorders] (4.ª ed., text rev.). Barcelona, Spain: Masson.Google Scholar
  2. Andrade-González, N. (2009). El papel del terapeuta en la alianza terapéutica [The role of the therapist in the therapeutic alliance]. Paper presented at UNED, Guadalajara, Spain.Google Scholar
  3. Andrade-González, N., & Fernández-Liria, A. (2015a). Spanish Adaptation of the Working Alliance Inventory (WAI): psychometric properties of the patient and therapist forms (WAI-P and WAI-T). Anales de Psicología, 31, 524--533. doi: 10.6018/analesps.31.2.177961.
  4. Andrade-González, N., & Fernández-Liria, A. (2015b). Spanish adaptation of the Revised Helping Alliance Questionnaire (HAq-II). Journal of Mental Health, 24, 155--161. doi: 10.3109/09638237.2015.1036975.
  5. Arnow, B. A., Steidtmann, D., Blasey, C., Manber, R., Constantino, M. J., Klein, D. N., … Kocsis, J. H. (2013). The relationship between the therapeutic alliance and treatment outcome in two distinct psychotherapies for chronic depression. Journal of Consulting and Clinical Psychology, 81, 627–638. doi: 10.1037/a0031530.
  6. Barrett-Lennard, G. T. (1978). The Relationship Inventory: later developments and adaptations. JSAS: Catalog of Selected Documents in Psychology, 8(68), 1–55.Google Scholar
  7. Beck, A. T., & Steer, R. A. (1993). Beck Depression Inventory: manual. San Antonio: The Psychological Corporation.Google Scholar
  8. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.Google Scholar
  9. Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research and Practice, 16, 252–260. doi: 10.1037/h0085885.
  10. Bordin, E. S. (1994). Theory and research on the therapeutic working alliance: new directions. In A. O. Horvath & L. S. Greenberg (Eds.), The working alliance: theory, research and practice (pp. 13–37). New York: John Wiley & Sons.Google Scholar
  11. Corbella, S., Botella, L., Gómez, A. M., Herrero, O., & Pacheco, M. (2011). Características psicométricas de la versión española del Working Alliance Inventory-Short (WAI-S) [Psychometric properties of Spanish version of Working Alliance Inventory-Short (WAI-S)]. Anales de Psicología, 27, 298–301.Google Scholar
  12. Fuertes, J. N., Stracuzzi, T. I., Bennett, J., Scheinholtz, J., Mislowack, A., Hersh, M., & Cheng, D. (2006). Therapist multicultural competency: a study of therapy dyads. Psychotherapy: Theory, Research, Practice, Training, 43, 480–490. doi: 10.1037/0033-3204.43.4.480.CrossRefGoogle Scholar
  13. Fuertes, J. N., Mislowack, A., Brown, S., Gur-Arie, S., Wilkinson, S., & Gelso, C. J. (2007). Correlates of the real relationship in psychotherapy: a study of dyads. Psychotherapy Research, 17, 423–430. doi: 10.1080/10503300600789189.CrossRefGoogle Scholar
  14. Hanson, W. E., Curry, K. T., & Bandalos, D. L. (2002). Reliability generalization of Working Alliance Inventory scale scores. Educational and Psychological Measurement, 62, 659–673. doi: 10.1177/0013164402062004008.CrossRefGoogle Scholar
  15. Hatcher, R. L., & Gillaspy, J. A. (2006). Development and validation of a revised short version of the Working Alliance Inventory. Psychotherapy Research, 16, 12–25. doi: 10.1080/10503300500352500.
  16. Hayes, J. A., Yeh, Y. J., & Eisenberg, A. (2007). Good grief and not-so-good grief: countertransference in bereavement therapy. Journal of Clinical Psychology, 63, 345–355. doi: 10.1002/jclp.20353.CrossRefPubMedGoogle Scholar
  17. Horvath, A. O. (1981). An exploratory study of the working alliance: its measurement and relationship to therapy outcome (Unpublished doctoral dissertation). University of British Columbia, Vancouver, Canada.Google Scholar
  18. Horvath, A. O., & Greenberg, L. S. (1986). The development of the Working Alliance Inventory. In L. S. Greenberg & W. M. Pinsof (Eds.), The psychotherapeutic process: a research handbook (pp. 529–556). New York: Guilford Press.Google Scholar
  19. Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology, 36, 223–233. doi: 10.1037/0022-0167.36.2.223.
  20. Horvath, A. O., Del Re, A. C., Flückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. In J. C. Norcross (Ed.), Psychotherapy relationships that work: evidence-based responsiveness (pp. 25–69). New York: Oxford University Press.Google Scholar
  21. Huppert, J. D., Kivity, Y., Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2014). Therapist effects and the outcome-alliance correlation in cognitive behavioral therapy for panic disorder with agoraphobia. Behaviour Research and Therapy, 52, 26–34. doi: 10.1016/j.brat.2013.11.001.
  22. Kim, B. S. K., Ng, G. F., & Ahn, A. J. (2009). Client adherence to Asian cultural values, common factors in counseling, and session outcome with Asian American clients at a university counseling center. Journal of Counseling and Development, 87, 131–142. doi: 10.1002/j.1556-6678.2009.tb00560.x.CrossRefGoogle Scholar
  23. Luborsky, L., Barber, J. P., Siqueland, L., Johnson, S., Najavits, L. M., Frank, A., & Daley, D. (1996). The Revised Helping Alliance Questionnaire (HAq-II): psychometric properties. The Journal of Psychotherapy Practice and Research, 5, 260–271.PubMedPubMedCentralGoogle Scholar
  24. Ministerio de Sanidad y Consumo. (2006). Real Decreto 1030/2006, de 15 de septiembre, por el que se establece la cartera de servicios comunes del Sistema Nacional de Salud y el procedimiento para su actualización [Royal Decree 1030/2006, of 15 September, establishing the portfolio of common services of the National Health System and the procedure for updating set]. Retrieved from http://www.msssi.gob.es/profesionales/prestacionesSanitarias/CarteraDeServicios/docs/CarteraDeServicios.pdf
  25. Ministerio de Sanidad, Política Social e Igualdad. (2011). Estrategia en Salud Mental del Sistema Nacional de Salud 2009–2013 [Mental Health Strategy of the National Health System from 2009 to 2013]. Retrieved from http://www.msssi.gob.es/organizacion/sns/planCalidadSNS/docs/saludmental/SaludMental2009-2013.pdf
  26. Muñiz, J. (2005). Utilización de los tests [Use of tests]. In J. Muñiz, A. M. Fidalgo, E. García-Cueto, R. Martínez, & R. Moreno (Eds.), Análisis de los ítems [Item analysis] (pp. 133–172). Madrid: La Muralla.Google Scholar
  27. Nunnally, J. C., & Bernstein, I. J. (1994). Psychometric theory. New York: McGraw-Hill.Google Scholar
  28. Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21, 95–103. doi: 10.1037/h0045357.
  29. Safran, J. D., & Muran, J. C. (2000). Negotiating the therapeutic alliance: a relational treatment guide. New York: Guilford Press.Google Scholar
  30. Sanz, J., & Vázquez, C. (1998). Fiabilidad, validez y datos normativos del Inventario para la Depresión de Beck [Reliability, validity, and normative data of the Beck Depression Inventory]. Psicothema, 10, 303–318.Google Scholar
  31. Tracey, T. J., & Kokotovic, A. M. (1989). Factor structure of the Working Alliance Inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 207–210.CrossRefGoogle Scholar
  32. Tryon, G. S., Blackwell, S. C., & Hammel, E. F. (2008). The magnitude of client and therapist working alliance ratings. Psychotherapy: Theory, Research, Practice, Training, 45, 546–551. doi: 10.1037/a0014338.CrossRefGoogle Scholar
  33. Urbanoski, K. A., Kelly, J. F., Hoeppner, B. B., & Slaymaker, V. (2012). The role of therapeutic alliance in substance use disorder treatment for young adults. Journal of Substance Abuse Treatment, 43, 344–351. doi: 10.1016/j.jsat.2011.12.013.
  34. Vázquez, C., & Sanz, J. (1997). Fiabilidad y valores normativos de la versión española del Inventario para la Depresión de Beck de 1978 [Reliability and normative data of the Spanish version of 1978 Beck’s Depression Inventory]. Clínica y Salud, 8, 403–422.Google Scholar
  35. Vázquez, C., & Sanz, J. (1999). Fiabilidad y validez de la versión española del Inventario para la Depresión de Beck de 1978 en pacientes con trastornos psicológicos [Reliability and validity of the Spanish version of Beck’s Depression Inventory (1978) in patients with psychological disorders]. Clínica y Salud, 10, 59–81.Google Scholar
  36. Vöhringer, C., Pérez, J. C., Martínez, C., Altimir, C., Dagnino, P., Suárez, N., & Krause, M. (2013). “Working Alliance Inventory” versión observacional: traducción, adaptación y validación al castellano [“Working Alliance Inventory” observational form: translation, adaptation and validation to Spanish]. Terapia Psicológica, 31, 301–311. doi: 10.4067/S0718-48082013000300005.
  37. Waizmann, V., & Roussos, A. (2011). Adaptación del Inventario de Alianza de Trabajo en su versión observador: WAI-O-A [Adaptation of the Working Alliance Inventory in its Observer Form: WAI-O-A]. Anuario de Investigaciones, 18, 95–104.Google Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Nelson Andrade-González
    • 1
  • Alberto Fernández-Liria
    • 2
  1. 1.Relational Processes and Psychotherapy Research Group, Faculty of Medicine and Health SciencesUniversity of AlcaláAlcalá de HenaresSpain
  2. 2.Faculty of Medicine and Health SciencesUniversity of AlcaláAlcalá de HenaresSpain

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