ArticleJournal of mood and anxiety disorders2024
Skill Use Mediates the Within-Person Effect of the Alliance on Session-to-Session Changes in Anxiety and Depression in the Unified Protocol.
Article in Journal of mood and anxiety disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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Who cites it
3 citing papers in PubMed, 2 citations in OpenAlex.
- User-Reported Mechanisms of Change on a Suicide Prevention Website: Single-Arm Pragmatic Trial.JMIR formative research · 2025Trial
- Use of physical activity skills in daily life during a physical activity intervention for women in midlife with elevated risk for cardiovascular disease.Journal of behavioral medicine · 2026Article
- Processes of Change: Integrating Relationality with Cognitive-Behavioral and Acceptance Constructs.Journal of contemporary psychotherapy · 2025Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
Objective: Both the therapeutic alliance and the specific skills taught in treatment are thought to contribute to change in cognitive-behavior therapy (CBT), but it is unclear if or how these processes influence each other and outcomes in treatment. We tested the hypothesis that the degree to which patients used CBT skills would mediate the relation between the alliance and session-to-session changes in anxiety and depression. Method: Adult participants ( Results: Skillfulness significantly mediated the effect of the alliance on session-to-session changes in anxiety, Conclusions: Improvements in the alliance may facilitate skill use and indirectly predict reductions in anxiety and depression through skill use in CBT. We encourage research on how to enhance both the alliance and skillfulness in CBT.
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Registered trials
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