title: The Patient's Experience of Attunement and Responsiveness Scale.
abstract: This study sought to test the correlation between the patient's experience of attunement and responsiveness, and treatment outcome.
  
  
  
  Utilizing a new measure-the Patient's Experience of Attunement and Responsiveness (PEAR) Scale-we asked both patients and therapists to rate their experience of a therapy session immediately after that session. Scores on the PEAR Scale were then correlated with two measures of treatment outcome. We obtained 405 total PEAR Scale administrations from 38 patient-therapist dyads across multiple sessions.
  
  
  
  Exploratory factor analyses revealed a three-factor structure for the patient version of the scale and a two-factor structure for the therapist version. Patient ratings on the PEAR Scale were significantly correlated with OQ-45 and a 1-item measure of global outcome measured for the concurrent session.
  
  
  
  These findings suggest attunement during a therapy session may be an important predictor of concurrent session outcome.
authors.affiliation: a San Francisco Psychotherapy Research Group, Clinic and Training Center , San Francisco , CA , USA.
authors.forename: John
authors.initials: J
authors.lastname: Snyder
authors.affiliation: b Department of Psychiatry , University of California , Oakland , CA , USA.
authors.forename: George
authors.initials: G
authors.lastname: Silberschatz
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care / Q000379:methods*; D011369:Professional-Patient Relations; D011594:Psychometrics / Q000295:instrumentation*; D011613:Psychotherapy / Q000379:methods*; D055815:Young Adult
keywords: alliance; attachment; outcome research; process research