Trial reportJournal of clinical psychology2026
Relationships Among Patients' Interpersonal Behaviors in Sessions, Therapist Competence, and the Therapeutic Alliance in Cognitive Behavior Therapy: A Cross-Lagged Panel Analysis.
Trial report in Journal of clinical psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02479594 (The Importance of Competence-feedback for Therapy Outcome), which is not on this map. Not yet cited in PubMed.
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.
The Importance of Competence-feedback for Therapy Outcome: a Randomized Controlled Trial
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveTo investigate the reciprocal relationships between patient interpersonal behavior (IB), therapist competence, and the alliance within- and between-persons.
methodsA secondary analysis was conducted of a randomized controlled trial with 67 cognitive behavior therapists and 114 patients with depression. The therapists evaluated their patients' IB, and they both judged the alliance. Pre- and post-treatment, the patients indicated their general levels of interpersonal problems. Every fourth session, independent raters judged the patients' IB and therapists' competence. Random-intercept cross-lagged panel analyses were calculated.
resultsFirst, intraindividual deviations in patient IB were associated with deviations in therapist competence or the alliance (within-person); and patients with generally more positive IB experienced not only better alliances but also more competent therapists (between-person). Second, the perspective of the evaluating person and the time interval were decisive, as significant cross-lagged effects between patients' IB in one session and the alliance in subsequent sessions (and vice versa) only occurred from the therapist perspective, but not when the patient perspective was considered. Third, patients with more interpersonal problems before treatment did not show more negative IB, nor did they experience poorer alliances or less competent therapists.
conclusionThe study supports the idea that patient IB is as an important part of both therapeutic competence and the alliance. However, therapists and raters may be prone to evaluation bias, interpreting negative patient IB as a sign of poor alliance or competence (and vice versa). Finally, the extent of interpersonal problems before treatment does not substantially influence the three process variables.
trial registrationhttps://clinicaltrials.gov/study/NCT02479594.
Indexed as
Identifiers
What OpenQuestion holds
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.