KBT och Relationell korttidsterapi vid tonårsdepression - interaktion mellan följsamhet, allians och behandlingsutfall

Sammanfattning: This study compared two types of therapies, CBT and Brief Relational Therapy, as applied to teenagers with depression. The comparisons were made in order to analyze whether adherence to the therapeutic method and handling of problems within the therapeutic alliance affects the extent of depressive symptoms, and in what way adherence and alliance interacts with each other in the therapeutic methods. Assessments of adherence and alliance were made by observing short sequences of each therapy session. A positive correlation was noted regarding the interaction of observer-rated adherence and alliance for Brief Relational Therapy but no such correlation was found for therapist and patient rated alliance. No correlations were found between adherence or alliance and change in depressive symptoms. Thus, no statistically reliable results were found to confirm our hypothesis. This could be due to limited statistical power. However, this study addresses the need to further investigate therapeutic mechanisms in psychotherapy and raises the question of in comparing therapeutic methods to find answers to therapeutic outcomes.