Evidence map›Paper›PMID 30650245›Full record

Trial reportClinical psychology & psychotherapy2019

Therapeutic alliance-not therapist competence or group cohesion-contributes to reduction of psychological distress in group-based mindfulness-based cognitive therapy for cancer patients.

Else M Bisseling, Melanie P J Schellekens, Philip Spinhoven, Félix R Compen, Anne E M Speckens, Marije L van der Lee

Open access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical psychology & psychotherapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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  4. A Systematic Meta-Review of Mindfulness-Based and Mindfulness-Integrated Programs with Parents and Families: Evidence from Over 25 Years of Research.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Else M BisselingDepartment of Psychiatry, Radboud University Nijmegen Medical Centre for Mindfulness, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0003-2457-2428
Melanie P J SchellekensCentre for Psycho-Oncology, Scientific Research Department, Helen Dowling Institute, Bilthoven, The Netherlands.
Philip SpinhovenInstitute of Psychology, Leiden University, Leiden, The Netherlands.
Félix R CompenDepartment of Psychiatry, Radboud University Nijmegen Medical Centre for Mindfulness, Nijmegen, The Netherlands.
Anne E M SpeckensDepartment of Psychiatry, Radboud University Nijmegen Medical Centre for Mindfulness, Nijmegen, The Netherlands.
Marije L van der LeeCentre for Psycho-Oncology, Scientific Research Department, Helen Dowling Institute, Bilthoven, The Netherlands.
Radboud University Nijmegen · NLHelen Dowling Instituut · NLLeiden University · NL

Funding

National Foundation for Breast Cancer Pink Ribbon 2012.WO14.C153Pink Ribbons Project 2012.WO14.C153
6 · The paper itself

Abstract

Mindfulness-based cognitive therapy (MBCT) is an innovative evidence-based intervention in mental and somatic health care. Gaining knowledge of therapeutic factors associated with treatment outcome can improve MBCT. This study focused on predictors of treatment outcome of MBCT for cancer patients and examined whether group cohesion, therapeutic alliance, and therapist competence predicted reduction of psychological distress after MBCT for cancer patients. Moreover, it was examined whether therapist competence facilitated therapeutic alliance or group cohesion. Multilevel analyses were conducted on a subsample of patients collected in a larger randomized controlled trial on individual internet-based versus group-based MBCT versus treatment as usual in distressed cancer patients. The current analyses included the 84 patients who completed group-based MBCT out of 120 patients who were randomized to group-based MBCT. Group cohesion and therapist competence did not predict reduction in psychological distress, whereas therapeutic alliance did. In addition, therapist competence did not predict therapeutic alliance but was associated with reduced group cohesion. Our findings revealed that therapeutic alliance significantly contributed to reduction of psychological distress in MBCT for cancer patients. Elaborating the clinical implications of the predictive significance of therapeutic alliance might be of added value to enhance the potential effect of MBCT.

Indexed as

Clinical CompetenceGroup ProcessesMindfulnessTherapeutic AllianceAdaptation, PsychologicalAdultBreast NeoplasmsCognitive Behavioral TherapyFemaleHumansIllness BehaviorMaleMiddle AgedNeoplasmsPsychotherapy, GroupTherapy, Computer-Assistedcancergroup cohesionMBCTpsychological distresstherapeutic alliancetherapist competence

Identifiers

PMID30650245
PMCPMC6680267
OpenAlexW2911186539

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.