Benjamin Feldman, Kristin L Szuhany, Amanda W Baker, Sat Bir S Khalsa, Elizabeth Hoge, Eric Bui, Susanne S Hoeppner, David Rosenfield, Daniel Laor, Haley Ward, Stefan G Hofmann, Naomi M Simon
Numerous relationship process variables are positively associated with psychotherapy outcomes, but less is known about the therapeutic relationship in mind-body interventions (e.g., yoga). This study examined components of the therapeutic relationship (alliance, credibility/expectations) for patients with generalized anxiety disorder randomized to 12-weeks of group Kundalini Yoga (yoga), cognitive behavior therapy (CBT), or stress education (SE) in groups of 3-6. 147 participants (71% women, M age=33.2±13.3) completed the Working Alliance Inventory (WAI) and Credibility and Expectancy Questionnaire (CEQ) (yoga: n=56, CBT: n=65, SE: n=26) and outcome measures of worry, anxiety, and depression. WAI included subscales of goal, task, and bond. ANOVA assessed differences in WAI and CEQ scores by treatment at midpoint (Week 6) and endpoint (Week 12). Longitudinal linear mixed effects models assessed effects of midpoint WAI by treatment on self-report outcomes. Mean WAI and CEQ scores were significantly higher for CBT than SE by midpoint. The largest differences in WAI subscale scores compared to SE were in task for both CBT and yoga. No significant differences emerged between CBT and yoga. WAI at midpoint was not a significant predictor of midpoint to posttreatment change in worry, anxiety, or depression, nor was the effect of WAI on change in these outcomes different between treatment groups. Results suggest patient ratings of relationship process variables were similar between yoga and CBT, but different from SE in group treatment for anxiety, and that components of the relationship may be optimized within yoga by augmenting goal and task, perhaps by borrowing elements from CBT-based treatments.
{"title":"Therapeutic Relationship in Group Cognitive Behavior Therapy, Yoga, and Stress Education for Generalized Anxiety Disorder.","authors":"Benjamin Feldman, Kristin L Szuhany, Amanda W Baker, Sat Bir S Khalsa, Elizabeth Hoge, Eric Bui, Susanne S Hoeppner, David Rosenfield, Daniel Laor, Haley Ward, Stefan G Hofmann, Naomi M Simon","doi":"10.1037/int0000381","DOIUrl":"10.1037/int0000381","url":null,"abstract":"<p><p>Numerous relationship process variables are positively associated with psychotherapy outcomes, but less is known about the therapeutic relationship in mind-body interventions (e.g., yoga). This study examined components of the therapeutic relationship (alliance, credibility/expectations) for patients with generalized anxiety disorder randomized to 12-weeks of group Kundalini Yoga (yoga), cognitive behavior therapy (CBT), or stress education (SE) in groups of 3-6. 147 participants (71% women, <i>M</i> age=33.2±13.3) completed the Working Alliance Inventory (WAI) and Credibility and Expectancy Questionnaire (CEQ) (yoga: n=56, CBT: n=65, SE: n=26) and outcome measures of worry, anxiety, and depression. WAI included subscales of goal, task, and bond. ANOVA assessed differences in WAI and CEQ scores by treatment at midpoint (Week 6) and endpoint (Week 12). Longitudinal linear mixed effects models assessed effects of midpoint WAI by treatment on self-report outcomes. Mean WAI and CEQ scores were significantly higher for CBT than SE by midpoint. The largest differences in WAI subscale scores compared to SE were in task for both CBT and yoga. No significant differences emerged between CBT and yoga. WAI at midpoint was not a significant predictor of midpoint to posttreatment change in worry, anxiety, or depression, nor was the effect of WAI on change in these outcomes different between treatment groups. Results suggest patient ratings of relationship process variables were similar between yoga and CBT, but different from SE in group treatment for anxiety, and that components of the relationship may be optimized within yoga by augmenting goal and task, perhaps by borrowing elements from CBT-based treatments.</p>","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12700619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using values interventions to improve exposure therapy engagement in specific phobias.","authors":"Danae Papageorgiou, M. Karekla","doi":"10.1037/int0000320","DOIUrl":"https://doi.org/10.1037/int0000320","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":"19 5","pages":""},"PeriodicalIF":3.5,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138591269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Douglas A. Guiffrida, Scott McGuinness, Rachel Carter, Daniel Miller, Jennifer Farah
{"title":"A qualitative study of clients with chronic pain who participated in an integrative mind/body psychotherapy intervention.","authors":"Douglas A. Guiffrida, Scott McGuinness, Rachel Carter, Daniel Miller, Jennifer Farah","doi":"10.1037/int0000318","DOIUrl":"https://doi.org/10.1037/int0000318","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":"2 8","pages":""},"PeriodicalIF":3.5,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138592849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amy Fraire, Dhriti Tiwari, Cassandra Hinger, Emily Leeper, Courtney F. Agorsor, Rachel Hughitt, Jeremy J. Coleman, Sree Sinha, Emma Freetly Porter, C. DeBlaere, Don E. Davis, Jesse Owen
{"title":"Observer and client perceptions of therapist multicultural orientation in a jail setting.","authors":"Amy Fraire, Dhriti Tiwari, Cassandra Hinger, Emily Leeper, Courtney F. Agorsor, Rachel Hughitt, Jeremy J. Coleman, Sree Sinha, Emma Freetly Porter, C. DeBlaere, Don E. Davis, Jesse Owen","doi":"10.1037/int0000316","DOIUrl":"https://doi.org/10.1037/int0000316","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":"31 10","pages":""},"PeriodicalIF":3.5,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138590215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing interpersonal impact of veterans with posttraumatic stress disorder and moral injury: A case study of how significant others perceive veterans undergoing a positive psychology intervention.","authors":"Adam P. McGuire, Thane M. Erickson, Eman Nabulsi","doi":"10.1037/int0000317","DOIUrl":"https://doi.org/10.1037/int0000317","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":"12 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135972791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria João Dias, Sara Rathenau, Daniel Sousa, João M. Santos
{"title":"Therapeutic presence, working alliance, and clients’ attitudes toward online therapy.","authors":"Maria João Dias, Sara Rathenau, Daniel Sousa, João M. Santos","doi":"10.1037/int0000314","DOIUrl":"https://doi.org/10.1037/int0000314","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135968148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hagar S. Lev Ari, Mor Safyon, Rivka Tuval-Mashiach
{"title":"Clinician reports of the motivation to change and the therapeutic alliance in patients with anorexia nervosa: Countertransference as a mediator.","authors":"Hagar S. Lev Ari, Mor Safyon, Rivka Tuval-Mashiach","doi":"10.1037/int0000319","DOIUrl":"https://doi.org/10.1037/int0000319","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135386578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Revisiting the cognitive primacy hypothesis: Implications for psychotherapy.","authors":"Francis Stevens","doi":"10.1037/int0000313","DOIUrl":"https://doi.org/10.1037/int0000313","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44342016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Brief transactional analysis psychotherapy for depression: The systematic development of a treatment manual.","authors":"J. Vos, Biljana van Rijn","doi":"10.1037/int0000304","DOIUrl":"https://doi.org/10.1037/int0000304","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48338183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daphna G. Dollberg, Hadar Behrendt, M. Shorer, Esther Bamberger
{"title":"Integrative parent psychotherapy: Using the cyclical psychodynamics approach.","authors":"Daphna G. Dollberg, Hadar Behrendt, M. Shorer, Esther Bamberger","doi":"10.1037/int0000311","DOIUrl":"https://doi.org/10.1037/int0000311","url":null,"abstract":"","PeriodicalId":46982,"journal":{"name":"JOURNAL OF PSYCHOTHERAPY INTEGRATION","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44749793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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