The moderating and mediating role of telepresence and cognitive change in cognitive behaviour therapy delivered via videoconference

Autor: Stéphane Bouchard, Maxine Berthiaume, Geneviève Robillard, Micheline Allard, Isabelle Green‐Demers, Stéphanie Watts, André Marchand, Patrick Gosselin, Frédéric Langlois, Geneviève Belleville, Michel J. Dugas
Rok vydání: 2023
Předmět:
Zdroj: Clinical Psychology & Psychotherapy.
ISSN: 1099-0879
1063-3995
DOI: 10.1002/cpp.2816
Popis: In this study, we combined the results of two controlled trials and examined the relationships between working alliance, telepresence, cognitive change, and treatment outcome. Sixty-five participants with a primary diagnosis of generalized anxiety disorder (GAD) or panic disorder with agoraphobia (PDA) received cognitive behavior therapy delivered via videoconference. Participants completed measures of working alliance and telepresence after three psychotherapy sessions. They also completed measures of treatment outcome and dysfunctional beliefs (cognitive change) specific to PDA and GAD at pretreatment and posttreatment. Results revealed that telepresence at the fifth session moderated the relationship between the working alliance at the first and fifth sessions. As telepresence increased, its impact on the working alliance diminished. Cognitive change mediated the relationship between the working alliance at the fifth session and treatment outcome.
Databáze: OpenAIRE