title: Therapist responsiveness and patient engagement in therapy.
abstract: This study tests the hypothesis that therapist responsiveness in the first two sessions of therapy relates to three measures of early patient engagement in treatment. Using videotapes and data from the NIMH Treatment of Depression Collaborative Research Program (TDCRP), an instrument was developed to measure therapist responsiveness in the first two sessions of Cognitive Behavior Therapy and Interpersonal Psychotherapy. A factor measuring positive therapeutic atmosphere, as well as a global item of therapist responsiveness, predicted both the patient's positive perception of the therapeutic relationship after the second session and the patient's remaining in therapy for more than four sessions. A negative therapist behavior factor also predicted early termination. Factors measuring therapist attentiveness and early empathic responding did not predict the engagement variables.
authors.affiliation: a School of Social Service Administration , University of Chicago , Chicago , IL , USA.
authors.forename: Irene
authors.initials: I
authors.lastname: Elkin
authors.forename: Lydia
authors.initials: L
authors.lastname: Falconnier
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Smith
authors.forename: Kelli E
authors.initials: KE
authors.lastname: Canada
authors.forename: Edward
authors.initials: E
authors.lastname: Henderson
authors.forename: Eric R
authors.initials: ER
authors.lastname: Brown
authors.forename: Benjamin M
authors.initials: BM
authors.lastname: McKay
mesh_terms: D015928:Cognitive Behavioral Therapy; D003865:Major Depressive Disorder / Q000628:therapy*; D004645:Empathy; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D010352:Patient Dropouts / Q000523:psychology; D011369:Professional-Patient Relations; D013811:Psychotherapeutic Processes; D011613:Psychotherapy; D014741:Video Recording