title: Relapses in recurrent depression 1 year after psychoeducational treatment: the role of therapist adherence and competence, and the therapeutic alliance.
abstract: Psychoeducation has proved to be an effective treatment method for the prevention of relapse in recurrent depression. However, little is known about the processes which could account for the effects of psychoeducational treatment. In this study, patients with recurrent depression (currently remitted) received, over a period of 8 months, 16 sessions of psychoeducational treatment, in order to prevent relapse. Therapist adherence and competence, and the therapeutic alliance, were investigated as predictors of reducing the recurrence risk in depression. Videotapes of 43 participants in a psychoeducational treatment for depression were analyzed, in order to evaluate therapist adherence and competence. Additionally, the therapeutic alliance was assessed by means of a questionnaire. One year after treatment, no associations were found between therapist adherence or competence and the risk of relapse. The patients' view of the therapeutic alliance was moderately associated with the time to relapse. However, the correlation disappeared when controlled for the number of previous depressive episodes. The latter was the most important predictor of time to relapse, explaining 15% of variance.
authors.affiliation: Department of Clinical Psychology and Psychotherapy, University of Frankfurt, Germany. weck@psych.uni-frankfurt.de
authors.forename: Florian
authors.initials: F
authors.lastname: Weck
authors.forename: Maria
authors.initials: M
authors.lastname: Weigel
authors.forename: Martin
authors.initials: M
authors.lastname: Hautzinger
authors.forename: Arnd
authors.initials: A
authors.lastname: Barocka
authors.forename: Ralf G M
authors.initials: RG
authors.lastname: Schlösser
authors.forename: Ulrich
authors.initials: U
authors.lastname: Stangier
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D002983:Clinical Competence; D003863:Depression / Q000517:prevention & control / Q000523:psychology* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D011613:Psychotherapy / Q000379:methods*; D055502:Secondary Prevention; D016896:Treatment Outcome