Abstract
BackgroundThe therapeutic alliance (TA) is considered a common psychotherapeutic factor associated with positive results in psychotherapies. There are no studies relating the TA with quality of life (Qol).ObjectivesOur objective was to evaluate whether there is an association between the TA and Qol across three different psychotherapies.MethodsA cross-sectional study, which included outpatients undergoing individual psychotherapeutic treatment was conducted. When analyzing the total sample, the correlation of the TA with Qol domains did not present statistical significance. When considering only the sample of patients who were undergoing treatment in psychodynamic psychotherapy (PP), there was a statistically significant association between the TA and the psychological domain of Qol (p < 0.05). When using a regression model for adjusting for confounding factors, the association between psychological domain with the TA on the PP patients sample lost significance (p = 0.221).DiscussionThese findings suggest that the TA seems to be more strongly related to better QoL in PP.
Highlights
Psychotherapies are important tools in the treatment of many mental disorders
Nowadays there are several different models of psychotherapy, in this study we will focus on three specific techniques: interpersonal psychotherapy (IPT), cognitive-behavioral therapy (CBT), and psychodynamic psychotherapy (PP), which are the three amongst commonly used types of psychotherapies
This study showed that patients with depressive symptoms had more physical and psychological impairment and rated their quality of life as worse
Summary
Psychotherapies are important tools in the treatment of many mental disorders. A systematic review of 61 meta-analyses [1] (852 clinical trials out of a total of 137,126 participants) that examined the effect of pharmacotherapy and psychotherapy for major psychiatric disorders showed that the effect sizes of psychotherapies tended to be higher [0.58; 95% confidence interval (CI) 0.40–0.76] than those of pharmacotherapy (0.40; 0.28–0.52).Therapeutic Alliance Quality of LifeNowadays there are several different models of psychotherapy, in this study we will focus on three specific techniques: interpersonal psychotherapy (IPT), cognitive-behavioral therapy (CBT), and psychodynamic psychotherapy (PP), which are the three amongst commonly used types of psychotherapies.IPT was developed to treat depression in the 1970s [2], and assumes the development of depression and anxiety in an interpersonal context, including its inception and response to treatment and outcomes, which are formed by relationships involving the individual and anyone in that person’s sphere. Psychotherapies are important tools in the treatment of many mental disorders. IPT was developed to treat depression in the 1970s [2], and assumes the development of depression and anxiety in an interpersonal context, including its inception and response to treatment and outcomes, which are formed by relationships involving the individual and anyone in that person’s sphere. The goal of IPT is to expand the patient’s social network; the therapist is an important support system in the beginning, but should not assume this role. Shorter treatments meet this goal and encourage the patient to strengthen external support networks. The therapeutic alliance (TA) is considered a common psychotherapeutic factor associated with positive results in psychotherapies. There are no studies relating the TA with quality of life (Qol)
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