SynthesisJournal of counseling psychology2020
Assessing the alliance-outcome association adjusted for patient characteristics and treatment processes: A meta-analytic summary of direct comparisons.
Synthesis in Journal of counseling psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
46 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Therapeutic alliance in individual adult psychotherapy: a systematic review of conceptualizations and measures for face-to-face- and online-psychotherapy.Frontiers in psychology · 2024Pooled it
- Alliance matters: but how much? A systematic review on therapeutic alliance and outcome in patients with anorexia nervosa and bulimia nervosa.Eating and weight disorders : EWD · 2022Pooled it
- Relationships Among Patients' Interpersonal Behaviors in Sessions, Therapist Competence, and the Therapeutic Alliance in Cognitive Behavior Therapy: A Cross-Lagged Panel Analysis.Journal of clinical psychology · 2026Trial
- Examining the Role of Homework Compliance in Acceptance-Enhanced Behavior Therapy for Trichotillomania.Behavior therapy · 2025Trial
- Safety and User Experience of a Generative Artificial Intelligence Digital Mental Health Intervention: Exploratory Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Feasibility Randomized Controlled Trial of the Toolkit for Optimal Recovery After Concussion: A Live Video Program to Prevent Persistent Concussion Symptoms in Young Adults With Anxiety.Archives of physical medicine and rehabilitation · 2025Trial
- Trial
- Patient- and therapist-rated alliance predict improvements in posttraumatic stress disorder symptoms and substance use in integrated treatment.Clinical psychology & psychotherapy · 2023Trial
- Alliance With an Unguided Smartphone App: Validation of the Digital Working Alliance Inventory.Assessment · 2022Trial
- Attachment Orientations and Treatment Outcomes in Psychotherapy: Does the Alliance Mediate the Association?Clinical psychology & psychotherapyTrial
- Heart rate synchrony as an objective biomarker in psychotherapy: a wearable-based pilot study.European archives of psychiatry and clinical neuroscience · 2026Article
- Repairing alliance ruptures in psychotherapy with adults: a scoping review.Research in psychotherapy (Milano) · 2026Article
- Defining and reporting treatment dropout in blended therapy for mental health: scoping review and analysis.NPJ digital medicine · 2026Article
- Effects of a Relapse Prevention Program on motivation, relapse, and stress management in correctional settings.Substance abuse treatment, prevention, and policy · 2026Article
- More optimistic treatment expectations are associated with better outcomes through stronger group cohesion, but not dyadic alliance: results from a naturalistic day clinic study in complex depression.Frontiers in psychiatry · 2026Article
- Causal Relationships Between the Use of AI, Therapeutic Alliance, and Job Engagement Among Psychological Service Practitioners.Behavioral sciences (Basel, Switzerland) · 2024Article
- Understanding organisational and nursing behaviour changes associated with a therapeutic engagement improvement tool in acute mental health inpatient settings: A qualitative analysis.International journal of nursing studies advances · 2024Article
- Psychotherapy Works - An Inclusive and Affirming View to a Modern Mental Health Treatment.Clinical psychology in Europe · 2024Article
- Skill Use Mediates the Within-Person Effect of the Alliance on Session-to-Session Changes in Anxiety and Depression in the Unified Protocol.Journal of mood and anxiety disorders · 2024Article
- Perspectives of adult patients with mental health disorders on the relationship with nurses: a focus group study.BMC nursing · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
The alliance is widely recognized as a robust predictor of posttreatment outcomes. However, there is a debate regarding whether the alliance is an epiphenomenon of intake characteristics and/or treatment processes occurring over the course of treatment. This meta-analysis aimed to synthesize the evidence on this issue. We identified 125 effect sizes in 60 independent samples (6,061 participants) of studies that reported alliance-outcome correlations as well as parallel intake or process characteristics. We examined the impact of these potential confounds on the alliance-outcome correlations. We meta-analyzed the studies estimates by computing omnibus effects models as well as multivariate models. We identified 3 variable types that were used to adjust the alliance-outcome correlations: (a) intake characteristics (
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Registered trials
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.