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Title: Investigating the relationship between telephone-delivered therapy, therapeutic alliance and psychological well-being
Author: O'Driscoll, Miriam
ISNI:       0000 0004 2729 3712
Awarding Body: University of Southampton
Current Institution: University of Southampton
Date of Award: 2012
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This literature review examines the current research on structured telephone therapies. Literature searches were conducted to identify studies of structured telephone-delivered therapies targetting a range of mental health disorders. Twenty studies met the criteria, with depression the most frequently represented. Key data was extracted to contrast and compare study designs and report findings. Findings overall support the use of telephone-delivered therapy to help alleviate symptoms of mental distress. Conclusions from several of the studies are limited by small sample size and design limitations. Research and clinical implications are considered in light of the current research findings and limitations. Empirical paper This study describes the use of an adapted Therapy Rating Scale (TRS) to measure therapeutic alliance and adherence to protocol, in a study of telephone- delivered CBT or supportive listening for adjustment to multiple sclerosis (saMS). Three raters listened to audiotapes of sessions conducted by general nurses trained specifically for the trial. Substantial inter-rater reliability was achieved and the TRS was shown to have good reliability. Two factors were identified by principal component analysis - therapist contribution and patient contribution. Correlational analyses were performed with these factors and GHQ and WSAS outcome measures. Therapeutic alliance as measured by the TRS was not found to moderate treatment outcome in saMS. Limitations of the TRS are discussed, as well as clinical implications and directions for future research.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available